Albert Michael, McCaig Linda F
NCHS Data Brief. 2014 May(150):1-8.
Key findings Data from the National Hospital Ambulatory Medical Care Survey, 2009-2010 In 2009-2010, an annual average of 11.9 million injury-related emergency department (ED) visits were made by children and adolescents aged 18 years and under in the United States. The injury-related ED visit rate was 151 per 1,000 persons aged 18 years and under, and rates were higher for males than for females for all age groups (0-4 years, 5-12 years, and 13-18 years). The injury-related ED visit rates among persons aged 5-12 years and 13-18 years were higher for non-Hispanic black persons than for other race and ethnicity groups. Leading causes of injury-related ED visits among both males and females included falls and striking against or being struck unintentionally by objects or persons. Visit rates were higher for males than for females for both of these causes. Injury is the leading cause of death and a major source of morbidity among children and adolescents in the United States (1,2). The emergency department (ED) plays an important role in the care of injuries, and these visits often represent the initial contact with a provider for the injury (3). This report examines nationally representative data on injury-related ED visits by children and adolescents aged 18 years and under in the United States during 2009-2010. Injury-related ED visit rates were also compared for the age groups 0-4, 5-12, and 13-18 years, as these correspond to the preschool, school-age, and teen life periods respectively.
主要发现 2009 - 2010年美国国家医院门诊医疗调查数据 2009 - 2010年,美国18岁及以下儿童和青少年因伤前往急诊科就诊的年平均次数为1190万次。18岁及以下人群因伤的急诊科就诊率为每1000人中有151人次,所有年龄组(0 - 4岁、5 - 12岁和13 - 18岁)男性的就诊率均高于女性。5 - 12岁和13 - 18岁的非西班牙裔黑人因伤的急诊科就诊率高于其他种族和族裔群体。男性和女性因伤前往急诊科就诊的主要原因包括跌倒以及意外撞到物体或人或被物体或人撞到。这两种原因导致的就诊率均为男性高于女性。在美国,伤害是儿童和青少年死亡的主要原因及发病的主要来源(1,2)。急诊科在伤害护理中发挥着重要作用,这些就诊往往是因伤首次与医疗服务提供者接触(3)。本报告研究了2009 - 2010年美国18岁及以下儿童和青少年因伤前往急诊科就诊的具有全国代表性的数据。还比较了0 - 4岁、5 - 12岁和13 - 18岁年龄组因伤的急诊科就诊率,因为这些年龄组分别对应学龄前、学龄期和青少年时期。