Martins Christine Baccarat de Godoy, Andrade Selma Maffei de
Faculdade de Enfermagem, Universidade Federal de Mato Grosso, Cuiabá, MT.
Cien Saude Colet. 2010 Oct;15 Suppl 2:3167-73. doi: 10.1590/s1413-81232010000800021.
This study aims at analyzing, from the epidemiological point of view, occurrences of falls among children under the age of 15 who live in Londrina, Paraná, and were treated at emergency departments, hospitalized or passed away due to such event in 2001. Data were obtained from registries of general hospitals and from the Mortality Information Nucleus. 2,991 children victims of falls were analyzed, representing an incidence rate of 25.3 per 1000 children. Non-fatal hospitalization rate was 3.9%; one death occurred in an emergency department. The risk of suffering falls was higher among boys, except with children aged less than one year. Most frequently injured by falls were the groups of one year old (coefficient of 46.0 per 1000 children) and of two years old (coefficient of 38.4 per 1000 children). The most affected body region was head/neck (55.2%) and superficial traumatism was the most frequent kind of injury (46.4%). Falls occurred mainly from bed/cradle, furniture/couch, tricycle/skates, staircase/degrees, playground equipment, wall/gate/roof/balcony, hammock, tree and stroller. Findings show a high falls incidence among children and adolescents and contribute to increasing epidemiological knowledge of such events and so grounding the planning of preventive and control measures.
本研究旨在从流行病学角度分析2001年居住在巴拉那州隆德里纳、因跌倒事件在急诊科接受治疗、住院或死亡的15岁以下儿童的跌倒情况。数据来自综合医院登记处和死亡信息核心。对2991名跌倒儿童受害者进行了分析，发病率为每1000名儿童中有25.3例。非致命住院率为3.9%；在急诊科发生了1例死亡。除1岁以下儿童外，男孩跌倒风险更高。最常因跌倒受伤的是1岁组（每1000名儿童中有46.0例）和2岁组（每1000名儿童中有38.4例）。受影响最严重的身体部位是头部/颈部（55.2%），最常见的损伤类型是浅表创伤（46.4%）。跌倒主要发生在床上/摇篮、家具/沙发、三轮车/溜冰鞋、楼梯/台阶、游乐场设备、墙壁/大门/屋顶/阳台、吊床、树木和婴儿车。研究结果显示儿童和青少年中跌倒发生率较高，有助于增加对此类事件的流行病学认识，从而为预防和控制措施的规划提供依据。
