Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
Injury. 2012 Jan;43(1):84-90. doi: 10.1016/j.injury.2010.07.319. Epub 2010 Aug 10.
To describe the residual physical problems 1 year after traffic injuries in children with respect to age, gender, extraction (Swedish or foreign), type of care, type of accident and use of protective equipment, type of injury, and the impact on daily living activities.
Hospital data were analysed for children, aged 15 or under, after road traffic accidents in the Gothenburg region in 2000. Age, gender, type of road user, counterpart, use of protective equipment, type and severity of each injury, and type of care were related to follow-up data obtained by a self-completed questionnaire answered 1 year after the accident. The AIS90 was used for injury classification. Residual physical problems were specified, graded, and mapped on anatomical pictures of the body by the respondents. Logistic regression was used to explore independent factors for residual problems.
A total of 341 children (81%) fulfilled the study. Cyclists dominated, 60%, followed by moped users, car occupants and pedestrians. The mean age was 11 years, 61% were boys, 16% were of foreign extraction, 26% were treated as inpatients, and 11% had at least one serious (AIS3+) injury. Residual problems were reported for 16% of the study group (n=53), and of these 31% were located to the lower extremities (mostly knee problems), upper extremities in 20%, face in 14%, neck in 14%, upper trunk in 8%, lower trunk in 8%, and skull/brain in 3%. Significant permanent impairment was reported in one case. Cyclists reported problems significantly less frequently than others. Children reporting problems tended to be older and were most often injured as moped users. Problems to the neck and the upper trunk were reported to a higher rate than the injury rate in these regions. Children with residual problems reported limitations in daily living activities after the accident more often than those without residual physical problems.
Residual physical problems were reported in about one sixth of the study group, few with serious problems. The risk of residual problems should be recognised in older children, especially after moped accidents, and also in children with neck problems.
描述儿童交通伤后 1 年的遗留身体问题，包括年龄、性别、籍贯（瑞典或外国）、治疗方式、事故类型和使用防护设备情况、损伤类型，以及对日常生活活动的影响。
对 2000 年哥德堡地区发生的道路交通事故中 15 岁以下的儿童进行医院数据分析。年龄、性别、道路使用者类型、对应方、使用防护设备、每种损伤的类型和严重程度以及治疗方式与事故后 1 年通过自填问卷获得的随访数据相关。使用 AIS90 对损伤进行分类。由受访者对身体解剖图片上的遗留身体问题进行指定、分级和映射。使用逻辑回归来探索遗留问题的独立因素。
共有 341 名儿童（81%）符合研究条件。骑自行车者占主导地位（60%），其次是骑轻便摩托车者、汽车乘客和行人。平均年龄为 11 岁，61%为男孩，16%为外国籍贯，26%为住院治疗，11%至少有 1 次严重（AIS3+）损伤。研究组中有 16%（n=53）报告存在遗留问题，其中 31%位于下肢（主要是膝关节问题），20%位于上肢，14%位于面部，14%位于颈部，8%位于上躯干，8%位于下躯干，3%位于颅骨/大脑。报告 1 例有明显的永久性损伤。骑自行车者报告的问题明显少于其他类型。报告有问题的儿童年龄较大，且多为骑轻便摩托车者受伤。颈部和上躯干的损伤报告率高于这些部位的损伤率。报告有遗留身体问题的儿童在事故后日常生活活动受限的频率高于无遗留身体问题的儿童。
研究组约有 1/6 的儿童报告存在遗留身体问题，其中少数有严重问题。应认识到年龄较大的儿童，尤其是骑轻便摩托车事故后的儿童，以及颈部有问题的儿童存在遗留问题的风险。
