Arribas Sánchez Cristina, Bardón Cancho Eduardo J, Rivas García Arístides, Mintegi Santiago, Marañón Pardillo Rafael
Servicio de Urgencias Pediátricas, Hospital General Universitario Gregorio Marañón, Madrid, España.
Servicio de Urgencias Pediátricas, Hospital General Universitario Gregorio Marañón, Madrid, España.
An Pediatr (Engl Ed). 2018 Dec;89(6):333-343. doi: 10.1016/j.anpedi.2018.02.003. Epub 2018 Apr 9.
To analyse the clinical and epidemiological characteristics of children who are attended in Emergency Departments (EDs) for an unintentional injury in Spain.
Multicentre case series with prospective data collection conducted during 12 months in the ED of 11 hospitals belonging to the Spanish Paediatric Emergency Research Group. Data were collected between September 2014 and January 2015, continuing for one year in all paediatric EDs, and included children between 0 and 16 years old seen for an unintentional injury.
A total of 10,175 episodes were recorded during the study, of which 1,941 were due to unintentional injuries (19.1%, 95% CI: 18.3%-19.8%), and 1,673 of these were included in the study. Falling, direct injuries, and injuries due to sports activities represented more than 80%, with significant variations in the injuries mechanism observed in different age groups. More than occurred at home or school. About 40% of the unintentional injuries were not witnessed by an adult. The most frequent diagnosis was limb trauma (63.0%), with a fracture being observed in 242 (14.4% of unintentional injuries). As regards fractures, 34 (2.0%) were admitted to hospital, with 21 (61.8%) for surgical reduction of the fracture. No deaths were recorded in the first 24h.
Unintentional injuries constitute a very common reason for consultation in EDs in Spain. The circumstances surrounding the unintentional injuries should be considered, in order to develop preventive measures and to improve the training of people involved in the care of these children.
分析西班牙因意外伤害在急诊科就诊的儿童的临床和流行病学特征。
西班牙儿科急诊研究组所属的11家医院的急诊科在12个月内进行的多中心病例系列研究，前瞻性收集数据。数据收集时间为2014年9月至2015年1月，在所有儿科急诊科持续一年，纳入因意外伤害就诊的0至16岁儿童。
研究期间共记录了10175例病例，其中1941例是由于意外伤害（19.1%，95%可信区间：18.3%-19.8%），其中1673例纳入研究。跌倒、直接损伤和体育活动导致的损伤占比超过80%，不同年龄组的损伤机制存在显著差异。超过半数发生在家中或学校。约40%的意外伤害没有成人目睹。最常见的诊断是肢体创伤（63.0%），242例（占意外伤害的14.4%）观察到骨折。至于骨折，34例（2.0%）住院，其中21例（61.8%）接受了骨折手术复位。24小时内无死亡记录。
在西班牙，意外伤害是急诊科就诊的常见原因。应考虑意外伤害发生的情况，以制定预防措施并改善参与这些儿童护理人员的培训。
