Division of Pediatric General Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Pediatr Surg. 2013 May;48(5):1071-6. doi: 10.1016/j.jpedsurg.2013.02.022.
The purpose of our study was to investigate the epidemiology and resulting injuries following falls sustained by infants seated in a variety of seating devices.
A retrospective chart review of a cohort of infants less than 12 months old who presented to our institution from 1991 to 2010 after a fall from various seating devices was performed.
Two hundred five infants were identified, including 146 patients who were admitted to our institution (1991-2010) and 59 patients who were seen and discharged from the ED (2008-2010). Mean age of admitted infants was younger (3.5 vs. 5.3 months). Two patients (1%) required surgery for a depressed skull fracture. Overall, 18% had an intra-cranial hemorrhage. More patients requiring an admission secondary to their injuries fell from a table or counter (42% vs. 27%).
Falls sustained by children seated in a variety of devices are frequent. Failure to restrain children in seating devices or improperly placing them on a table/counter is associated with more significant injuries. In order to minimize such injuries, it is important to educate caregivers of the risk in utilizing such seating devices.
本研究旨在调查因婴儿坐在各种坐姿设备中而摔倒的流行病学及相关损伤。
对 1991 年至 2010 年间因从各种坐姿设备上摔倒而到我院就诊的 12 个月以下婴儿进行回顾性图表审查。
共确定了 205 名婴儿，其中 146 名患者（1991-2010 年）入院，59 名患者（2008-2010 年）在 ED 就诊和出院。入院婴儿的平均年龄更小（3.5 个月 vs. 5.3 个月）。有 2 名患者（1%）因颅骨凹陷性骨折需要手术。总体而言，18%的患者有颅内出血。更多因受伤而需要住院的患者是从桌子或柜台摔下来的（42% vs. 27%）。
坐在各种设备中的儿童摔倒的情况很常见。未能将儿童约束在坐姿设备中或未正确将他们放在桌子/柜台上与更严重的损伤有关。为了最大限度地减少此类伤害，重要的是要教育护理人员使用此类坐姿设备的风险。
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