Obikane Erika, Yamana Hayato, Yasunaga Hideo, Kawakami Norito
Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Health Services Research, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Acta Paediatr. 2020 Dec;109(12):2775-2782. doi: 10.1111/apa.15315. Epub 2020 May 14.
To evaluate the association between cumulative visits for care of minor injuries and risk of traumatic brain injuries in children aged ≤36 months.
We conducted a retrospective analysis of children born from 2009 to 2012, using a health insurance claims database in Japan. We investigated the total number of visits where children aged 0-36 months presented for treatment of minor injuries such as superficial injuries, fractures, burns and foreign body ingestions. Logistic regression analysis was used to evaluate the association between the cumulative number of visits for treatment of minor injuries and traumatic brain injuries in children aged ≤36 months.
A total of 91 011 children were included in the analysis, 51% of whom were boys. Traumatic brain injuries were identified in 0.7% of these children. Cumulative visits for care of minor injuries among children aged 0-36 months were significantly associated with traumatic brain injuries by 36 months of age, with an odds ratio of 2.12 (95% confidence interval: 1.68-2.68) for multiple visits.
Cumulative visits for treatment of minor injuries during the first 36 months of life were associated with increased risk of traumatic brain injuries by 36 months of age.
评估36个月及以下儿童因轻伤就诊的累计次数与创伤性脑损伤风险之间的关联。
我们利用日本的一个医疗保险理赔数据库，对2009年至2012年出生的儿童进行了回顾性分析。我们调查了0至36个月大的儿童因浅表损伤、骨折、烧伤和异物摄入等轻伤前来治疗的就诊总次数。采用逻辑回归分析来评估36个月及以下儿童因轻伤就诊的累计次数与创伤性脑损伤之间的关联。
共有91011名儿童纳入分析，其中51%为男孩。这些儿童中0.7%被诊断为创伤性脑损伤。0至36个月大的儿童因轻伤就诊的累计次数与36个月时的创伤性脑损伤显著相关，多次就诊的比值比为2.12（95%置信区间：1.68 - 2.68）。
出生后头36个月内因轻伤就诊的累计次数与36个月时创伤性脑损伤风险增加有关。
