Sceats J, Gillies J
Waikato Hospital, Hamilton.
N Z Med J. 1989 Sep 13;102(875):467-9.
All attendances at Waikato Hospital accident and emergency department since 1980 have been coded and stored in computer files. Fifty thousand children under age 15 years attended A&E between 1980 and 1986. Age-specific attendance rates were determined and major reasons for consultation examined. The attendance rate for illness was very high in infants with levels above 1200/10,000 for every year. This rate declined as children became older. Attendance rates for injury events were highest for infants (1601/10,000), with the 10-14 year olds second (1100/10,000). Age and ethnic group specific rates were determined and show a very high rate of attendance for Maori infants with 60% attending A&E in 1986. Respiratory illnesses form the major reason for consultation for illness, with the highest rate in children under five years. Thirty-two percent in the under one year group and 43% in the 1-4 year group came to A&E with respiratory illnesses. Injury involving falls or hitting an object are the major reasons for consultation in all age groups under 10 years. This involved 41% of all accidents in the under 1 year age group, 46% in 1-4 and 47% in the 5-9 age group. Sporting injuries dominated the 10-14 age group with 28% of all accidents being sports related. Road traffic injuries reflect the mobility of each age group with 7% of accidents in the under 1 group, rising to 14% for all children over 4 years. The implications of these patterns are discussed.
自1980年以来，怀卡托医院急诊科的所有就诊情况都已编码并存储在计算机文件中。1980年至1986年间，有5万名15岁以下儿童到急诊科就诊。确定了特定年龄的就诊率，并对主要就诊原因进行了检查。婴儿的疾病就诊率非常高，每年超过1200/10000。随着儿童年龄的增长，这一比率下降。伤害事件的就诊率在婴儿中最高（1601/10000），10至14岁儿童次之（1100/10000）。确定了特定年龄和种族群体的就诊率，结果显示毛利婴儿的就诊率非常高，1986年有60%的毛利婴儿到急诊科就诊。呼吸系统疾病是疾病就诊的主要原因，在5岁以下儿童中发病率最高。1岁以下组中有32%、1至4岁组中有43%因呼吸系统疾病到急诊科就诊。跌倒或撞到物体导致的伤害是10岁以下所有年龄组就诊的主要原因。在1岁以下年龄组中，这占所有事故的41%，在1至4岁组中占46%，在5至9岁组中占47%。10至14岁年龄组中运动损伤占主导，所有事故中有28%与运动有关。道路交通伤害反映了各年龄组的活动能力，1岁以下组中有7%的事故与此有关，4岁以上所有儿童的这一比例升至14%。文中讨论了这些模式的影响。
