Savitsky Bella, Aharonson-Daniel Limor, Giveon Adi, Group The Israel Trauma, Peleg Kobi
Israel National Center for Trauma and Emergency Medicine Research, Gerther Institute for Epidemiology and Health Research, Sheba Medical, Tel Hashomer, Israel.
Ethn Health. 2007 Apr;12(2):129-39. doi: 10.1080/13557850601002171.
. In Israel, nearly 10,000 children are hospitalized due to injury every year.
To define injury patterns in subgroups of the pediatric population, in order to focus prevention programs on vulnerable groups.
A retrospective study of Israel's National Trauma Registry (ITR) data on patients aged 0-17 years hospitalized between 1 January 1998 and 31 December 2002 due to trauma. Data includes patient demographic details, information on the injury, hospital resource utilization, length of stay and outcome. Descriptive statistics were used to characterize injury patterns and bivariate and multivariate analysis was used to compare injury severity and cause between population groups.
A total of 32,009 children were included. Falls were the cause of injury for 51% of the population, 6% of falls sustaining severe injuries (ISS 16+). Road traffic accidents (RTA) injured 23%, of which 14% were severe injuries. Burns (7%) accounted for long hospitalizations -- nearly 20% stayed for over 14 days. Crude data showed that the proportion of severe injuries and inpatient death rate among non-Jewish children was double that of Jewish children (12% vs 6% and 1% vs 0.5%, respectively (chi2, p<0.0001)). When looking at children from low socio-economic status (SES) townships, the difference in proportion of severe injuries between Jewish and non-Jewish children is reduced, yet it remains higher in non-Jewish than among Jewish children (7% vs 5%) (chi2, p=0.0001). These results were verified by multivariate logistic regression analysis adjusting for SES, age, gender and external injury cause. Non-Jewish children had a significantly higher rate of burns (10% vs 6%), falls from heights above 2.5 meters (16% vs 6% of all falls) and pedestrian injuries (51% vs 37% of all injured in RTA). When SES is taken into account, the only outstanding injury among non-Jewish children is fall from height: 13%, n=376 among non-Jewish children vs 8%, n=85 among Jewish children, living in townships with low SES cluster (1-4) (chi2, p<0.0001).
The findings of this study show that there is variability in external cause of injury and severity by age and ethnic group. Falls were most frequent among young children and burns among non-Jews. Non-Jewish children in SES clusters 1-4 are at high risk for falls from height, suggesting intervention and prevention activities should be directed in this direction.
在以色列，每年有近10000名儿童因受伤住院。
确定儿科人群亚组中的损伤模式，以便将预防项目重点放在弱势群体上。
对以色列国家创伤登记处（ITR）1998年1月1日至2002年12月31日期间因创伤住院的0至17岁患者的数据进行回顾性研究。数据包括患者人口统计学细节、损伤信息、医院资源利用情况、住院时间和治疗结果。使用描述性统计来描述损伤模式，并使用双变量和多变量分析来比较不同人群组之间的损伤严重程度和原因。
共纳入32009名儿童。跌倒导致51%的人群受伤，其中6%的跌倒导致重伤（损伤严重度评分16分及以上）。道路交通事故（RTA）导致23%的儿童受伤，其中14%为重伤。烧伤（7%）导致住院时间延长——近20%的患者住院超过14天。原始数据显示，非犹太儿童的重伤比例和住院死亡率是犹太儿童的两倍（分别为12%对6%和1%对0.5%，卡方检验，p<0.0001）。在社会经济地位（SES）较低的城镇的儿童中，犹太儿童和非犹太儿童之间重伤比例的差异有所减小，但非犹太儿童的重伤比例仍高于犹太儿童（7%对5%）（卡方检验，p=0.0001）。通过对SES、年龄、性别和外部损伤原因进行调整的多变量逻辑回归分析验证了这些结果。非犹太儿童烧伤发生率显著更高（10%对6%）、从2.5米以上高度跌落的比例更高（占所有跌倒的16%对6%）以及行人受伤比例更高（占所有RTA受伤的51%对37%）。考虑到SES时，非犹太儿童中唯一突出的损伤是高处跌落：居住在SES较低集群（1-4）的非犹太儿童中有13%（n=376）发生高处跌落，而犹太儿童中有8%（n=85）发生高处跌落（卡方检验，p<0.0001）。
本研究结果表明，损伤的外部原因和严重程度因年龄和种族群体而异。幼儿中跌倒最常见，非犹太人中烧伤最常见。SES集群1-4中的非犹太儿童有高处跌落的高风险，这表明干预和预防活动应朝这个方向进行。
