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。数据收集完成。 所有10家研究医院的应计率初步数据均可用。 从1995年10月1日至1996年9月30日的一年期间，确定了3039例与伤害有关的就诊，得出基于事件的年发生率为13.5/100人/年。 有9人死亡，163人住院，2，867人急诊。 1-2奥尔兹儿童受伤率最高，婴儿最低。 受伤的主要原因因严重程度而异。 故意伤害和意图被怀疑是故意的伤害构成了死亡（n=4，44%）和住院（n=36，22%）的最大比例。 相比之下，故意伤害和伤害的undertemned艾德意图只占2%的艾德访问（n=56）。 42%的损伤相关艾德就诊是因为福尔斯（n=1245）。 在三个研究地点，在受伤事件发生后不久，向父母或护理人员进行了问卷调查。 在1913个符合采访条件的家庭中，有1,445个（77%）得到了联系，1,352个（93%的联系人）完成了采访。 一篇报道父母对采访敏感性的手稿发表在《伤害预防》上。这项研究提供了对婴儿和幼儿非致命伤害的第一次深入研究。 此外，它表明，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社区的有针对性的干预措施。目前的工作重点是编写供同行审查的文稿。

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 the one year period from October 1, 1995 through September 30, 1996, 3039 injury-related visits were identified yielding an annual event-based rate of 13.5/100 persons/year. There were 9 deaths, 163 hospitalizations, and 2,867 emergency department visits. Injury rates were highest in 1-2 year olds and lowest in infants. Leading causes of injury varied with severity. Intentional injuries and injuries where intent was undertermined by suspicious of being intentional comprised the largest fraction of deaths (n=4, 44%) and hospitalizations (n=36, 22%). In contrast intentional injuries and injuries of undertermined intent accounted for only 2% of ED visits (n=56). Forty-two percent of injury-related ED visits were for falls (n=1245). At three of the study sites a questionnaire was administered to the parent or care giver shortly after the injury event. Of the 1913 families who were leigible for an interview, 1,445 (77%) were contacted and interviews were completed for 1,352 (93% of contacts). A manuscript reporting parental sensitivities to the interview was published in Injury Prevention. 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. Current efforts are focused on the preparation of manuscripts for peer review.