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3041例损伤相关就诊，产生了13.5/100人/年的年度事件发生率。有10人死亡，163人住院，2,868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。 在三个研究中心，在受伤事件发生后不久，向父母或照顾者进行了问卷调查。在1915个有资格接受采访的家庭中，有1,351个（71%）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。最近的工作重点是围绕事件的情况，以确定潜在的预防战略。在这些分析中，研究人员确定了所有导致死亡或住院的事件的潜在预防策略。还确定了潜在的预防策略，用于那些急诊科就诊，其中事件被认为存在中度或高度残疾或死亡风险。总共为425起事件确定了预防策略。确定了本可通过主动、被动和监管策略预防的事件比例。围绕伤害事件的情况进行了检查，以确定具体原因的预防策略。目前正在编写报告本研究结果的手稿。

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 preparation.