Lu ZiWei, Wang YinSu, Nie Min, Li JiaQin, Yu YanHong, Zhuang Yuan, Mao Xiaoyan, Shen Xing
Department of Pediatrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Sichuan Clinical Research Center for Birth Defects, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Front Pediatr. 2023 Jul 3;11:1200886. doi: 10.3389/fped.2023.1200886. eCollection 2023.
To investigate the clinical characteristics and health resource costs among children hospitalised for injuries in southern Sichuan, China, and to provide guidance for prevention and treatment.
We collected clinical data concerning children aged from 29 days to 18 years hospitalised for injuries from January 1, 2017, to December 31, 2021, retrospectively analysing the basic characteristics, evolution of injury characteristics over time, risk factors for events with adverse outcomes, and health resource costs.
Among 5,826 hospitalised children with injuries, males (63.6%), those in rural areas (40.3%), and adolescents (33.5%) were most commonly injured. Most injuries occurred at home (52.6%), and during summer. The most common injury types were falls, burns, road traffic injuries, poisoning, and foreign body injuries (32.0%, 17.9%, 13.6%, 8.8%, and 7.9%, respectively). After 2019, the proportion of intentional injuries among adolescent girls was significantly higher. Road traffic injuries most commonly led to poor clinical outcomes (95%CI: 5.39-31.51), followed by falls (95%CI: 2.20-10.67). Adolescents were at higher risk of poor prognosis. Injuries occurring in rural areas, adolescents, road traffic injuries, and falls cost high health resource.
Injuries among children remain serious, with males and adolescents from villages predominantly affected. Attention should be paid to intentional injuries among adolescent females also. Targeted prevention and control measures for road traffic injuries and falls should be strengthened.
调查中国四川南部因伤住院儿童的临床特征及卫生资源成本，为防治提供指导。
收集2017年1月1日至2021年12月31日期间29天至18岁因伤住院儿童的临床资料，回顾性分析其基本特征、损伤特征随时间的演变、不良结局事件的危险因素及卫生资源成本。
在5826例因伤住院儿童中，男性（63.6%）、农村地区儿童（40.3%）和青少年（33.5%）受伤最为常见。大多数损伤发生在家中（52.6%）和夏季。最常见的损伤类型为跌倒、烧伤、道路交通伤、中毒和异物伤（分别占32.0%、17.9%、13.6%、8.8%和7.9%）。2019年后，青春期女孩故意伤害的比例显著升高。道路交通伤最常导致不良临床结局（95%CI：5.39 - 31.51），其次是跌倒（95%CI：2.20 - 10.67）。青少年预后不良的风险更高。发生在农村地区、青少年中的损伤、道路交通伤和跌倒耗费的卫生资源较高。
儿童伤害问题依然严重，主要影响农村地区的男性和青少年。对青春期女性的故意伤害问题也应予以关注。应加强针对道路交通伤和跌倒的针对性预防控制措施。
