美国急诊部就诊的儿童患者中机动和非机动滑板车损伤的比较。
A Comparison of Motorized and Nonmotorized Scooter Injuries in Pediatric Patients Seen in US Emergency Departments.
机构信息
From the Children's Hospital of Philadelphia, Philadelphia, PA.
出版信息
Pediatr Emerg Care. 2022 Jun 1;38(6):e1314-e1319. doi: 10.1097/PEC.0000000000002706. Epub 2022 Apr 4.
OBJECTIVES
We sought to characterize and compare trends in pediatric injuries sustained on motorized and nonmotorized scooters across the United States, to assess the use of safety equipment in children presenting with scooter-related injuries, and provide strategies for injury prevention.
METHODS
The National Electronic Injury Surveillance System was queried for motorized and nonmotorized scooter-related pediatric injuries from 2014 to 2018 in patients ages 6 to 12 years. Patient demographics, diagnosis, injury location, and narrative of the incident were collected. Bivariate and regression analyses were used to determine demographic and social associations of injury characteristics.
RESULTS
An estimated 146,000 (11,452 motorized and 134,548 nonmotorized) injuries occurred in children ages 6 to 12 years over the 5 years. Three of 4 injuries occurred in children younger than 10 years, and most injuries occurred in males (56%).From 2014 to 2018, the nationwide estimated incidence of motorized scooter injuries increased by 112.1%, while that of nonmotorized scooter injuries decreased by 40.3%.Upper extremity injuries were most common with nonmotorized scooters (44.4% of all injuries), while lower extremity injuries were most common with motorized scooters (39.5% of all injuries). Head and neck injuries accounted for 27.4% of nonmotorized scooter injuries and 23.4% of motorized scooter injuries. The number of concussions in motorized scooters increased from 0.4% in 2014 to 2.7% in 2018, while concussions in nonmotorized scooters decreased from 3.5% to 2.7%. Helmets were mentioned in the medical record in 6.6% of the cases. Of these, 60.5% reported no use of helmet at the time of injury.
CONCLUSIONS
From 2014 to 2018, the number of motorized scooter injuries increased by 112.1% in the pediatric population ages 6 to 12 years, whereas nonmotorized scooter injuries decreased by 40.3%. In more than 60% of the cases that mentioned a helmet, the child injured was recorded as not wearing a helmet. The rise in pediatric injuries associated with motorized scooters in contrast with the reduction of injuries associated with nonmotorized scooters highlights the need for novel public health policies and interventions promoting helmet use with motorized scooters in the pediatric population.
目的
我们旨在描述并比较美国儿童在使用机动和非机动滑板车时受伤的趋势，评估在与滑板车相关的受伤儿童中使用安全设备的情况，并提供预防受伤的策略。
方法
利用全国电子伤害监测系统，对 2014 年至 2018 年期间年龄在 6 至 12 岁的患者进行机动和非机动滑板车相关的儿科伤害调查。收集患者的人口统计学资料、诊断、受伤部位和事件描述。采用双变量和回归分析来确定受伤特征的人口统计学和社会关联。
结果
在过去的 5 年中，估计有 14.6 万名（11452 名机动滑板车和 134548 名非机动滑板车）6 至 12 岁儿童受伤。4 名受伤者中有 3 名年龄小于 10 岁，大多数受伤者为男性（56%）。从 2014 年到 2018 年，全国机动滑板车受伤的估计发病率增加了 112.1%，而非机动滑板车受伤的发病率则下降了 40.3%。非机动滑板车最常见的受伤部位是上肢（所有受伤部位的 44.4%），而机动滑板车最常见的受伤部位是下肢（所有受伤部位的 39.5%）。头部和颈部受伤占非机动滑板车受伤的 27.4%，占机动滑板车受伤的 23.4%。机动滑板车的脑震荡病例从 2014 年的 0.4%增加到 2018 年的 2.7%，而非机动滑板车的脑震荡病例则从 3.5%下降到 2.7%。头盔在病历中被提及的比例为 6.6%。在这些病例中，60.5%的人报告在受伤时未使用头盔。
结论
在 2014 年至 2018 年期间，6 至 12 岁儿童的机动滑板车受伤人数增加了 112.1%，而非机动滑板车受伤人数则减少了 40.3%。在提到头盔的病例中，超过 60%的受伤儿童被记录为未佩戴头盔。与非机动滑板车相关的受伤减少形成鲜明对比的是，与机动滑板车相关的受伤增加，这突显了需要制定新的公共卫生政策和干预措施，以促进在儿科人群中使用机动滑板车时佩戴头盔。
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