Lombard Kimberly J, Elsbernd Terri A, Bews Katherine A, Klinkner Denise B
Pediatric Trauma Center (Mss Lombard and Elsbernd and Dr Klinkner), Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Surgical Outcomes Program (Ms Bews), and Division of Pediatric Surgery (Dr Klinkner), Mayo Clinic, Rochester, Minnesota.
J Trauma Nurs. 2019 Mar/Apr;26(2):89-92. doi: 10.1097/JTN.0000000000000427.
Falls are the leading cause of traumatic injury and injury-related emergency department visits in the state of Minnesota for children aged 0-14 years. We hypothesize that few of the Minnesota trauma centers and public health departments responsible for injury prevention (IP) efforts in the community are focusing on fall prevention interventions for children. The purpose of this study was to examine the current state of childhood IP interventions in Minnesota, identify potential partners to collectively address pediatric fall prevention, and utilize survey results to lead future IP efforts. An electronic survey was administered to state/American College of Surgeons verified trauma center and county health department staff in Minnesota. We compared opinions related to leading causes of traumatic injury, current IP efforts, data sources used to prioritize IP efforts, barriers to implementing childhood fall prevention interventions, and partnerships among trauma centers and health departments. Completed surveys were analyzed, with 37 responses from trauma centers and 25 from county health departments. On the basis of opinion, 47% of trauma center staff listed falls as the number one cause of traumatic injury to children compared with 25% of health department staff. Eighteen percent of survey respondents report that they have, or are, providing fall prevention programing. Limited resources were listed as the leading barrier. Significant variation exists regarding opinions related to the leading cause of pediatric traumatic injury. The feedback generated from this survey will be shared with Minnesota stakeholders in an effort to encourage collective action toward fall prevention interventions for Minnesota children.
在明尼苏达州，跌倒（受伤）是0至14岁儿童创伤性损伤及与损伤相关的急诊科就诊的主要原因。我们推测，明尼苏达州负责社区预防伤害（IP）工作的创伤中心和公共卫生部门中，很少有机构专注于针对儿童的预防跌倒干预措施。本研究的目的是调查明尼苏达州儿童预防伤害干预措施的现状，确定共同应对儿童跌倒预防的潜在合作伙伴，并利用调查结果引领未来的预防伤害工作。我们对明尼苏达州经州/美国外科医师学会认证的创伤中心和县级卫生部门工作人员进行了电子调查。我们比较了有关创伤性损伤主要原因、当前预防伤害工作、用于确定预防伤害工作优先级的数据来源、实施儿童跌倒预防干预措施的障碍以及创伤中心与卫生部门之间合作关系的意见。对完成的调查进行了分析，创伤中心有37份回复，县级卫生部门有25份回复。根据意见，47%的创伤中心工作人员将跌倒列为儿童创伤性损伤的首要原因，而卫生部门工作人员这一比例为25%。18%的调查受访者表示他们已经或正在提供预防跌倒项目。资源有限被列为主要障碍。在有关儿童创伤性损伤主要原因的意见方面存在显著差异。本次调查产生的反馈将与明尼苏达州的利益相关者分享，以鼓励大家共同采取行动，对明尼苏达州儿童实施预防跌倒干预措施。
