Shavit I, Bar-Joseph G, Shehadeh N, Faraggi D, Jan V, Revach M
Department of Pediatrics, Rambam Medical Center, Bruce Rappoport Faculty of Medicine, The Technion-Israel Institute of Technology, Haifa.
Eur J Epidemiol. 2000 Jan;16(1):47-52. doi: 10.1023/a:1007683020026.
In Israel, there are no epidemiological data regarding nonfatal childhood falls. A retrospective survey was conducted in order to find epidemiological characteristics of childhood falls among the different populations of northern Israel. During the years 1993 through 1995, 3082 children were hospitalized in Rambam Medical Center (RMC) due to injury. The children were subdivided into the four main populations: Jewish and Arab residents of Haifa region (the main metropolitan area) and Jewish and Arab residents of the Galilee region (the rural region). All of the children who suffered injury that required mechanical ventilation and careful assessment were admitted to the PICU. The charts of the children admitted to the PICU were then further studied. The demographic characteristics of all the cases of falls were statistically analyzed and the annual admission rates due to falls were calculated using the national statistical registrations of children in Israel. Falls were responsible for 1049 admissions due to injury, one third of the total number of children who were admitted due to an injury. Most of the children were five years of age or younger. Two thirds of the total childhood falls were of Arabs. The majority of the admissions were of two major sub-populations of northern Israel: Arab residents of Galilee region (66%) and Jewish residents of Haifa region (34%). Higher admission rate was found among Arab children of the Western Galilee district in comparison with Jewish children of the Haifa district. Most of the children who were admitted to the PICU were Arabs: nearly all of these children were from the rural region. More Arab than Jewish children who fell were admitted to the PICU and the majority of these cases were falls from buildings (private houses). Arab children of the rural region were responsible for 95% of the cases. These falls were mainly in staircases (46%) and from balconies (21%), roofs (11%) and windows (11%). The findings of the present study suggest that young Arab rural children in northern Israel are at high risk to a severe injury due to fall. Possible causes are discussed and a preventative intervention is suggested.
在以色列，没有关于儿童非致命性跌倒的流行病学数据。为了找出以色列北部不同人群中儿童跌倒的流行病学特征，开展了一项回顾性调查。在1993年至1995年期间，3082名儿童因受伤在兰巴姆医疗中心（RMC）住院。这些儿童被细分为四个主要人群：海法地区（主要都市地区）的犹太人和阿拉伯居民，以及加利利地区（农村地区）的犹太人和阿拉伯居民。所有因受伤需要机械通气和仔细评估的儿童都被收入儿科重症监护病房（PICU）。然后对收入PICU的儿童病历进行了进一步研究。对所有跌倒病例的人口统计学特征进行了统计分析，并利用以色列儿童的国家统计登记数据计算了因跌倒导致的年住院率。跌倒导致了1049例因伤住院病例，占因伤住院儿童总数的三分之一。大多数儿童年龄在五岁及以下。儿童跌倒总数的三分之二是阿拉伯儿童。大多数住院病例来自以色列北部的两个主要亚人群：加利利地区的阿拉伯居民（66%）和海法地区的犹太居民（34%）。与海法地区的犹太儿童相比，发现西加利利地区的阿拉伯儿童住院率更高。收入PICU的大多数儿童是阿拉伯儿童：几乎所有这些儿童都来自农村地区。跌倒后收入PICU的阿拉伯儿童比犹太儿童多，而且这些病例大多数是从建筑物（私人住宅）上跌落。农村地区的阿拉伯儿童占这些病例的95%。这些跌倒主要发生在楼梯（46%）、阳台（21%）、屋顶（11%）和窗户（11%）。本研究结果表明，以色列北部年轻的阿拉伯农村儿童因跌倒而遭受严重伤害的风险很高。讨论了可能的原因并提出了预防性干预措施。
