Department of Surgery, BC Children's Hospital and University of British Columbia, Vancouver, Canada.
J Pediatr Surg. 2012 May;47(5):991-5. doi: 10.1016/j.jpedsurg.2012.01.062.
In Canada, mortality from falling televisions (TVs) is the 15th leading cause of childhood death owing to injury. Frequency, characteristics, and outcomes of TV childhood injuries were examined to determine any at risk populations.
All TV-related traumas at a tertiary children's hospital from 1997 to 2011 were identified using the Canadian Hospitals Injury Reporting and Prevention Program database and the hospital's trauma database. Charts of admitted patients were reviewed.
Analysis of 179 injuries (10-24 per year) revealed a high frequency of injury in the home and a preponderance of head and neck injuries. Toddlers were the most commonly injured age group. Eleven admitted patients were identified; 6 were admitted to intensive care unit with significant head injuries, 2 of whom required surgery. More than half of admitted patients were First Nations or recent immigrants. The length of stay for a ward vs intensive care unit admission was 1.3 days (range, <1-2 days) compared with 7.6 days (range, <1-20 days), respectively. One child had residual deficits requiring rehabilitation, but there were no mortalities.
Injury severity appeared higher in patients from First Nations and recent immigrant families. Television injury would likely have been prevented by a securing device or support.
在加拿大，因坠落电视机（TV）导致的儿童死亡率是第 15 大儿童因伤致死原因。本研究旨在调查 TV 导致的儿童受伤的频率、特征和结局，以确定任何处于危险中的人群。
利用加拿大医院伤害报告和预防计划数据库以及医院创伤数据库，对 1997 年至 2011 年一家三级儿童医院的所有与 TV 相关的创伤进行识别。对住院患者的病历进行了回顾。
对 179 例（每年 10-24 例）损伤进行分析后发现，在家中发生损伤的频率较高，且以头颈部损伤为主。幼儿是最常受伤的年龄组。确定了 11 例住院患者；6 例因严重头部损伤入住重症监护病房，其中 2 例需要手术。一半以上的住院患者为第一民族或新移民。病房住院与重症监护病房住院的住院时间分别为 1.3 天（范围，<1-2 天）和 7.6 天（范围，<1-20 天）。有 1 名儿童有需要康复治疗的残留缺陷，但无死亡病例。
来自第一民族和新移民家庭的患者的损伤严重程度似乎更高。如果使用固定装置或支撑物，电视受伤是可以预防的。
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