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希腊婴儿跌倒受伤的发生率及危险因素研究

Incidence and risk factors of fall injuries among infants: a study in Greece.

作者信息

Dedoukou Xanthi, Spyridopoulos Themis, Kedikoglou Simon, Alexe Delia Marina, Dessypris Nick, Petridou Eleni

机构信息

Department of Hygiene and Epidemiology, Athens University Medical School, Athens, Greece.

出版信息

Arch Pediatr Adolesc Med. 2004 Oct;158(10):1002-6. doi: 10.1001/archpedi.158.10.1002.

DOI:10.1001/archpedi.158.10.1002
PMID:15466690
Abstract

OBJECTIVE

To assess the incidence of fall injuries among infants in Greece, overall and by type of nursery equipment.

DESIGN

Review of data from a large injury database.

SETTING

The Emergency Department Injury Surveillance System in Greece.

PATIENTS

A total of 2672 injured infants.

INTERVENTIONS

Specially trained health visitors performed in-person interviews with the children's guardians, using a precoded questionnaire. The results of an independent survey of 777 mothers of noninjured children younger than 2 years attending the same emergency departments were used to allow quantification of the role of specific nursery equipment in the causation of infant fall injuries.

MAIN OUTCOME MEASURES

Annual rate of injury by falling in infants, overall and by cause.

RESULTS

About 4400 infant fall injuries occur annually in Greece, corresponding to an annual incidence rate of 44 injuries per 1000 infants. The incidence of falls increases with increasing infant age. A high percentage of severe injuries was detected, most of them concussions (14.3%) and fractures (9.4%). Approximately 10% of infants with fall-related injuries required hospitalization. More than 36% of fall injuries involved nursery equipment. Infant walker use was associated with a higher incidence of falls (about 9 per 1000 infant-years), and these falls occasionally involved stairs and caused serious injuries. Infant bouncers, strollers, and changing tables were all associated with a similar incidence of falls (about 4 per 1000 infant-years).

CONCLUSIONS

Falls are a common cause of serious infant injuries, and nursery equipment is frequently involved in the injury-causing event.

摘要

目的

评估希腊婴儿跌倒受伤的发生率,包括总体发生率以及按托儿所设备类型划分的发生率。

设计

对大型伤害数据库中的数据进行回顾。

地点

希腊的急诊科伤害监测系统。

患者

总共2672名受伤婴儿。

干预措施

经过专门培训的健康访视员使用预先编码的问卷对儿童监护人进行面对面访谈。对在同一急诊科就诊的777名2岁以下未受伤儿童的母亲进行的独立调查结果,用于量化特定托儿所设备在婴儿跌倒受伤原因中的作用。

主要观察指标

婴儿跌倒的年伤害率,包括总体伤害率及按原因划分的伤害率。

结果

希腊每年约发生4400起婴儿跌倒受伤事件,相当于每1000名婴儿中每年有44起受伤事件的发生率。跌倒发生率随婴儿年龄增长而增加。检测到高比例的重伤,其中大多数是脑震荡(14.3%)和骨折(9.4%)。约10%与跌倒相关受伤的婴儿需要住院治疗。超过36%的跌倒受伤涉及托儿所设备。使用婴儿学步车与较高的跌倒发生率相关(每1000婴儿年约9起),这些跌倒偶尔涉及楼梯并导致严重伤害。婴儿跳跳椅、婴儿车和换尿布台都与类似的跌倒发生率相关(每1000婴儿年约4起)。

结论

跌倒是婴儿严重受伤的常见原因,托儿所设备经常与导致伤害的事件有关。

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