Isaac Kihurani N, Van Niekerk Ashley, Van As Arjan Bastiaan
a Childsafe South Africa and Department of Pediatric Surgery , Red Cross War Memorial Children's Hospital , Klipfontein Road, Rondebosch , 7701 Cape Town , South Africa.
b Medical Research Council-University of South Africa Safety and Peace Promotion Research Unit; and Institute for Social and Health Sciences , University of South Africa , PO Box 19070, Tygerberg 7505 , Cape Town , South Africa.
Int J Inj Contr Saf Promot. 2015;22(4):352-8. doi: 10.1080/17457300.2014.912236. Epub 2014 Jun 4.
Road traffic crashes are a significant cause of the disease burden among children, with the highest mortality in low- and middle-income countries. This observational study explores such injuries in Cape Town, South Africa through an analysis of data for cases in 1992, 2002 and 2012 at the Red Cross War Memorial Children's Hospital, a referral paediatric hospital for children younger than 13 years. Descriptive and time trend analysis of demographic data as well as of the causes, severity and place of injury was conducted. Logistic regression and generalised linear models described factors influencing hospital admission. In the years 1992, 2002 and 2012, a total of 4690 patients presented with injuries sustained as a result of a road traffic crash. Nearly 50% (n = 2201) of them were between five and nine years of age, with 1.7 males for every female. Three-quarters of those who got injured were pedestrians while the second most commonly injured ones were unrestrained passengers. The majority had minor injuries (58%), but with notably higher proportions with moderate to severe injuries in the years 2002 and 2012. Forty per cent were admitted for inpatient treatment, with the highest proportion (50%) in 2002. Admission was related to mechanism and severity. The epidemiological factors assessed remain largely unchanged over the assessment points calling into question the impact of local safety strategies.
道路交通事故是儿童疾病负担的一个重要原因，在低收入和中等收入国家死亡率最高。这项观察性研究通过分析1992年、2002年和2012年红十字战争纪念儿童医院（一家为13岁以下儿童提供转诊服务的儿科医院）的病例数据，对南非开普敦的此类伤害进行了探究。对人口统计学数据以及伤害原因、严重程度和地点进行了描述性和时间趋势分析。采用逻辑回归和广义线性模型描述了影响住院的因素。在1992年、2002年和2012年，共有4690名患者因道路交通事故受伤前来就诊。其中近50%（n = 2201）年龄在5至9岁之间，男女比例为1.7比1。四分之三的受伤者为行人，其次受伤最常见的是未系安全带的乘客。大多数人受轻伤（58%），但在2002年和2012年，中度至重度受伤的比例明显更高。40%的患者需要住院治疗，2002年比例最高（50%）。住院与受伤机制和严重程度有关。在各个评估点，所评估的流行病学因素基本保持不变，这让人质疑当地安全策略的影响。
