Briss P A, Sacks J J, Addiss D G, Kresnow M, O'Neil J
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Pediatrics. 1994 Mar;93(3):364-8.
Because an increasing proportion of US children spends time in day care center environments, a national estimate of injury risks in day care centers is needed.
We interviewed directors of 1797 day care centers from every state and the District of Columbia from October to December 1990 and analyzed medically attended injuries and center characteristics reported by the directors.
The centers were attended by 138,404 children. In the 2 months before the center directors were interviewed, 556 children sustained injuries requiring medical attention while attending the centers. The injury rate was 1.5 injuries per 100,000 child hours in day care. The most common injuries were cuts or lacerations (31%), bumps or bruises (15%), fractures (10%), and dental injuries (8%). Most injuries (51%) occurred on the playground. Many injuries (18%), and more than half of fractures and concussions (53%) were due to falls from climbing equipment.
Day care center injury rates estimated by this study were relatively low. Many injuries that occur in this setting are probably minor. However, lowering the height of playground equipment and providing more resilient playground surfaces could further reduce injury risks in day care centers.
由于美国儿童在日托中心环境中度过的时间比例不断增加，因此需要对全国日托中心的受伤风险进行评估。
1990年10月至12月，我们采访了来自每个州和哥伦比亚特区的1797家日托中心的负责人，并分析了负责人报告的需要就医的伤害情况和中心特征。
这些中心共有138,404名儿童。在采访中心负责人的前两个月里，有556名儿童在日托中心受伤并需要就医。日托中心每100,000儿童小时的受伤率为1.5起。最常见的伤害是割伤或撕裂伤（31%）、肿块或瘀伤（15%）、骨折（10%）和牙齿损伤（8%）。大多数伤害（51%）发生在操场上。许多伤害（18%），以及超过一半的骨折和脑震荡（53%）是由于从攀爬设备上跌落造成的。
本研究估计的日托中心受伤率相对较低。在这种环境中发生的许多伤害可能并不严重。然而，降低操场设备的高度并提供更有弹性的操场地面可以进一步降低日托中心的受伤风险。
