Martin Keith J, Chounthirath Thiphalak, Xiang Huiyun, Smith Gary A
1Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Clin Pediatr (Phila). 2014 Mar;53(3):277-85. doi: 10.1177/0009922813513322. Epub 2013 Dec 17.
This study investigates the effect of the 2004 US shopping cart safety standard on shopping-cart-related injuries among children younger than 15 years of age by retrospectively analyzing data from the National Electronic Injury Surveillance System. An estimated 530 494 children younger than 15 years were treated in US emergency departments for shopping-cart-related injuries from 1990 to 2011, averaging 24 113 children annually. The most commonly injured body region was the head (78.1%). The annual concussion/closed head injury rate per 10 000 children increased significantly (P < .001) by 213.3% from 0.64 in 1990 to 2.02 in 2011. Although a shopping cart safety standard was implemented in the United States in 2004, the overall number and rate of injuries associated with shopping carts have not decreased. In fact, the number and rate of concussions/closed head injuries have continued to climb. Increased prevention efforts are needed to address these injuries among children.
本研究通过回顾性分析国家电子伤害监测系统的数据，调查了2004年美国购物车安全标准对15岁以下儿童与购物车相关伤害的影响。1990年至2011年期间，估计有530494名15岁以下儿童因与购物车相关的伤害在美国急诊科接受治疗，平均每年有24113名儿童。受伤最常见的身体部位是头部（78.1%）。每10000名儿童的年度脑震荡/闭合性头部损伤率从1990年的0.64显著增加（P < 0.001）213.3%，至2011年的2.02。尽管美国在2004年实施了购物车安全标准，但与购物车相关的伤害总数和发生率并未下降。事实上，脑震荡/闭合性头部损伤的数量和发生率持续攀升。需要加大预防力度以解决儿童中的这些伤害问题。
