Kurinsky Rachel M, Rochette Lynne M, Smith Gary A
1The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Clin Pediatr (Phila). 2014 Apr;53(4):372-9. doi: 10.1177/0009922813510599. Epub 2013 Dec 9.
This study describes the epidemiology of injuries among children ≤3 years old associated with high chairs compared with chairs by retrospectively analyzing data from the National Electronic Injury Surveillance System from 2003 to 2010. An estimated 402 479 (95% confidence interval = 335 116-469 842) injuries associated with high chairs and chairs were treated in United States emergency departments, with an average of 9421 high chair-related injuries and 40 889 chair-related injuries annually. The number of high chair-related injuries significantly increased by 22.4% from 8926 injuries in 2003 to 10 930 injuries in 2010. Falling was the most common injury mechanism associated with high chairs (92.8%) and chairs (87.3%). Closed head injury was the most common diagnosis associated with high chairs (37.3%), and increased in number (P = .005) and rate (P = .006) from 2003 to 2010. Child caregivers should properly engage high chair safety restraint systems and encourage appropriate behaviors by young children when using chairs.
本研究通过回顾性分析2003年至2010年国家电子伤害监测系统的数据，描述了3岁及以下儿童使用高脚椅和普通椅子时受伤的流行病学情况。在美国急诊科，估计有402479例（95%置信区间=335116 - 469842）与高脚椅和普通椅子相关的伤害得到治疗，每年平均有9421例与高脚椅相关的伤害和40889例与普通椅子相关的伤害。与高脚椅相关的伤害数量从2003年的8926例显著增加到2010年的10930例，增幅为22.4%。跌倒为与高脚椅（92.8%）和普通椅子（87.3%）相关的最常见伤害机制。闭合性头部损伤是与高脚椅相关的最常见诊断（37.3%），其数量（P = .005）和发生率（P = .006）在2003年至2010年期间均有所增加。儿童看护者应正确使用高脚椅安全约束系统，并在儿童使用椅子时鼓励其采取适当行为。
