沙特阿拉伯道路交通碰撞后儿童头部和面部损伤的流行率。
The prevalence of head and facial injuries among children in Saudi Arabia following road traffic crashes.
机构信息
From the Department of Population Health, King Abdullah International Research Center (KAIMRC), Riyadh, Saudi Arabia.
From the Miami Children's Hospital, University of Florida, Florida, United States of America.
出版信息
Ann Saudi Med. 2020 Sep-Oct;40(5):417-424. doi: 10.5144/0256-4947.2020.417. Epub 2020 Oct 1.
BACKGROUND
Motor vehicle crashes (MVCs) are the leading cause of death among children in Saudi Arabia. Childhood injuries can be prevented or minimized if safety measures, such as car seats, are implemented. The literature on the epidemiology of head and facial injury among children is limited, which affects the ability to understand the extent of the burden and hinders investment in public health prevention.
OBJECTIVE
Describe the epidemiology of head and facial injuries among children admitted to the hospital following MVCs.
DESIGN
Retrospective chart review.
SETTING
Five hospitals in several regions.
PATIENTS AND METHODS
We collected data on all patients ≤16 years old, who were admitted to the hospital following MVCs between 2016-2019. Differences in various characteristics like head injury status and age groups were compared.
MAIN OUTCOME MEASURES
Head and facial injuries.
SAMPLE SIZE
253 patients.
RESULTS
Of the injured population, 97 (38.3%) sustained a head injury, and 88 (34.8%) had a facial injury. Thirteen (9.1%) children were driving the car at the time of the crash. About half of the children were seated in the back (53.8%) without a seatbelt or safety seat.
CONCLUSION
The prevalence of head and facial injuries is striking. In addition, the study revealed that driving among children is not uncommon, which warrants monitoring and implementing interventions. Improved documentation of restraint use and police enforcement of safety laws can play a significant role in reducing associated injuries. The study findings highlight the importance of combination or rear seating as well as age-appropriate restraint in order to reduce the likelihood of head or facial injuries among children.
LIMITATIONS
Retrospective study using the electronic search system to identify patients, but may have missed cases that were not coded correctly. Large amount of missing data for some variables. Additionally, the analysis was limited to those admitted to the hospital.
CONFLICT OF INTEREST
None.
背景
机动车事故（MVC）是沙特阿拉伯儿童死亡的主要原因。如果采取汽车座椅等安全措施，可以预防或减少儿童受伤。关于儿童头部和面部损伤的流行病学文献有限，这影响了对负担程度的理解，并阻碍了对公共卫生预防的投资。
目的
描述因 MVC 而住院的儿童头部和面部损伤的流行病学情况。
设计
回顾性病历审查。
地点
几个地区的 5 家医院。
患者和方法
我们收集了 2016 年至 2019 年期间因 MVC 而住院的所有≤16 岁的患者的数据。比较了不同特征（如头部损伤情况和年龄组）之间的差异。
主要观察指标
头部和面部损伤。
样本量
253 名患者。
结果
受伤人群中，97 人（38.3%）有头部损伤，88 人（34.8%）有面部损伤。13 名（9.1%）儿童在车祸时正在开车。大约一半的儿童坐在后座（53.8%），没有安全带或安全座椅。
结论
头部和面部损伤的发生率令人震惊。此外，研究表明，儿童开车并不罕见，这需要进行监测并实施干预措施。改进约束装置使用情况的记录以及警察对安全法规的执行可以在减少相关损伤方面发挥重要作用。研究结果强调了组合或后排座椅以及适合年龄的约束装置的重要性，以降低儿童头部或面部受伤的可能性。
局限性
使用电子搜索系统对患者进行回顾性研究，但可能遗漏了未正确编码的病例。一些变量存在大量缺失数据。此外，分析仅限于住院患者。
利益冲突
无。
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