Sikron F, Glasser S, Peleg K
The Gertner Institute for Epidemiology and Health Policy Research, Israel National Center for Trauma and Emergency Medicine Research, Tel Hashomer, Israel.
Child Care Health Dev. 2007 Jan;33(1):45-51. doi: 10.1111/j.1365-2214.2006.00622.x.
According to the US Consumer Product Safety Commission, about 7000 children, many under age five, are treated annually at emergency rooms for injuries associated with unintentional tipping of television (TV) and furniture. However, the professional literature does not reflect much inquiry regarding this source of risk. In Israel, cases of children injured following TV tipover are reported in newspapers but no studies were conducted in Israel on this issue. The aim of this report is to present data regarding frequency and characteristics of children injured following a falling TV in Israel during recent years, in order to provide more specific information for advising policymakers and raising awareness about this growing danger.
Data were obtained from the Israeli National Trauma Registry, and included injured children (0-17) hospitalized between 1997 and 2003, because of TV-related injury. Demographic information, Injury Severity Score (ISS), injured body region, surgical intervention, admission to the intensive care unit, length of hospital stay, destination at discharge and mortality were analysed.
There were 116 children injured following TV tipover during the years analysed, increasing from nine in 1997 to 27 in 2003. Over half of the children (54.3%) were aged 1-2 years; 57.8% were boys. Three-quarters of the TV-related injuries were head and neck injuries; nearly one-fifth had ISS scores of over 15. The mean was 4.3 (median = 2 days); 15 children (12.9%) required surgery and four children died in the hospital.
The findings reflect the fact that TV tipover is a growing source of danger that can be serious and should be brought to the attention of the public, health professionals and policymakers. Specific, age-related recommendations should be proposed, such as placing TVs on low and stable surface and not placing the remote controls on the top of the set.
根据美国消费品安全委员会的数据,每年约有7000名儿童(其中许多年龄在5岁以下)因电视和家具意外倾倒而受伤,在急诊室接受治疗。然而,专业文献中对此风险来源的研究并不多。在以色列,报纸上报道过儿童因电视倾倒而受伤的案例,但以色列尚未针对此问题开展研究。本报告的目的是呈现近年来以色列儿童因电视坠落受伤的频率和特征数据,以便为政策制定者提供更具体的信息,并提高公众对这一日益严重的危险的认识。
数据取自以色列国家创伤登记处,包括1997年至2003年间因电视相关伤害而住院的受伤儿童(0至17岁)。分析了人口统计学信息、损伤严重程度评分(ISS)、受伤身体部位、手术干预、重症监护病房收治情况、住院时间、出院去向和死亡率。
在分析的年份中,有116名儿童因电视倾倒受伤,从1997年的9例增加到2003年的27例。超过一半的儿童(54.3%)年龄在1至2岁;57.8%为男孩。四分之三的电视相关伤害为头部和颈部损伤;近五分之一的儿童ISS评分超过15分。平均住院时间为4.3天(中位数 = 2天);15名儿童(12.9%)需要手术,4名儿童在医院死亡。
研究结果反映出电视倾倒这一危险来源日益严重,应引起公众、卫生专业人员和政策制定者的关注。应提出与年龄相关的具体建议,例如将电视放置在低矮且稳定的表面上,不要将遥控器放在电视机顶部。