急诊科对与双层床相关伤害的监测：加拿大医院伤害报告与预防项目（CHIRPP），1990 - 2009年

Emergency department surveillance of injuries associated with bunk beds: the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), 1990-2009.

作者信息

McFaull S R, Fréchette M, Skinner R

机构信息

Injury and Child Maltreatment Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario, Canada.

出版信息

Chronic Dis Inj Can. 2012 Dec;33(1):38-46.

DOI:

PMID:23294920

Abstract

INTRODUCTION

Due to space constraints, bunk beds are a common sleeping arrangement in many homes. The height and design of the structure can present a fall and strangulation hazard, especially for young children. The primary purpose of this study was to describe bunk bed-related injuries reported to the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), 1990-2009.

METHODS

CHIRPP is an injury and poisoning surveillance system operating in 11 pediatric and 4 general emergency departments across Canada. Records were extracted using CHIRPP product codes and narratives.

RESULTS

Over the 20-year surveillance period, 6002 individuals presented to Canadian emergency departments for an injury associated with a bunk bed. Overall, the frequency of bunk bed-related injuries in CHIRPP has remained relatively stable with an average annual percent change of 21.2% (21.8% to 20.5%). Over 90% of upper bunk-related injuries were due to falls and children 3-5 years of age were most frequently injured (471.2/100 000 CHIRPP cases).

CONCLUSION

Children with bunk bed-related injuries continue to present to Canadian emergency departments, many with significant injuries. Injury prevention efforts should focus on children under 6 years of age.

摘要

引言

由于空间限制，双层床在许多家庭中是常见的睡眠安排。这种结构的高度和设计可能会带来跌落和窒息危险，尤其是对年幼儿童而言。本研究的主要目的是描述1990年至2009年向加拿大医院伤害报告与预防项目（CHIRPP）报告的与双层床相关的伤害情况。

方法

CHIRPP是一个在加拿大11个儿科急诊科和4个综合急诊科运行的伤害与中毒监测系统。记录通过CHIRPP产品代码和叙述提取。

结果

在20年的监测期内，6002人因与双层床相关的伤害前往加拿大急诊科就诊。总体而言，CHIRPP中与双层床相关伤害的发生率一直相对稳定，年均变化率为21.2%（从21.8%降至20.5%）。超过90%的上铺相关伤害是由跌落引起的，3至5岁的儿童受伤最为频繁（每10万例CHIRPP病例中有471.2例）。