Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Am J Prev Med. 2009 Dec;37(6):531-6. doi: 10.1016/j.amepre.2009.08.024.
Recreational use of hot tubs, whirlpools, and spas has increased within the past 3 decades. Injuries due to hot tubs, whirlpools, and spas can affect people of all ages and can result in serious disabilities.
This study examines nonfatal hot tub, whirlpool, and spa-related injuries on a national level.
The National Electronic Injury Surveillance System database was used to examine cases of nonfatal hot tub, whirlpool, and spa-related injuries treated in U.S. emergency departments from January 1, 1990, through December 31, 2007. Analysis was conducted from November 2008 to March 2009.
An estimated 81,597 patients, aged <1-102 years, were treated in U.S. emergency departments for hot tub, whirlpool, and spa-related injuries, with the number increasing 160% over the 18-year study period (p<0.001). Nearly 73% of injuries occurred in patients aged >or=17 years. Lacerations were the most common diagnosis (27.8%) and accounted for 58% of all head injuries. Slips and falls were the most common mechanism of injury (47.6%); were more likely to result in an injury to the trunk than other body parts (OR=2.49, 95% CI=1.83, 3.39); and were more likely to result in concussions and fractures/dislocations than any other diagnosis (OR=7.813, 95% CI=2.194, 27.823 and OR=3.017, 95% CI=2.057, 4.425, respectively).
Given the increase in hot tub, whirlpool, and spa ownership and the 160% increase in injuries during the study period, more research is needed to identify the cause of the increase in hot tub, whirlpool, and spa-related injuries and what injury-prevention solutions and policies may be appropriate.
在过去的 30 年里，人们越来越喜欢在热水浴缸、漩涡浴和温泉中休闲娱乐。因热水浴缸、漩涡浴和温泉而导致的伤害可能会影响各个年龄段的人，并可能导致严重的残疾。
本研究旨在从全国范围调查非致命性的热水浴缸、漩涡浴和温泉相关伤害。
本研究使用国家电子伤害监测系统数据库，调查了 1990 年 1 月 1 日至 2007 年 12 月 31 日期间在美国急诊室治疗的非致命性热水浴缸、漩涡浴和温泉相关伤害的病例。分析于 2008 年 11 月至 2009 年 3 月进行。
在 18 年的研究期间，估计有 81597 名年龄在 1-102 岁的患者因热水浴缸、漩涡浴和温泉相关伤害在美国急诊室接受治疗，患者人数增加了 160%（p<0.001）。近 73%的伤害发生在年龄>17 岁的患者中。撕裂伤是最常见的诊断（27.8%），占所有头部损伤的 58%。滑倒和跌倒是最常见的损伤机制（47.6%）；与其他身体部位相比，更容易导致躯干受伤（OR=2.49，95%CI=1.83，3.39）；与任何其他诊断相比，更可能导致脑震荡和骨折/脱位（OR=7.813，95%CI=2.194，27.823 和 OR=3.017，95%CI=2.057，4.425）。
鉴于热水浴缸、漩涡浴和温泉的拥有量增加以及研究期间伤害增加了 160%，需要进一步研究以确定热水浴缸、漩涡浴和温泉相关伤害增加的原因，以及可能采取哪些伤害预防措施和政策。
