Sun Yi, Zhou Xin, Jia Cuiping, Yan Chunxiang, Huang Maohua, Xiang Huiyun
Department of Social Medicine, School of Public Health, Tongji Medical College, Wuhan, China.
Injury. 2006 May;37(5):416-22. doi: 10.1016/j.injury.2005.12.002. Epub 2006 Feb 14.
To examine motor vehicle-pedestrian collision injuries resulting in hospitalisation among children admitted into Wuhan Children's Hospital, The People's Republic of China.
From the 1993 to 2004 inpatient data of Wuhan Children's Hospital, we identified injury cases from motor vehicle traffic crashes among children aged 18 years or less using the discharge diagnosis defined by the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). We examined characteristics of injuries from motor vehicle traffic crashes (ICD-9-CM = E810-E819) and then calculated the proportion of injuries from motor vehicle-pedestrian collisions (ICD-9-CM = E814) among all hospitalisations for childhood injuries (ICD-9-CM = 800-959). The trend of injuries from motor vehicle-pedestrian collisions from 1993 to 2004 was described.
Of the 12,939 injuries resulting in hospitalisation among children admitted into Wuhan Children's Hospital during 1993-2004, a total of 528 injuries were caused by motor vehicle traffic crashes. The majority of the injured children in motor vehicle traffic crashes were males (59.3%). In comparison with other traffic injuries, a higher proportion of motor vehicle-pedestrian collisions occurred among children aged 12-15 years. Motor vehicle-pedestrian collision injuries resulted in significantly longer lengths of stay in the hospital than other motor vehicle traffic injuries (19.4 days versus 14.3 days, respectively; t-test = 2.59, p-value < 0.05). The percentage of motor vehicle-pedestrian collision injuries among all hospitalisations for childhood injuries increased significantly from 1.6% (95% confidence interval [CI] = 1.2-2.1) in 1993 to 3.1% (95% CI = 2.7-3.6) in 2004 (p < 0.05).
Hospitalisations for injuries from motor vehicle-pedestrian collisions at this large children's hospital increased significantly in the past decade. These data underscore the need for additional research and a major concerted effort to prevent motor vehicle-pedestrian collisions among children in China.
研究中华人民共和国武汉市儿童医院收治的因机动车与行人碰撞导致住院的儿童损伤情况。
从武汉市儿童医院1993年至2004年的住院数据中，我们使用国际疾病分类第九版临床修订本（ICD - 9 - CM）定义的出院诊断，确定了18岁及以下儿童机动车交通事故中的损伤病例。我们研究了机动车交通事故损伤（ICD - 9 - CM = E810 - E819）的特征，然后计算了儿童损伤（ICD - 9 - CM = 800 - 959）所有住院病例中机动车与行人碰撞损伤（ICD - 9 - CM = E814）的比例。描述了1993年至2004年机动车与行人碰撞损伤的趋势。
在1993 - 2004年武汉市儿童医院收治的因伤住院的12939名儿童中，共有528例损伤是由机动车交通事故造成的。机动车交通事故中受伤儿童多数为男性（59.3%）。与其他交通损伤相比，12 - 15岁儿童中机动车与行人碰撞的比例更高。机动车与行人碰撞损伤导致的住院时间明显长于其他机动车交通事故损伤（分别为19.4天和14.3天；t检验 = 2.59，p值 < 0.05）。儿童损伤所有住院病例中机动车与行人碰撞损伤的百分比从1993年的1.6%（95%置信区间[CI] = 1.2 - 2.1）显著增加到2004年的3.1%（95% CI = 2.7 - 3.6）（p < 0.05）。
在过去十年中，这家大型儿童医院因机动车与行人碰撞导致的住院人数显著增加。这些数据强调了在中国需要进行更多研究并齐心协力预防儿童机动车与行人碰撞事故。
