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，一项针对哥伦比亚特区婴幼儿受伤和忽视威胁的研究项目已经开发出来。建立了一个全面的全市伤害监测系统，收集了导致急诊室就诊、住院或死亡的3岁以下儿童受伤的数据。还从家庭服务部获得了关于虐待和忽视的确凿案件的资料。数据收集完成。所有10家研究医院的应计费率的初步数据均可获得。1995年9月16日至1996年9月30日，确定了3397起伤害事件（3199次急诊，177次住院，21人死亡）。损伤率在12-23个月的婴儿中最高，在1岁以下的婴儿中最低。无论是住院还是急诊，受伤的主要原因都是跌倒。通过在家庭服务中心进行的监测，确定了1398份符合条件的虐待或忽视报告。在三个研究地点，在受伤事件发生后不久，对父母或照顾者进行了问卷调查。约72%的2006年合资格个案已完成面谈，43宗（2%）被拒绝，其余26%的面谈因其他原因而终止，例如电话号码无效或电话不通。目前的工作重点是编写稿件供同行评审。这项研究首次深入研究了婴幼儿的非致命性伤害。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危社区进行有针对性的干预。-儿童伤害，监视-人类受试者

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 September 16, 1995 through September 30, 1996, 3397 injury events were identified (3199 emergency department visits, 177 hospitalizations and 21 deaths). Rates of injury were highest in 12-23 month olds and lowest in infants <1 year of age. Both for hospitalizations and emergency department visits, the leading cause of injury was falls. Through the surveillance conducted at Family Services, 1398 eligible reports of substantiated abuse or neglect were identified. At three of the study sites a questionaire was administered to the parent or care giver shortly after the injury event. Interviews were completed for approximately 72% of the 2006 eligible cases, there were 43 refusals (2%), and the remaining interviews, 26% were closed for other reasons, e.g., invalid phone number or disconnected telephones. Current efforts are focused on the preparation of manuscripts for peer review.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. - Childhood injury, surveillance - Human Subjects