Nathanson Brian H, Ribeiro Kara, Henneman Philip L
OptiStatim, LLC, Longmeadow, MA, USA
Health New England, Springfield, MA, USA.
Clin Pediatr (Phila). 2016 Jul;55(8):738-44. doi: 10.1177/0009922815603676. Epub 2015 Aug 30.
We analyzed the US incidence of emergency department (ED) visits and hospitalizations for falls from skiing, snowboarding, skateboarding, roller-skating, and nonmotorized scooters in 2011. The outcome was hospital admission from the ED. The primary analysis compared pediatric patients aged 1 to 17 years to adults aged 18 to 44 years. The analysis used ICD-9 E-codes E885.0 to E885.4 using discharge data from the Nationwide Emergency Department Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. Approximately 214 000 ED visits met study criteria. Skiing injuries had the highest percentage of hospitalizations (3.30% in pediatric patients and 6.65% in adults 18-44 years old). Skateboard and snowboard injuries were more likely to require hospitalization than roller skating injuries in pediatric patients (odds ratio = 2.42; 95% CI = 2.14-2.75 and odds ratio = 1.83; 95% CI =1.55-2.15, respectively). In contrast, skateboard and snowboard injuries were less severe than roller-skating injuries in adults.
我们分析了2011年美国因滑雪、单板滑雪、滑板、轮滑和非机动滑板车摔倒而前往急诊科就诊及住院的发生率。研究结果为从急诊科收治入院。主要分析将1至17岁的儿科患者与18至44岁的成年人进行了比较。该分析使用了国际疾病分类第九版(ICD - 9)的E编码E885.0至E885.4,数据来自全国急诊科样本、医疗保健成本与利用项目、医疗保健研究与质量机构的出院数据。约21.4万次急诊科就诊符合研究标准。滑雪受伤导致住院的比例最高(儿科患者中为3.30%,18 - 44岁成年人中为6.65%)。在儿科患者中,滑板和单板滑雪受伤比轮滑受伤更有可能需要住院治疗(优势比分别为2.42;95%置信区间为2.14 - 2.75和优势比为1.83;95%置信区间为1.55 - 2.15)。相比之下,在成年人中,滑板和单板滑雪受伤不如轮滑受伤严重。