Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
Trauma Program, London Health Sciences Centre and Children's Hospital, London, ON, Canada; Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada; Department of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
Am J Surg. 2018 Sep;216(3):567-572. doi: 10.1016/j.amjsurg.2018.03.001. Epub 2018 Mar 6.
The objective of our study was to identify the most common mechanisms of injury leading to death in our pediatric population.
A retrospective cohort of fatally injured children 0-17 years old treated at our trauma center during 2000-2015.
The mortality rate in our population was 8% (n = 103). Fifty-five percent were male. The majority (76%) of fatal injuries were blunt. Overall, motor vehicle collisions (MVCs) were the most common mechanism of injury (61%), followed by assault/abuse (9%). Of the deaths caused by MVCs, 37 (59%) were occupants, 11 (17%) were pedestrians, and 6 (10%) were cyclists. In the infant sub-population, assault/abuse was the most common mechanism of injury.
MVCs were the leading cause of death in this population. In the infant subpopulation (<1 year), abusive head trauma emerged as the leading mechanism. Injury prevention programming should target abusive head trauma in infants and teen road safety.
本研究旨在确定导致我们儿科人群死亡的最常见损伤机制。
回顾性分析 2000 年至 2015 年在我们创伤中心治疗的 0-17 岁致命受伤儿童的队列。
本研究人群的死亡率为 8%（n=103）。55%为男性。大多数（76%）致命伤为钝性损伤。总体而言，机动车碰撞（MVC）是最常见的损伤机制（61%），其次是袭击/虐待（9%）。在 MVC 导致的死亡中，37 例（59%）为乘客，11 例（17%）为行人，6 例（10%）为骑自行车者。在婴儿亚群中，袭击/虐待是最常见的损伤机制。
MVC 是该人群死亡的主要原因。在婴儿亚群（<1 岁）中，虐待性头部创伤成为主要机制。伤害预防计划应针对婴儿的虐待性头部创伤和青少年道路安全。
