Rahman Nik Hisamuddin, Rainis Ruslan, Noor Syed Hatim, Syed Mohamad Sharifah Mastura
Department of Emergency Medicine, School of Medical Sciences, USM, Kota Bharu 16150, Malaysia.
School of Humanity, USM, Penang, Malaysia.
World J Emerg Med. 2016;7(3):213-20. doi: 10.5847/wjem.j.1920-8642.2016.03.009.
The main aim of this study is to utilize the geographical information system (GIS) software and perform the spatial analysis in relation to clinical data for road traffic injury (RTI) pediatric cases attending the emergency department.
The study sample included pediatric patients (age less than 18 years) with road-related injuries within a district in Malaysia who attended emergency departments of two tertiary hospitals within the district. In addition to injury, pre-hospital care and outcome data, the coordinate of the locations were obtained by the ambulance paramedics by using portable handheld GPS unit brand Garmin(®) model GPS 72 H. The data was transferred into the excel format which in turn underwent GIS analysis by using ARCGIS(®) (by ESRI) software version 10.1 licensed to the study institution.
A total of 102 (24.8%) of all motor vehicle crash (MVC) victims involved the pediatric age group (age 18 years and below). The mean (SD) age of the pediatric victims was 14.30 years (SD 3.830). Male comprised of 68 (66.7%) of the cases. Motorcyclists [88 (88.0%)] were the most common type of victims involved. Interestingly, the majority of the severely injured victims [75 (73%)] sustained the RTI on roads with maximum speed limit of 60 km/hour. The mean (SD) length of hospital stay was 7.83 days (5.59).
The pediatric related road traffic injury in Malaysia causes significant health and social burden in the country. This study showed both important clinical and geographical factors that need to be taken into consideration for future preventive action.
本研究的主要目的是利用地理信息系统（GIS）软件，并针对前往急诊科就诊的道路交通伤（RTI）儿科病例的临床数据进行空间分析。
研究样本包括马来西亚某地区内前往该地区两家三级医院急诊科就诊的18岁及以下道路相关损伤的儿科患者。除损伤、院前护理和结局数据外，地点坐标由救护医护人员使用佳明（®）GPS 72 H型号的便携式手持GPS设备获取。数据被转换为Excel格式，然后使用研究机构获得许可的ESRI公司的ARCGIS（®）软件版本10.1进行GIS分析。
在所有机动车碰撞（MVC）受害者中，共有102例（24.8%）涉及儿科年龄组（18岁及以下）。儿科受害者的平均（标准差）年龄为14.30岁（标准差3.830）。男性占病例的68例（66.7%）。骑摩托车者[88例（88.0%）]是最常见的受害者类型。有趣的是，大多数重伤受害者[75例（73%）]在最高限速为60公里/小时的道路上发生了道路交通伤。平均（标准差）住院时间为7.83天（5.59天）。
马来西亚与儿科相关的道路交通伤给该国带来了巨大的健康和社会负担。本研究显示了未来预防行动需要考虑的重要临床和地理因素。
