American University of Beirut, Beirut, Lebanon.
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
BMJ Open. 2022 Mar 25;12(3):e055639. doi: 10.1136/bmjopen-2021-055639.
This study aims to assess the epidemiology of paediatric injury in Beirut, giving insights into their characteristics, contributing risk factors and outcomes.
A retrospective study was conducted to review medical charts for children aged 0-15 years presented to five hospital emergency departments (ED) located in Beirut over a 1-year period (June 2017-May 2018).
A total of 1142 trauma-related visits for children under 15 years of age were included. A descriptive analysis and a bivariate analysis were performed to investigate admitted and treated/discharged patients.
A logistic regression was conducted to identify factors associated with hospital admission among injured children.
A total of 1142 cases of paediatric injury ED cases were sampled, mean age was 7.7±4.35 years. Children aged 0-5 years accounted for more than one-third of the total cases, 40.0% (206/516) of the fall injuries and 60.1% (220/366) of home injuries. The leading cause of paediatric injury was fall (45.2%), nearly 4.1% of the cases were admitted to hospitals. Factors associated with admission included injury to abdomen (OR=8.25 (CI 1.11 to 61.24)), to upper extremity (OR=5.79 (CI 2.04 to 16.49)), to lower extremity (OR=5.55 (95% CI 2.02 to 15.20) and other insurance type (OR=8.33 (CI 2.19 to 31.67)). The three types of injuries mostly associated with hospital admission were fracture (OR=13.55 (CI 4.77 to 38.44)), concussion (OR=13.60 (CI 2.83 to 65.41)) and organ system injury (OR=31.63 (CI 3.45 to 290.11)).
Injury remains a major health problem among the paediatric population in Lebanon. Parental child safety educational programmes and age-targeted injury prevention strategies should be initiated and implemented to mitigate the burden of child injuries and improve child safety and well-being.
本研究旨在评估贝鲁特儿科伤害的流行病学情况，深入了解其特征、相关风险因素和结局。
对 2017 年 6 月至 2018 年 5 月期间在贝鲁特 5 家医院急诊科就诊的 0-15 岁儿童的医疗记录进行了回顾性研究。
共纳入 1142 例 0-15 岁儿童创伤相关就诊病例。进行描述性分析和双变量分析，以调查收治和治疗/出院患者。
采用逻辑回归分析确定与受伤儿童住院相关的因素。
共抽取 1142 例儿科损伤急诊病例，平均年龄为 7.7±4.35 岁。0-5 岁儿童占总病例的三分之一以上，40.0%（206/516）为跌倒伤，60.1%（220/366）为家居伤。儿科损伤的主要原因是跌倒（45.2%），近 4.1%的病例住院。与住院相关的因素包括腹部损伤（OR=8.25（CI 1.11 至 61.24））、上肢损伤（OR=5.79（CI 2.04 至 16.49））、下肢损伤（OR=5.55（95% CI 2.02 至 15.20））和其他保险类型（OR=8.33（CI 2.19 至 31.67））。与住院相关的三种主要损伤类型为骨折（OR=13.55（CI 4.77 至 38.44））、脑震荡（OR=13.60（CI 2.83 至 65.41））和器官系统损伤（OR=31.63（CI 3.45 至 290.11））。
在黎巴嫩，伤害仍然是儿科人群的一个主要健康问题。应启动和实施父母儿童安全教育计划和针对特定年龄的伤害预防策略，以减轻儿童伤害负担，改善儿童安全和福祉。
