Department of Pediatrics, The Alpert Medical School of Brown University, Providence, RI, USA.
Department of Emergency Medicine, The Alpert Medical School of Brown University, Providence, RI, USA.
Clin Pediatr (Phila). 2023 Jul;62(7):753-759. doi: 10.1177/00099228221139824. Epub 2022 Dec 12.
Booster seats reduce injury in motor vehicle crashes, yet they are used less frequently than car seats and seat belts. Primary care providers are well positioned to educate and encourage families to use booster seats. We aimed to assess how a booster seat distribution program affected the documentation of restraint usage and anticipatory guidance at well-child visits at a pediatric primary care practice. We performed a retrospective chart review of patients aged 4 to 12 years from June to December in 2019 and 2020, representing before and after a booster seat program. The most frequently documented restraints in 2019 and 2020 were seat belts (51% vs 30%), booster seats (25% vs 27%), and not documented/unclear (17% vs 25%) ( < .001). The program significantly increased referrals for booster seats ( < .001). Despite significant differences in the proportion of children in each restraint category, overall booster seat use was similar between years.
汽车碰撞中，增高座椅能降低伤害，但它们的使用频率比汽车座椅和安全带低。初级保健提供者处于有利地位，可以教育和鼓励家庭使用增高座椅。我们旨在评估在儿科初级保健实践中，一个增高座椅分发计划如何影响约束使用和预期指导的记录。我们对 2019 年 6 月至 12 月和 2020 年期间年龄在 4 至 12 岁的患者进行了回顾性图表审查，代表了增高座椅计划之前和之后的情况。2019 年和 2020 年最常记录的约束装置是安全带（51%对 30%）、增高座椅（25%对 27%）和未记录/不清楚（17%对 25%）（<.001）。该计划显著增加了对增高座椅的转介（<.001）。尽管每个约束装置类别的儿童比例存在显著差异，但这两年的整体增高座椅使用率相似。
