Kamel M I, Youssef R M, Teleb N A, Atta H Y
Department of Public Health, Faculty of Medicine, Alexandria University.
J Egypt Public Health Assoc. 1998;73(5-6):667-90.
This study was conducted to reveal the magnitude of school injuries in Alexandria, their epidemiological patterns and outcomes. All pupils attending the casualty department of Alexandria Students' Hospital during the scholastic year 1996-1997 with school injuries were included in this study. An interview questionnaire and a transfer sheet were used to collect relevant information. Data were analyzed and the 5% level was taken to judge the significance of the obtained results. During the study period, 3422 pupils sustained school injuries yielding a rate of 4.25 per 1000. This rate was significantly higher among boys (6.43 per 1000) as well as in secondary schools (8.11 per 1000). Most of these injuries occurred inside the school (72.0%). In relation to school activity, injuries occurred more frequently during breaks (28.1%), school trips (27.8%) and teaching sessions (25.6%). Falls were responsible for 52.3% of the injuries followed by struck by or against (25.2%), while 11.9% were due to road traffic accidents. The most commonly affected sites were the upper (46.2%) and lower (32.1%) limbs as well as the head and neck (16.6%). High proportions of the resulting injuries were minor, however, severe injuries namely, fractures (23.2%) and brain concussions (2.8%) were encountered. Significant differences were observed in this respect in relation to the pupils' gender and educational stage. Only 12.5% of the cases were hospitalized. All recovered completely except four cases of leg amputation and no deaths were recorded. School injuries appear to be a priority area for primary preventive activities. School personnel should receive safety rounds to recognize the potential environmental hazards. Stringent supervision is required in areas and during activities with high frequency of injuries. Moreover, safety education should be incorporated in the curriculum and activities involving school children.
本研究旨在揭示亚历山大港学校伤害的严重程度、流行病学模式及后果。本研究纳入了1996 - 1997学年期间因学校伤害前往亚历山大港学生医院急诊科就诊的所有学生。通过访谈问卷和转诊单收集相关信息。对数据进行分析，并以5%的水平来判断所得结果的显著性。在研究期间，3422名学生遭受学校伤害，发生率为每1000人中有4.25人。该发生率在男生中（每1000人中有6.43人）以及在中学（每1000人中有8.11人）显著更高。这些伤害大多发生在学校内（72.0%）。就学校活动而言，伤害在课间休息（28.1%）、学校旅行（27.8%）和教学时段（25.6%）期间更频繁发生。跌倒导致了52.3%的伤害，其次是碰撞（25.2%），而11.9%是由于道路交通事故。最常受影响的部位是上肢（46.2%）和下肢（32.1%）以及头部和颈部（16.6%）。然而，造成的伤害中很大一部分是轻伤，但也遇到了重伤，即骨折（23.2%）和脑震荡（2.8%）。在这方面，观察到与学生性别和教育阶段存在显著差异。只有12.5%的病例住院治疗。除4例腿部截肢外，所有患者均完全康复，且无死亡记录。学校伤害似乎是初级预防活动的一个优先领域。学校工作人员应接受安全巡查，以识别潜在的环境危害。在伤害发生率高的区域和活动期间需要严格监督。此外，安全教育应纳入涉及学童的课程和活动中。
