Reuter-Rice Karin, Krebs Madelyn, Eads Julia K
School of Nursing, Duke University, Durham, NC, USA School of Medicine, Duke University, Durham, NC, USA Department of Pediatrics, Duke Institute for Brain Sciences, Duke University, Durham, NC, USA
College of Arts & Sciences, University of North Carolina, Chapel Hill, NC, USA.
J Sch Nurs. 2016 Apr;32(2):132-7. doi: 10.1177/1059840515579084. Epub 2015 Apr 20.
Traumatic brain injury (TBI) is the leading cause of death and disability in children. We conducted a prospective study, which examined injury characteristics and outcomes of school-age children of 5.0-15.0 years (N = 10) who were admitted to hospital for a TBI. This study evaluated the role of age, gender, the Glasgow Coma Scale, mechanisms and severity of injury, and functional outcomes. Seventy percent of the children sustained a TBI from a fall. We also found that playing golf was associated with 40% of the TBIs, with three (30%) children being unrestrained passengers in a moving golf cart and another one (10%) was struck by a golf club. Injury awareness could have benefited or prevented most injuries, and school nurses are in the best position to provide preventative practice education. In golf-centric communities, prevention of golf-related injuries should include education within the schools.
创伤性脑损伤（TBI）是儿童死亡和残疾的主要原因。我们进行了一项前瞻性研究，该研究调查了5.0至15.0岁因创伤性脑损伤入院的学龄儿童（N = 10）的损伤特征和预后。本研究评估了年龄、性别、格拉斯哥昏迷量表、损伤机制和严重程度以及功能预后的作用。70%的儿童因跌倒而发生创伤性脑损伤。我们还发现，40%的创伤性脑损伤与打高尔夫球有关，其中三名儿童（30%）是移动高尔夫球车中未系安全带的乘客，另有一名儿童（10%）被高尔夫球杆击中。提高损伤意识本可使大多数损伤得到改善或避免，而学校护士最有能力提供预防实践教育。在以高尔夫运动为中心的社区，预防与高尔夫相关的损伤应包括在学校开展教育。
