Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study
Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study
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DOI：
10.2471/blt.08.055798
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发表时间：
2009-05-01
期刊：
影响因子：
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通讯作者：
Peden, Margie
中科院分区：
文献类型：
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作者：
Hyder, Adnan A;Sugerman, David E;Peden, Margie
目的利用急诊科（艾德）监测数据，确定低收入国家儿童意外伤害的发生频率和性质，并探讨此类伤害的危险因素。方法本试点研究代表了多国全球儿童意外伤害监测（GCUIS）项目的初始阶段，并基于儿童意外伤害的连续样本。2007年，在孟加拉国、哥伦比亚、埃及和巴基斯坦，11岁的男女儿童在3-4个月的时间里接受了选定的ED治疗，每个地点的情况各不相同。941例（60%）为2：5岁，32例（2%）为< 1岁。受伤尤其频繁（34%）在上午时间。在56%的情况下，它们发生在家里和周围，63%发生在孩子们玩耍的时候，11%发生在旅行中。在观察到的所有伤害中，913人（56%）涉及福尔斯，350人（22%）涉及道路交通伤害，210人（13%）涉及烧伤，66人（4%）涉及中毒，20人（11%）涉及溺水或溺水。福尔斯最常发生在楼梯或梯子上;道路交通伤害最常涉及行人;大多数烧伤是由热液体引起的;中毒通常涉及药物，大多数溺水发生在家中。平均伤害严重程度得分最高的是接近溺水或溺水（11），其次是道路交通伤害（10）。有6例死亡，其中2例溺水，2例福尔斯和2例道路交通伤害。结论低收入国家的医院承担着儿童伤害的巨大负担，需要进行系统的监测，以确定这种伤害的流行病学分布，并了解其危险因素。各国监测方法的标准化使得有可能进行国际比较并确定共同问题。
Objective To determine the frequency and nature of childhood injuries and to explore the risk factors for such injuries in low-income countries by using emergency department (ED) surveillance data.Methods This pilot study represents the initial phase of a multi-country global childhood unintentional injury surveillance (GCUIS) project and was based on a sequential sample of children < 11 years of age of either gender who presented to selected EDs in Bangladesh, Colombia, Egypt and Pakistan over a 3-4 month period, which varied for each site, in 2007.Findings Of 1559 injured children across all sites, 1010 (65%) were male; 941 (60%) were aged 2: 5 years, 32 (2%) were < 1 year old. Injuries were especially frequent (34%) during the morning hours. They occurred in and around the home in 56% of the cases, outside while children played in 63% and during trips in 11%. Of all the injuries observed, 913 (56%) involved falls, 350 (22%), road traffic injuries; 210 (13%), burns; 66 (4%), poisoning; and 20 (11%), near drowning or drowning. Falls occurred most often from stairs or ladders; road traffic injuries most often involved pedestrians; the majority of burns were from hot liquids; poisonings typically involved medicines, and most drowning occurred in the home. The mean injury severity score was highest for near drowning or drowning (11), followed closely by road traffic injuries (10). There were 6 deaths, of which 2 resulted from drowning, 2 from falls and 2 from road traffic injuries.Conclusion Hospitals in low-income countries bear a substantial burden of childhood injuries, and systematic surveillance is required to identify the epidemiological distribution of such injuries and understand their risk factors. Methodological standardization for surveillance across countries makes it possible to draw international comparisons and identify common issues.