Prevention Of Childhood Injuries - Injury Surveillance

作为“NIH/DC降低婴儿死亡率倡议”的一个组成部分，建立了一个全面的全市伤害监测系统，收集3岁以下儿童受伤导致急诊室就诊、住院或死亡的数据。还从家庭服务部获得了关于虐待和忽视的经证实案件的资料。数据收集完成。对于所有10家研究医院，从1995年10月1日至1996年9月30日的一年期间，确定了3039例损伤相关就诊，产生了13.5/100人/年的年度事件发生率。有9人死亡，163人住院，2,867人急诊。1 - 2奥尔兹儿童的受伤率最高，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，包括死亡（n=4，44%）和住院（n=36，22%）的最大比例。相反，故意伤害和未确定意图的伤害仅占艾德就诊的2%（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个有资格接受采访的家庭中，有1,445个（77%）得到了联系，1,352个（93%的联系人）完成了采访。以前的手稿都集中在父母的采访和问题的敏感性相关的设计和实施的多医院伤害监测系统。最近的努力集中在围绕事件的情况，特别是成人监督的作用。

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.