Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Nicaragua, UNAN-León, Nicaragua.
Int J Inj Contr Saf Promot. 2010 Mar;17(1):3-11. doi: 10.1080/17457300903525117.
The objective of this study was to describe the nonfatal unintentional injuries among children aged <15 years treated in four emergency departments (EDs) in Nicaragua. The 2004 Injury Surveillance System included all cases of injuries that attended the four hospital EDs (n = 37,577). We analysed the records of 13,426 children aged <15 years who sustained nonfatal unintentional injuries. The leading causes of injuries were falls (50.5%), blunt force trauma (13.2%) and transport-related incidents (11.5%). Transport-related injuries primarily involved cyclists (42.3%) and motor-vehicle passengers (32.5%). Ten per cent of the injured children were hospitalised. This is the first study to present the epidemiology of nonfatal unintentional injuries among children treated in EDs in Nicaragua. Unintentional injuries are an important cause of morbidity, but the burden remains largely unaddressed. The implementation of the already well-established transportation-related prevention strategies should be a priority. Prevention of falls (falls being the leading cause of injury among children) demands further study.
本研究旨在描述尼加拉瓜四家急诊部（ED）收治的<15 岁以下儿童非致命性非故意伤害情况。2004 年伤害监测系统包括所有到四家医院 ED 就诊的伤害病例（n=37577）。我们分析了 13426 名<15 岁非致命性非故意伤害患儿的记录。受伤的主要原因是跌倒（50.5%）、钝力伤（13.2%）和与交通相关的事件（11.5%）。与交通相关的伤害主要涉及骑自行车者（42.3%）和机动车乘客（32.5%）。10%的受伤儿童住院。这是尼加拉瓜首次在 ED 收治的非致命性非故意伤害患儿的流行病学研究。非故意伤害是发病率的一个重要原因，但负担在很大程度上仍未得到解决。已经建立的交通相关预防策略的实施应成为优先事项。预防跌倒（跌倒是儿童受伤的主要原因）需要进一步研究。
