Pickett William, Dostaler Suzanne, Berg Richard L, Linneman James G, Brison Robert J, Marlenga Barbara
Department of Emergency Medicine, Queen's University, Kingston, Canada.
J Occup Environ Med. 2007 Apr;49(4):461-8. doi: 10.1097/JOM.0b013e31804630d0.
Children on farms experience high risks for fall injuries. This study characterized the causes and consequences of fall injuries in this pediatric population.
A retrospective case series was assembled from registries in Canada and the United States. A new matrix was used to classify each fall according to initiating mechanisms and injuries sustained on impact.
Fall injuries accounted for 41% (484/1193) of the case series. Twenty percent of the fall injuries were into the path of a moving hazard (complex falls), and 91% of complex falls were related to farm production. Sixty-one percent of complex falls from heights occurred while children were not working. Fatalities and hospitalized injuries were overrepresented in the complex falls.
Pediatric fall injuries were common. This analysis provides a novel look at this occupational injury control problem.
农场儿童面临高处坠落受伤的高风险。本研究对该儿科人群坠落受伤的原因及后果进行了特征描述。
从加拿大和美国的登记处收集了一项回顾性病例系列。使用一种新的矩阵根据引发机制和撞击时所受损伤对每次坠落进行分类。
坠落受伤占病例系列的41%（484/1193）。20%的坠落受伤是落入移动危险物的路径中（复杂坠落），且91%的复杂坠落与农场生产有关。61%的高处复杂坠落发生在儿童未工作时。复杂坠落中的死亡和住院受伤情况占比过高。
儿科坠落受伤很常见。该分析为这一职业伤害控制问题提供了新的视角。
