Tursz A, Crost M, Pivault M, Guyot M M, Rumeau-Rouquette C
Rev Epidemiol Sante Publique. 1984;32(5):286-94.
In 1981-82, 5, 963 children's accidents were reported over a one-year period in 2 public and 11 private hospitals in a given public health district. The nature of treated accidents in the public hospitals differs from that in the private facilities. Reporting of cases reaches 75% in the public hospitals; only about 50% in the private hospitals. Characteristics of reported accidents differ from those unreported. While the quality of clinical data is satisfactory, the site of the accident is unknown in 14%, and the causal agent, in 35% of the cases. The estimation of incidence implies the extension of registrations to the private sector, source of 31% of reported cases, and where significant differences from the public sector were observed in the nature of the accidents. A permanent system requires use of a rolling sample and training of personnel. Systematic registration is a tool to measure incidence of accidents, but is not a suitable instrument for the surveillance of dangerous products and objects.
1981年至1982年期间，在某公共卫生区的2家公立医院和11家私立医院里，共报告了5963起儿童事故，为期一年。公立医院所处理事故的性质与私立医院不同。公立医院的病例报告率达到75%；私立医院仅约为50%。已报告事故的特征与未报告的事故不同。虽然临床数据质量令人满意，但14%的事故地点不明，35%的病例病因不明。发病率的估算意味着要将登记范围扩大到私立部门，私立部门是报告病例的31%的来源，且在事故性质方面与公立部门存在显著差异。一个永久性系统需要采用滚动抽样并对人员进行培训。系统登记是衡量事故发生率的一种手段，但不是监测危险产品和物品的合适工具。
