Prevention Of Childhood Injuries - Injury Surveillance

预防儿童伤害 - 伤害监测

• 批准号: 6813868
• 负责人: Ruth A Brenner
• 金额: --
• 依托单位: EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6813868
• 关键词: accidental falls; child abuse; death; emergency care; epidemiology; health care facility information system; hospital utilization; human data; infant human (0-1 year); infant mortality; injury prevention; preschool child (1-5)

As one component of the "NIH/DC Initiative to Reduce Infant Mortality" 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. For all ten study hospitals and 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 nine deaths, 163 hospitalizations, and 2,867 emergency department visits. Injury rates were highest in one-two year olds and lowest in infants. Leading causes of injury varied with severity. Intentional injuries and injuries where intent was undetermined but 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 undetermined 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 eligible for an interview, 1,445 (77%) were contacted and interviews were completed for 1,352 (93% of contacts). Previous manuscripts have focused on parental sensitivities to the interview and issues related the design and implementation of a multi-hospital injury surveillance system. Most recently efforts have focused on circumstances surrounding the event and particularly the role of adult supervision.

作为“NIH/DC 降低婴儿死亡率计划”的组成部分，建立了一个全面的全市伤害监测系统，该系统收集 3 岁以下儿童因受伤而导致急诊室就诊、住院或死亡的数据。还从家庭服务部获得了有关经证实的虐待和忽视案件的信息。数据收集完成。对于所有十家研究医院以及从1995年10月1日到1996年9月30日的一年期间，确定了3039次与伤害相关的就诊，得出基于事件的年率为13.5/100人/年。共有 9 人死亡，163 人住院，2,867 人就诊急诊。一两岁儿童的受伤率最高，婴儿最低。受伤的主要原因因严重程度而异。故意伤害和意图不明但怀疑是故意的伤害在死亡（n=4，44%）和住院（n=36，22%）中所占比例最大。相比之下，故意伤害和意图不明的伤害仅占急诊就诊的 2% (n=56)。 42% 的受伤相关急诊就诊是因为跌倒 (n=1245)。在三个研究地点，受伤事件发生后不久，向家长或护理人员进行了问卷调查。在 1,913 个有资格接受采访的家庭中，我们联系了 1,445 个家庭（77%），并完成了 1,352 个家庭（接触者的 93%）的采访。以前的手稿主要关注家长对访谈的敏感性以及与多医院伤害监测系统的设计和实施相关的问题。最近的工作重点是围绕事件的环境，特别是成人监督的作用。