Powell E C, Tanz R R
Division of Pediatric Emergency Medicine, Children's Memorial Hospital, Chicago, IL 60614, USA.
Pediatr Emerg Care. 1996 Aug;12(4):259-62. doi: 10.1097/00006565-199608000-00006.
To describe the estimated frequency and types of injuries associated with in-line skates in U.S. children and to compare in-line skating injuries to rollerskating injuries.
National case series.
Emergency departments of hospitals participating in the United States Consumer Product Safety Commission (USCPSC) National Electronic Injury Surveillance System.
Persons with injuries associated with the use of in-line skates or rollerskates reported to the USCPSC in 1992 and 1993.
There were an estimated 66,465 injuries associated with in-line skates; the incidence of injury was highest in children 11 and 12 years old. An estimated 40,730 in-line skate injuries involved children < 20 years old. The mean age of injured children was 11.8 years (median, 12 years); 68% were boys. Fractures (45%) were the most common injury; 66% of fractures involved the distal forearm. Five percent had head injuries. Two and one half percent required hospital admission; 90% of children admitted had a fracture and 11% had a head or face injury. There were an estimated 147,928 rollerskating injuries among children < 20 years old; the mean age was 10.5 years (median 10 years) (P < 0.001 vs in-line skates). Thirty-two percent were to boys (P < 0.001 vs in-line skates). Fractures were the most common injury; forearm fractures accounted for 72% (P < 0.001 vs in-line skates). Five percent had head injuries. One and one half percent were admitted to the hospital (P < 0.001 vs in-line skates). In 1993, the injury rate among children for in-line skates was 31/100,000, and the injury rate for rollerskates was 95/100,000.
Injuries associated with in-line skates are highest among preadolescents. Injuries associated with in-line skate use are less common than injuries associated with rollerskate use. Distal forearm fractures are the most common injuries related to both in-line skate and rollerskate use. Exposure data and analysis of the efficacy of protective gear, including wrist guards and helmets, are needed.
描述美国儿童直排轮滑相关损伤的估计发生率及类型,并比较直排轮滑损伤与轮滑损伤情况。
全国病例系列研究。
参与美国消费品安全委员会(USCPSC)国家电子伤害监测系统的医院急诊科。
1992年和1993年向USCPSC报告的与使用直排轮滑鞋或轮滑鞋相关的受伤人员。
据估计,直排轮滑相关损伤有66465例;11岁和12岁儿童的损伤发生率最高。据估计,40730例直排轮滑损伤涉及20岁以下儿童。受伤儿童的平均年龄为11.8岁(中位数为12岁);68%为男孩。骨折(45%)是最常见的损伤;66%的骨折发生在前臂远端。5%有头部损伤。2.5%需要住院治疗;90%住院的儿童有骨折,11%有头部或面部损伤。据估计,20岁以下儿童轮滑损伤有147928例;平均年龄为10.5岁(中位数为10岁)(与直排轮滑相比,P<0.001)。32%为男孩(与直排轮滑相比,P<0.001)。骨折是最常见的损伤;前臂骨折占72%(与直排轮滑相比,P<0.001)。5%有头部损伤。1.5%住院治疗(与直排轮滑相比,P<0.001)。1993年,儿童直排轮滑损伤率为31/100000,轮滑损伤率为95/100000。
青春期前儿童直排轮滑相关损伤最多。直排轮滑使用相关损伤比轮滑使用相关损伤少见。前臂远端骨折是直排轮滑和轮滑使用最常见的相关损伤。需要暴露数据并分析包括护腕和头盔在内的防护装备的效果。