Odetola Folafoluwa O, Gebremariam Achamyeleh
a Department of Pediatrics and Communicable Diseases, Division of Pediatric Critical Care Medicine , University of Michigan Health System , Ann Arbor , MI , USA.
Int J Inj Contr Saf Promot. 2015;22(3):260-6. doi: 10.1080/17457300.2014.925937. Epub 2014 Jun 18.
Trauma is the leading cause of mortality and morbidity among children in the USA. To examine the variation in the epidemiology and patterns of visits to emergency departments (EDs), and test the hypothesis that children evaluated at trauma centre EDs will have higher injury severity and a higher likelihood of hospitalisation versus those evaluated at non-trauma centre EDs, we analysed a national database of all injured children aged 0-20 years evaluated at US EDs in 2009. Childhood injuries are a frequent cause of visits to US EDs, with a national point prevalence of 620 cases per 10,000 children aged 0-20 years. Epidemiology of childhood injuries in the USA is significant for male gender preponderance, significant seasonal and geographical variation, and disproportionately more frequent injury to the extremities than other sites of the body. National hospital resource use was significant, with greater burden borne by trauma centres which disproportionately provided care to the most severely injured children.
创伤是美国儿童死亡和发病的主要原因。为了研究急诊科就诊的流行病学和模式的差异，并检验以下假设：与在非创伤中心急诊科接受评估的儿童相比，在创伤中心急诊科接受评估的儿童损伤严重程度更高且住院可能性更大，我们分析了2009年在美国急诊科接受评估的所有0至20岁受伤儿童的全国数据库。儿童受伤是美国急诊科就诊的常见原因，全国每10,000名0至20岁儿童的时点患病率为620例。美国儿童伤害的流行病学特点为男性占优势、季节和地理差异显著，且四肢受伤比身体其他部位受伤更为频繁。全国医院资源的使用情况显著，创伤中心承担了更大的负担，这些中心不成比例地为受伤最严重的儿童提供治疗。
