Aharonson-Daniel Limor, Hemmo-Lotem Michal, Endy-Findling Liri, Mike-Doron Ruthie, Waisman Yechezkel Hezil
Ben Gurion University of the Negev, Department of Health Sciences, Israel.
Harefuah. 2009 Oct;148(10):698-702, 734, 733.
Data on injury characteristics can help direct prevention activities.
To explore the potential use of Emergency Department (ED) data as a source of information regarding child injury in Israel. To examine the need for a designated injury surveillance system in Israel.
Data on ED visits by children (0-17 years] between the years 2005-2007, for reasons other than illness were extracted from the administrative data system of a pediatric hospital in Israel. Data was analyzed using SPSS.
The study included 36,603 children, 62% males. Mean age was 7 (s.d. 5) years. Hospitalization was the outcome for 2333 children (6.5%). The reason for the visit was "other accident" for half of the patients: 15,652 kids (43%) due to falls and 2111 children (6%) were involved in road crashes. Patient complaints included 636 children (2%) that had swallowed an object, 113 of them (18%) were hospitalized. Bruises were the most frequent complaint. Half of the children complained of bruises, 10,277 were bruised as a result of a fall, 1,473 (7.5% of bruised population) were bruised as a result of a road accident. Cuts were the second most frequent complaint (8,773 children, 24%) with only 2% hospitalized. One half of the patients with cuts were aged 0-4 years. Only 231 kids had suffered poisoning, of them, 193 children (84%) infants and toddlers below the age of 4 years and 16% were hospitalized.
Findings suggest that administrative data can be used to observe pediatric injury patterns. Several new data fields in the existing system could fill information gaps on the external cause of injury. Making this data available to injury prevention professionals should be considered a priority.
损伤特征数据有助于指导预防活动。
探讨以色列急诊科（ED）数据作为儿童损伤信息来源的潜在用途。研究以色列是否需要一个指定的损伤监测系统。
从以色列一家儿科医院的行政数据系统中提取2005年至2007年间0至17岁儿童因非疾病原因到急诊科就诊的数据。使用SPSS软件进行数据分析。
该研究纳入了36603名儿童，其中62%为男性。平均年龄为7岁（标准差5岁）。2333名儿童（6.5%）需要住院治疗。半数患者就诊原因是“其他事故”：15652名儿童（43%）因跌倒，2111名儿童（6%）遭遇道路交通事故。患者主诉包括636名儿童（2%）吞食异物，其中113名（18%）住院治疗。瘀伤是最常见的主诉。半数儿童主诉有瘀伤，10277名因跌倒导致瘀伤，1473名（占瘀伤人群的7.5%）因道路事故导致瘀伤。割伤是第二常见的主诉（8773名儿童，24%），只有2%住院治疗。半数割伤患者年龄在0至4岁之间。只有231名儿童中毒，其中193名儿童（84%）为4岁以下婴幼儿，16%住院治疗。
研究结果表明行政数据可用于观察儿科损伤模式。现有系统中的几个新数据字段可以填补损伤外部原因方面的信息空白。应优先考虑将这些数据提供给损伤预防专业人员。
