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儿童中与滑板车相关伤害的发生率及描述。

Incidence and description of scooter-related injuries among children.

作者信息

Powell Elizabeth C, Tanz Robert R

机构信息

Divisions of Pediatric Emergency Medicine, Children's Memorial Hospital, Northwestern University's Feinberg School of Medicine, Chicago, IL, USA.

出版信息

Ambul Pediatr. 2004 Nov-Dec;4(6):495-9. doi: 10.1367/A04-074R1.1.

Abstract

OBJECTIVE

To describe trends in scooter-related injuries among US youth and compare scooter injuries to those related to in-line skates and skateboards.

DESIGN

Retrospective review of data for children 1-19 years old from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission for 1997-2002.

RESULTS

There were an estimated 190,878 scooter-related injuries (95% confidence interval: 145,984-235,773) among children treated in US emergency departments; 90% were in those 15 years old or younger. There was a marked increase in scooter-related injuries in 2000, injuries peaked in 2001, and declined. In 2002, the number of scooter-related injuries was similar to in-line skates and lower than skateboard-related injuries. Scooter- and in-line skate-associated injuries primarily involved children 5-12 years old: rates of scooter-related injuries were higher than rates of in-line skate-associated injuries among those 1-9 years old. Skateboard-related injuries more often involved teens. Forearm fractures accounted for 56% of fractures related to scooters (vs 74% in-line skates and 49% skateboards, chi-square, P < .01). Five percent of children injured using scooters had a closed head injury or skull fracture, similar to in-line skates and skateboards.

CONCLUSIONS

The annual number of injuries related to scooters, which peaked in 2001, is now similar to the number of injuries related to in-line skates. Injuries related to scooters primarily involve children 5-12 years old, and forearm fractures are common. These data suggest helmets should be used, and protective equipment should be developed to reduce forearm fractures.

摘要

目的

描述美国青少年中与滑板车相关的损伤趋势,并将滑板车损伤与轮滑鞋和滑板相关的损伤进行比较。

设计

对美国消费品安全委员会国家电子伤害监测系统1997 - 2002年1 - 19岁儿童的数据进行回顾性分析。

结果

在美国急诊科接受治疗的儿童中,估计有190,878例与滑板车相关的损伤(95%置信区间:145,984 - 235,773);90%发生在15岁及以下儿童中。2000年与滑板车相关的损伤显著增加,2001年达到峰值,随后下降。2002年,与滑板车相关的损伤数量与轮滑鞋相似,低于与滑板相关的损伤数量。滑板车和轮滑鞋相关损伤主要涉及5 - 12岁儿童:在1 - 9岁儿童中,与滑板车相关的损伤发生率高于与轮滑鞋相关的损伤发生率。与滑板相关的损伤更多涉及青少年。前臂骨折占与滑板车相关骨折的56%(轮滑鞋为74%,滑板为49%,卡方检验,P <.01)。使用滑板车受伤的儿童中有5%发生了闭合性头部损伤或颅骨骨折,与轮滑鞋和滑板情况相似。

结论

2001年达到峰值的与滑板车相关的年损伤数量,现在与轮滑鞋相关的损伤数量相似。与滑板车相关的损伤主要涉及5 - 12岁儿童,前臂骨折很常见。这些数据表明应使用头盔,并应开发防护装备以减少前臂骨折。

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