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儿童加上所有非机动车辆(不仅仅是全地形车)就等于受伤。

Children plus all nonautomobile motorized vehicles (not just all-terrain vehicles) equals injuries.

作者信息

Collins Christy L, Smith Gary A, Comstock R Dawn

机构信息

Center for Injury Research and Policy, Columbus Children's Research Institute, Children's Hospital, 700 Children's Dr, Columbus, OH 43205, USA.

出版信息

Pediatrics. 2007 Jul;120(1):134-41. doi: 10.1542/peds.2006-3612.

Abstract

OBJECTIVES

The goals were to describe the epidemiological features of pediatric nonautomobile motorized vehicle-related injuries sustained between 1990 and 2003 and to compare all-terrain vehicle-related injuries with other types of nonautomobile motorized vehicle-related injuries.

METHODS

An analysis of nationally representative pediatric nonautomobile motorized vehicle-related injury data from the US Consumer Product Safety Commission National Electronic Injury Surveillance System was performed.

RESULTS

Nationally, an estimated 1,203,800 children were treated in hospital emergency departments for nonautomobile motorized vehicle-related injuries between 1990 and 2003. These children had a mean age of 12.7 years (range: 1 month to 19 years), and 77.0% were male. The majority of injuries were associated with all-terrain vehicles (44.8%), 2-wheeled off-road vehicles (21.1%), and go-carts/buggies (13.7%). The most common diagnoses were contusions/abrasions (28.3%), fractures (24.2%), and lacerations (20.0%). Overall, the number of injuries increased 86% from 70,500 injuries in 1990 to 130,900 injuries in 2003. The numbers of all-terrain vehicle-related, 2-wheeled off-road vehicle-related, 2-wheeled on-road vehicle-related, and go-cart/buggy-related injuries all increased significantly from 1990 to 2003. There were greater proportions of all-terrain vehicle-associated injuries among children > or = 16 years of age (48.0%) and children 12 to 15 years of age (46.6%) than among children < 12 years of age (40.3%). Conversely, the proportion of other nonautomobile motorized vehicle-related injuries among children < 12 years of age (47.2%) was greater than that among children 12 to 15 years of age (30.3%) and children > or = 16 years of age (23.0%).

CONCLUSIONS

Although most public health and legislative attention to date has been focused on all-terrain vehicles, parents, children, and public officials should be educated about the injury risk that all types of nonautomobile motorized vehicles pose to children.

摘要

目的

描述1990年至2003年间儿童非汽车类机动交通工具相关伤害的流行病学特征,并比较全地形车相关伤害与其他类型非汽车类机动交通工具相关伤害。

方法

对来自美国消费品安全委员会国家电子伤害监测系统具有全国代表性的儿童非汽车类机动交通工具相关伤害数据进行分析。

结果

在全国范围内,1990年至2003年间估计有1,203,800名儿童因非汽车类机动交通工具相关伤害在医院急诊科接受治疗。这些儿童的平均年龄为12.7岁(范围:1个月至19岁),77.0%为男性。大多数伤害与全地形车(44.8%)、两轮越野车(21.1%)和卡丁车/小型马车(13.7%)有关。最常见的诊断为挫伤/擦伤(28.3%)、骨折(24.2%)和撕裂伤(20.0%)。总体而言,伤害数量从1990年的70,500例增加到2003年的130,900例,增长了86%。从1990年到2003年,全地形车相关、两轮越野车相关、两轮公路车辆相关以及卡丁车/小型马车相关的伤害数量均显著增加。16岁及以上儿童(48.0%)和12至15岁儿童(46.6%)中全地形车相关伤害的比例高于12岁以下儿童(40.3%)。相反,12岁以下儿童中其他非汽车类机动交通工具相关伤害的比例(47.2%)高于12至15岁儿童(30.3%)和16岁及以上儿童(23.0%)。

结论

尽管迄今为止大多数公共卫生和立法关注都集中在全地形车上,但应教育家长、儿童和政府官员了解各类非汽车类机动交通工具对儿童造成伤害的风险。

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