Smith G A, Dietrich A M, Garcia C T, Shields B J
Department of Pediatrics, Ohio State University College of Medicine, Columbus, USA.
Arch Pediatr Adolesc Med. 1995 Nov;149(11):1207-10. doi: 10.1001/archpedi.1995.02170240025003.
To describe the epidemiologic characteristics of shopping cart-related injuries among children in the United States.
A retrospective analysis of data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission for 1990 to 1992.
An estimated 75,200 shopping cart-related injuries occurred in children younger than 15 years treated in US emergency departments during 1990 to 1992 (95% confidence interval, 57,500 to 92,900). Children younger than 5 years were at highest risk, accounting for 63,200 (84%) of the injuries. A 20% increase was observed in the number of injuries among 0- to 4-year-old children from 1990 to 1992. Fifty-three percent of injured children were male. The head and neck region was the most common anatomic site of injury, accounting for 74% of injuries among children younger than 15 years. An estimated 2000 children (2.7%) younger than 15 years required hospital admission (1.2% in 1990 compared with 3.5% in 1992). Children aged 0 to 4 years accounted for 93% of these hospital admissions. Among 0- to 14-year-old children, fractures accounted for 45% of hospital admissions, followed by internal injury (22%) and concussion (17%).
Injuries related to shopping carts are an important cause of pediatric morbidity, especially among children younger than 5 years. These injuries can also result in death. Shopping carts should be redesigned to decrease the risk of injury to children, and transportation of children in shopping carts of current design should be prohibited.
描述美国儿童购物车相关伤害的流行病学特征。
对美国消费品安全委员会国家电子伤害监测系统1990年至1992年的数据进行回顾性分析。
1990年至1992年期间，美国急诊部门治疗的15岁以下儿童中，估计有75200起与购物车相关的伤害事件（95%置信区间为57500至92900）。5岁以下儿童风险最高，占伤害事件的63200起（84%）。1990年至1992年，0至4岁儿童的伤害事件数量增加了20%。受伤儿童中53%为男性。头部和颈部是最常见的受伤解剖部位，占15岁以下儿童伤害事件的74%。估计有2000名15岁以下儿童（2.7%）需要住院治疗（1990年为1.2%，1992年为3.5%）。0至4岁儿童占这些住院病例的93%。在0至14岁儿童中，骨折占住院病例的45%，其次是内伤（22%）和脑震荡（17%）。
购物车相关伤害是儿童发病的重要原因，尤其是5岁以下儿童。这些伤害也可能导致死亡。应重新设计购物车以降低儿童受伤风险，并禁止使用现有设计的购物车运送儿童。
