Kamboj Alisha, Chounthirath Thiphalak, Xiang Huiyun, Smith Gary A
1 Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
2 The Ohio State University College of Medicine, Columbus, OH, USA.
Clin Pediatr (Phila). 2017 Jun;56(6):545-554. doi: 10.1177/0009922816664064. Epub 2016 Sep 6.
This study investigated the epidemiology of traumatic brain injuries (TBIs) occurring to young children, associated with consumer products at home in the United States. Data from the National Electronic Injury Surveillance System were analyzed. There were an estimated 2 292 896 (95% CI = 1 707 891-2 877 900) children <5 years of age treated in US emergency departments for a TBI associated with a consumer product at home during 1991-2012, which equals an annual average of 104 223 (95% CI = 77 631-130 814) children. During the 22-year study period, the number and rate of TBIs increased significantly by 283.3% (estimated annual rate of change, m = 7182.6; P < .001) and 266.5% ( m = 0.35; P < .001), respectively. The number of TBIs decreased with increasing age of the child. Falls from household products were the leading mechanism of injury (53.7%). To our knowledge, this is the first nationally representative study of TBIs associated with consumer products at home among young children. These findings underscore the need for increased prevention efforts.
本研究调查了美国国内与消费品相关的幼儿创伤性脑损伤(TBI)的流行病学情况。分析了来自国家电子伤害监测系统的数据。1991年至2012年期间,估计有2292896名(95%置信区间=1707891 - 2877900)5岁以下儿童因在家中与消费品相关的TBI而在美国急诊科接受治疗,平均每年有104223名(95%置信区间=77631 - 130814)儿童。在22年的研究期内,TBI的数量和发生率分别显著增加了283.3%(估计年变化率,m = 7182.6;P <.001)和266.5%(m = 0.35;P <.001)。TBI的数量随着儿童年龄的增长而减少。从家用产品上跌落是主要的受伤机制(53.7%)。据我们所知,这是第一项关于幼儿在家中与消费品相关的TBI的全国代表性研究。这些发现强调了加强预防工作的必要性。