Jariwala Neha, Kratimenos Panagiotis, Eng David, Gaughan John, Koutroulis Ioannis
Dept. of Emergency Medicine, St Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, United States.
Dept. of Neonatal-Perinatal Medicine, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, United States.
Int J Pediatr Adolesc Med. 2016 Mar;3(1):7-11. doi: 10.1016/j.ijpam.2015.12.004. Epub 2016 Jan 27.
Foreign body injury (FBI) is a considerable public health issue for children. Although the relationships of FBI with age, gender, and objects of injury have been studied, the extent to which other demographic factors influence FBI is unclear. We hypothesized that the risk for FBI increases with the number of children in the household.
This was a retrospective analysis of 223 patients aged 2-10 years who presented to the emergency department of an inner-city pediatric hospital and who were found to have FBI.
The guardians were contacted via phone to examine the associations of FBI with income, parental educational level, number of children in the household, and birth order while controlling with a matched population of 250 patients. Statistical analyses using frequencies and univariate and multivariate analyses were performed.
For each increase in the number of children, the risk of FBI increased 1.44-fold (OR = 1.442). With each increase in the number of caregivers, the risk of a FBI decreased 33% (OR = 0.673). With each increase in income category, the risk of a FBI decreased 59% (OR = 0.413).
The results suggest that an increase in the number of children in a household is associated with a greater risk of FBI.
异物损伤（FBI）是儿童面临的一个重大公共卫生问题。尽管已经研究了FBI与年龄、性别及致伤物的关系，但其他人口统计学因素对FBI的影响程度尚不清楚。我们推测，家庭中孩子数量增加会使FBI风险上升。
这是一项对223名年龄在2至10岁、到市中心一家儿科医院急诊科就诊且被发现有FBI的患者进行的回顾性分析。
通过电话联系监护人，以研究FBI与收入、父母教育水平、家庭孩子数量及出生顺序之间的关联，同时以250名匹配患者作为对照人群。采用频率分析、单因素分析和多因素分析进行统计分析。
孩子数量每增加一个，FBI风险增加1.44倍（OR = 1.442）。照顾者数量每增加一个，FBI风险降低33%（OR = 0.673）。收入类别每提高一级，FBI风险降低59%（OR = 0.413）。
结果表明，家庭中孩子数量增加与FBI风险升高相关。
