Injuries among infants treated in emergency departments in the United States, 2001-2004

被引:40
作者
Mack, Karin A. [1 ]
Gilchrist, Julie [1 ]
Ballesteros, Michael F. [1 ]
机构
[1] Ctr Dis Control & Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30341 USA
关键词
unintentional injury; infants; falls;
D O I
10.1542/peds.2007-1731
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
OBJECTIVE. The objective of this study was to present a detailed examination of unintentional injuries in infants <= 12 months of age treated in emergency departments. METHODS. We conducted a retrospective analysis of data for infants <= 12 months of age from the National Electronic Surveillance System-All Injury Program for 2001-2004. Sample weights provided by the National Electronic Surveillance System-All Injury Program were used to make national estimates. RESULTS. An estimated 1 314 000 injured infants were treated in US emergency departments for nonfatal unintentional injuries during the 4-year period of 2001-2004, similar to 1 infant every 1.5 minutes. Falls were the leading cause of nonfatal unintentional injuries for infants. Overall, the patients were more likely to be male ( 55.2%) than female ( 44.8%). Contusions/ abrasions were the leading diagnosis overall ( 26.7%). Contusion/ abrasion, laceration, hematoma, foreign-body, and puncture injuries occurred most frequently to the head or neck region. More than one third of fractures ( 37.2%) were to the arm or hand. Bed was the product most frequently noted as being involved in the injury event for every age except 2 and 12 months ( car seat was the most frequently noted product at 2 months of age, and stairs were top ranked at 12 months). Product rank changed markedly as age increased. CONCLUSIONS. The influences of the social environment, the physical environment, and products change as infants mature in the first year of life; this was substantiated in our study by the shift in the relative importance of products involved in injuries according to month of age. The concept that aspects of safety must adapt in anticipation of developmental stage is critical.
引用
收藏
页码:930 / 937
页数:8
相关论文
共 38 条
  • [1] *AM AC PED COMM, 2003, PEDIATRICS, V108, P790
  • [2] [Anonymous], 2001, MMWR SURVEILL SUMM
  • [3] [Anonymous], 2007, WEB BAS INJ STAT QUE
  • [4] Initial neurologic presentation in young children sustaining inflicted and unintentional fatal head injuries
    Arbogast, KB
    Margulies, SS
    Christian, CW
    [J]. PEDIATRICS, 2005, 116 (01) : 180 - 184
  • [5] Determination of infant-safe homes in a community injury prevention program
    Brice, Jane H.
    Overby, Barbara A.
    Hawkins, Eric R.
    Fihe, Elizabeth L.
    [J]. PREHOSPITAL EMERGENCY CARE, 2006, 10 (03) : 397 - 402
  • [6] Campbell DW, 1999, INFANT CHILD DEV, V8, P1, DOI 10.1002/(SICI)1522-7219(199903)8:1<1::AID-ICD186>3.0.CO
  • [7] 2-O
  • [8] Validity of self reported home safety practices
    Chen, LH
    Gielen, AC
    McDonald, EM
    [J]. INJURY PREVENTION, 2003, 9 (01) : 73 - 75
  • [9] CHIAVIELLO CT, 1994, PEDIATRICS, V94, P679
  • [10] Doll L., 2006, INJURY PREVENTION CH, P1