Jamison D L, Kaye H H
Arch Dis Child. 1974 May;49(5):376-81. doi: 10.1136/adc.49.5.376.
Over a 2-year period 857 children were admitted to hospital with head injuries, representing 16% of all admissions—73% of all children with injury—and occupying 3727 bed-days. Operation was required in 6% of cases, 1·5% were left with residual neurological deficit, and 1·5% died. The epidemiology is presented in detail and it is noted that 66% of admissions occurred when medical and ancillary staff on immediate duty were limited. A more selective approach to the timing and taking of skull -rays is urged. The retention of British Standard Time (one hour fast on G.M.T., darker mornings) through the winter did not increase the number of admissions due to head injury.
在两年期间,857名儿童因头部受伤入院,占所有入院人数的16%——占所有受伤儿童的73%——住院天数达3727天。6%的病例需要手术,1.5%的儿童留有神经功能缺损后遗症,1.5%的儿童死亡。详细介绍了流行病学情况,注意到66%的入院病例发生在当值医护及辅助人员不足时。文中强烈呼吁对头骨X光检查的时机和拍摄采取更具选择性的方法。整个冬季保持英国标准时间(比格林威治标准时间快一小时,早晨天色更暗)并未增加因头部受伤而入院的人数。