Department of Emergency Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Department of Medical Affairs, Ministry of Health and Welfair, Taipei 115, Taiwan.
Int J Environ Res Public Health. 2018 Jan 23;15(2):182. doi: 10.3390/ijerph15020182.
Childhood injuries are unfortunately common. Analysis procedures may assist professionals who work with children with developing preventive measures for protecting children's wellness. This study explores the causes of pediatric injuries presenting to an emergency department in Taiwan. This nationwide, population-based study was conducted using data from the National Health Insurance Research Database of Taiwan (NHIRD). Patients aged <18 years were identified from approximately one million individuals listed in the NHIRD. We followed up with these patients for nine years and analyzed the causes of injuries requiring presentation to an emergency department. Variables of interest were age, sex, injury mechanisms, and temporal trends. A total of 274,028 children were identified in our study. Between 2001 and 2009, the leading causes of pediatric injuries treated in emergency departments were motor vehicle injuries, falls, and homicide. The overall incidence of injuries declined over the course of the study because of reductions in motor vehicle accidents and falls. The incidence of homicide increased during the study period, particularly between 2007 and 2009. A moderately inverse correlation between homicide rate and economic growth was observed (correlation coefficient: -0.613, = 0.041). There was a general decline in pediatric injuries between 2001 and 2009. Public policy changes, including motorcycle helmet laws and increases in alcohol taxes, may have contributed to this decline. Unfortunately, the incidence of homicide increased over the course of the study. Ongoing financial crises may have contributed to this increase. Multidisciplinary efforts are required to reduce homicide and reinforce the importance of measures that protect children against violence.
儿童意外伤害不幸较为常见。分析程序可以帮助从事儿童工作的专业人员制定保护儿童健康的预防措施。本研究探讨了台湾一家急诊部儿科伤害的原因。本研究是一项全国性的基于人群的研究，使用了来自台湾国家健康保险研究数据库（NHIRD）的数据。从 NHIRD 中约 100 万人中确定了年龄<18 岁的患者。我们对这些患者进行了九年的随访，并分析了需要急诊治疗的伤害原因。感兴趣的变量有年龄、性别、伤害机制和时间趋势。在本研究中，共确定了 274028 名儿童。2001 年至 2009 年，台湾急诊部门治疗的儿科伤害的主要原因是机动车事故、跌倒和他杀。由于机动车事故和跌倒的减少，整个研究过程中受伤的总体发生率有所下降。在研究期间，他杀的发生率有所增加，尤其是在 2007 年至 2009 年期间。他杀率与经济增长之间存在中度负相关（相关系数：-0.613， = 0.041）。2001 年至 2009 年期间，儿科伤害总体呈下降趋势。公共政策的变化，包括摩托车头盔法和提高酒精税，可能促成了这种下降。不幸的是，研究过程中他杀的发生率有所增加。持续的金融危机可能是导致这种增加的原因。需要多学科努力减少他杀，并加强保护儿童免受暴力侵害的措施的重要性。
