Lin Gangxi, Zeng Qiyi
Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China.
Department of Pediatrics, School of Medicine, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Front Pediatr. 2024 Sep 2;12:1387761. doi: 10.3389/fped.2024.1387761. eCollection 2024.
To investigate the epidemiology of injuries among children and adolescents in the Xinglin District of Xiamen from 2016 to 2019.
This study collected data from patients who attended the outpatient and emergency departments of the Xinglin District at the First Affiliated Hospital of Xiamen University between January 2016 and December 2019, diagnosed with injuries.
A total of 13,123 patients were included, categorized into age groups 0-4 ( = 4,834), 5-9 ( = 3,924), 10-14 ( = 2,671), and 15-18 ( = 1,694). The rates of unintentional injuries were 97.00%, 96.94%, 94.50%, and 90.08% in the 0-4, 5-9, 10-14, and 15-18 age groups, respectively ( < 0.001). The proportion of head injuries decreased with age (from 41.13% in the 0-4 age group to 18.00% in the 15-18 age group), compensated by an increase in rates of injuries to upper and lower extremities and multisite injuries ( < 0.001). The most common causes of injuries were fall-related injuries (30.46%-52.05%), followed by mechanical injuries (18.35%-36.42%), with the rates of fall-related injuries decreasing with age and rates of mechanical injuries increasing with age ( < 0.001). Age-period-cohort models revealed that the time factor was not significant for fall-related injuries and mechanical injuries (all > 0.05) despite apparent increases in incidence over time.
Injuries in children and adolescents continue to be a significant public health concern in the Xinglin District (China), predominantly driven by fall-related injuries and mechanical injuries.
调查2016年至2019年厦门市杏林地区儿童和青少年伤害的流行病学情况。
本研究收集了2016年1月至2019年12月期间在厦门大学附属第一医院杏林院区门诊和急诊科就诊、诊断为伤害的患者的数据。
共纳入13123例患者，分为0 - 4岁（n = 4834）、5 - 9岁（n = 3924）、10 - 14岁（n = 2671）和15 - 18岁（n = 1694）年龄组。0 - 4岁、5 - 9岁、10 - 14岁和15 - 18岁年龄组的意外伤害发生率分别为97.00%、96.94%、94.50%和90.08%（P < 0.001）。头部受伤的比例随年龄增长而下降（从0 - 4岁年龄组的41.13%降至15 - 18岁年龄组的18.00%），上肢和下肢及多部位受伤发生率上升（P < 0.001）。伤害的最常见原因是跌倒相关伤害（30.46% - 52.05%），其次是机械性伤害（18.35% - 36.42%），跌倒相关伤害发生率随年龄增长而下降，机械性伤害发生率随年龄增长而上升（P < 0.001）。年龄 - 时期 - 队列模型显示，尽管跌倒相关伤害和机械性伤害的发病率随时间明显增加，但时间因素对其并不显著（均P > 0.05）。
在中国厦门市杏林地区，儿童和青少年伤害仍然是一个重大的公共卫生问题，主要由跌倒相关伤害和机械性伤害导致。
