Molloy Matthew J, Shields Wendy, Stevens Molly W, Gielen Andrea C
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, USA.
Present affiliation: Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 9016, OH, 45229, Cincinnati, USA.
Inj Epidemiol. 2021 Apr 26;8(1):16. doi: 10.1186/s40621-021-00307-z.
Minor injuries are very common in the pediatric population and often occur in the home environment. Despite its prevalence, little is known about outcomes in children following minor injury at home. Understanding the impact of these injuries on children and their families is important for treatment, prevention, and policy. The objectives of our study were (1) To describe the distribution of short-term outcomes following pediatric minor injuries sustained at home and (2) To explore the relationship of injury type and patient and household demographics with these outcomes.
Children (n = 102) aged 0-7 years with a minor injury sustained at home were recruited in an urban pediatric emergency department as part of the Child Housing Assessment for a Safer Environment (CHASE) observational study. Each patient had a home visit following the emergency department visit, where five parent-reported outcomes were assessed. Relationships were explored with logistic regression.
The most common type of injury was soft tissue (57.8 %). 13.2 % of children experienced ≥ 7 days of pain, 21.6 % experienced ≥ 7 days of abnormal activity, 8.9 % missed ≥ 5 days of school, 17.8 % of families experienced ≥ 7 days of disruption, and 9.1 % of parents missed ≥ 5 days of work. Families reported a total of 120 missed school days and 120 missed work days. Children who sustained a burn had higher odds of experiencing pain (OR 6.97), abnormal activity (OR 8.01), and missing school (OR 8.71). The parents of children who sustained a burn had higher odds of missing work (OR 14.97).
Families of children suffering a minor injury at home reported prolonged pain and changes in activity as well as significant school and work loss. In this cohort, burns were more likely than other minor injuries to have these negative short-term outcomes reported and represent an important target for interventions. The impact of these injuries on missed school and disruption of parental work warrants further consideration.
轻伤在儿童群体中非常常见，且常发生在家庭环境中。尽管其很普遍，但对于儿童在家中受轻伤后的结局却知之甚少。了解这些伤害对儿童及其家庭的影响对于治疗、预防和政策制定都很重要。我们研究的目的是：（1）描述儿童在家中遭受轻伤后的短期结局分布情况；（2）探讨伤害类型、患者及家庭人口统计学特征与这些结局之间的关系。
作为“儿童住房安全环境评估”（CHASE）观察性研究的一部分，在一家城市儿科急诊科招募了102名0至7岁在家中受轻伤的儿童。每位患者在急诊科就诊后都进行了家访，评估了五项家长报告的结局。通过逻辑回归分析探讨了其间的关系。
最常见的伤害类型是软组织损伤（57.8%）。13.2%的儿童经历了≥7天的疼痛，21.6%的儿童经历了≥7天的活动异常，8.9%的儿童缺课≥5天，17.8%的家庭经历了≥7天的生活干扰，9.1%的家长误工≥5天。家庭报告总共缺课120天，误工120天。烧伤儿童经历疼痛（比值比6.97）、活动异常（比值比8.01）和缺课（比值比8.71）的几率更高。烧伤儿童的家长误工几率更高（比值比14.97）。
在家中受轻伤儿童的家庭报告称存在疼痛持续、活动改变以及严重的缺课和误工情况。在这个队列中，烧伤比其他轻伤更有可能报告这些负面短期结局，是干预的重要目标。这些伤害对缺课和家长误工的影响值得进一步考虑。
