PREVENTION OF CHILDHOOD INJURIES--PHASE 1 INJURY SURVEILLANCE

作为NIH/DC降低婴儿死亡率倡议的一个组成部分，制定了一项研究方案，解决哥伦比亚特区婴儿和幼儿受到伤害和忽视的威胁。建立了一个全面的全市范围的伤害监测系统，收集了导致急诊室就诊、住院或死亡的3岁以下儿童伤害的数据。还从家庭服务部获得了关于虐待和忽视的经证实案件的资料，数据收集工作已经完成。所有10家研究医院的应计率初步数据均可用。从1995年9月16日到1996年9月30日，确定了3397起伤害事件（3199次急诊就诊，177次住院治疗和21例死亡）。12-23个月奥尔兹的婴儿受伤率最高，<1岁的婴儿受伤率最低。无论是住院还是急诊，受伤的主要原因都是福尔斯。通过在家庭服务处进行的监测，确定了1 398份经证实的虐待或忽视的合格报告。在三个研究中心，在伤害事件发生后不久，向父母或护理人员进行了问卷调查。2006年约72%的合格个案完成了面谈，有43个拒绝（2%），其余26%的面谈因其他原因而结束，例如，无效的电话号码或断开的电话。目前的努力集中在为同行评审准备手稿上。这项研究提供了对婴幼儿非致命性伤害的第一次深入研究。此外，它证明了多医院监测是可行的，可以提供基于人群的伤害风险估计，从而确定主要原因和高风险街区，以进行有针对性的干预。- 儿童期损伤，监测-人类受试者

As one component of the NIH/DC Initiative to Reduce Infant Mortality a program of research addressing the threat of injuries and neglect to infants and toddlers in the District of Columbia has been developed. A comprehensive, city-wide injury surveillance system was established which collected data about injuries in children <3 years of age that resulted in an emergency room visit, hospitalization or death. Information about substantiated cases of abuse and neglect was also obtained from the Department of Family Services.Data collection is complete. Preliminary figures on accrual rates are available for all ten study hospitals. For September 16, 1995 through September 30, 1996, 3397 injury events were identified (3199 emergency department visits, 177 hospitalizations and 21 deaths). Rates of injury were highest in 12-23 month olds and lowest in infants <1 year of age. Both for hospitalizations and emergency department visits, the leading cause of injury was falls. Through the surveillance conducted at Family Services, 1398 eligible reports of substantiated abuse or neglect were identified. At three of the study sites a questionaire was administered to the parent or care giver shortly after the injury event. Interviews were completed for approximately 72% of the 2006 eligible cases, there were 43 refusals (2%), and the remaining interviews, 26% were closed for other reasons, e.g., invalid phone number or disconnected telephones. Current efforts are focused on the preparation of manuscripts for peer review.This study provides one of the first in-depth looks at non-fatal injuries in infants and toddlers. In addition, it demonstrates that multi- hospital surveillance is feasible and can provide population- based estimates of injury risk, thus identifying leading causes and high risk neighborhoods for targeted interventions. - Childhood injury, surveillance - Human Subjects