Stewart Tanya Charyk, Grant Kathrine, Singh Ram, Girotti Murray
Trauma Program, London Health Sciences Centre, Ontario, Canada.
J Trauma. 2004 Oct;57(4):787-94. doi: 10.1097/01.ta.0000140251.14658.31.
Our objective was to provide an epidemiologic description of pediatric trauma in SW Ontario using multiple data sets. Injury prevention (IP) initiatives were linked with predominant injury mechanisms to determine whether IP programs were supported by data.
Descriptive analysis was undertaken for five pediatric age groups (<1 year, 1-4 years, 5-9 years, 10-14 years, 15-19 years) using the Ontario Trauma Registry's Death Data Set, Comprehensive Data Set (Lead Trauma Hospitals [LTH] patients), and Minimal Data Set (hospital admissions), 1999-2000, for all pediatric patients residing in SW Ontario. National Ambulatory Care Reporting System (NACRS) data from the Children's Hospital of Western Ontario/London Health Sciences Centre were used to capture the Emergency Room (ER) injury data. Information on IP initiatives for children and youth was gathered through an Internet search, supplemented by a survey.
Injury in SW Ontario resulted in 13,197 ER visits, 1,616 hospital admissions, 70 severe trauma (ISS > 12) cases treated at a LTH and 47 deaths to children and youth. More males than females were injured, with the sex differential more pronounced as age increased. Falls were the leading mechanism for ER visits (37%) and hospital admissions (26%). Recreational injuries represented approximately 30% of injuries to the 10-14 yr age group. As ISS increased, MVCs emerged as an important mechanism, representing 71% of LTH cases and 53% of pediatric injury deaths in SW Ontario. There were 61 pediatric IP programs identified in SW Ontario. Eighty-four percent of programs (51/61) were supported by data, and were related to one of the predominant injury mechanisms.
Injury is a serious problem for children in SW Ontario. Data can be used to identify modifiable risk factors to develop and implement new IP initiatives with the goal of reducing childhood injury and death. There is a need to integrate and link IP programs in SW Ontario for full coverage of all injury mechanisms.
我们的目标是利用多个数据集对安大略省西南部的儿童创伤进行流行病学描述。将伤害预防（IP）举措与主要伤害机制相关联，以确定数据是否支持IP项目。
使用安大略省创伤登记处的死亡数据集、综合数据集（主要创伤医院[LTH]的患者）和最小数据集（医院入院患者），对五个儿童年龄组（<1岁、1 - 4岁、5 - 9岁、10 - 14岁、15 - 19岁）进行描述性分析，数据来自1999 - 2000年居住在安大略省西南部的所有儿科患者。使用西安大略儿童医院/伦敦卫生科学中心的国家门诊护理报告系统（NACRS）数据来获取急诊室（ER）伤害数据。通过互联网搜索收集有关儿童和青少年IP举措的信息，并辅以一项调查。
安大略省西南部的伤害导致13197人次急诊就诊、1616例住院、70例在主要创伤医院接受治疗的严重创伤（损伤严重度评分>12）病例以及47例儿童和青少年死亡。受伤男性多于女性，随着年龄增长，性别差异更加明显。跌倒是急诊就诊（37%）和住院（26%）的主要原因。娱乐性伤害约占10 - 14岁年龄组伤害的30%。随着损伤严重度评分增加，机动车碰撞（MVC）成为一个重要原因，在安大略省西南部，占主要创伤医院病例的71%和儿科伤害死亡的53%。在安大略省西南部共确定了61个儿科IP项目。84%的项目（51/61）有数据支持，并且与主要伤害机制之一相关。
伤害是安大略省西南部儿童面临的一个严重问题。数据可用于识别可改变的风险因素，以制定和实施新的IP举措，目标是减少儿童伤害和死亡。有必要整合安大略省西南部的IP项目，以全面覆盖所有伤害机制。
