Prevention Of Childhood Injuries-phase 1 Injury Surveill

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，收集导致急诊室就诊、住院或死亡的3岁儿童受伤的数据。家庭服务部还提供了有关已证实的虐待和忽视案件的资料。数据收集已完成。在所有10家研究医院和从1995年10月1日至1996年9月30日的一年期间，确定了3041次与伤害有关的就诊，每年以事件为基础的比率为13.5/100人/年。有10人死亡，163人住院，2868人去急诊科就诊。1-2岁儿童的伤害率最高，婴儿的伤害率最低。损伤的主要原因因严重程度不同而不同。 在其中三个研究地点，在受伤事件发生后不久，向父母或照顾者发放了一份问卷。在1915个有资格面谈的家庭中，1351个家庭(71%)完成了面谈。以前的手稿都集中在父母对采访的敏感性，以及与设计和实施多医院伤害监测系统有关的问题。最近的努力侧重于围绕这一事件的情况，以确定潜在的预防战略。在这些分析中，研究人员为所有导致死亡或住院的事件确定了潜在的预防策略。对于那些被认为具有中度或高度残疾或死亡风险的急诊科就诊，还确定了可能的预防策略。总共为425个事件确定了预防战略。确定了本可以通过主动、被动和监管战略预防的事件的比例。对伤害事件周围的情况进行了检查，以确定具体原因的预防策略。报告这项研究结果的手稿目前正在修订中。

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, 3041 injury-related visits were identified yielding an annual event-based rate of 13.5/100 persons/year. There were ten deaths, 163 hospitalizations, and 2,868 emergency department visits. Injury rates were highest in one-two year olds and lowest in infants. Leading causes of injury varied with severity. At three of the study sites a questionnaire was administered to the parent or caregiver shortly after the injury event. Of the 1915 families who were eligible for an interview, interviews were completed for 1,351 (71%). Previous manuscripts have focused on parental sensitivities to the interview and issues related the design and implementation of a multi-hospital injury surveillance system. Recent efforts have focused on circumstances surrounding the event to identify potential prevention strategies. In these analyses, investigators identified potential prevention strategies for all events that resulted in a death or hospitalization. Potential prevention strategies were also identified for those emergency department visits in which the event was considered to present a moderate or high risk of disability or death. In total, prevention strategies were identified for 425 events. The proportion of events that could have been prevented by active, passive and regulatory strategies was determined. Circumstances surrounding injury events were examined to identify cause-specific prevention strategies. A manuscript reporting results of this study is currently in under revision.