The injury mechanisms and injury pyramids among children and adolescents in Zhuhai City, China

Autor:	Deyun Li, Xiling Yin, Yukai Du, Wencan Dai
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty China Adolescent Population Psychological intervention Injury Adolescents 03 medical and health sciences 0302 clinical medicine Blunt Injury prevention Epidemiology Medicine Humans 030212 general & internal medicine education Child Injury pyramid Children education.field_of_study 030505 public health business.industry Incidence (epidemiology) Incidence lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Infant lcsh:RA1-1270 Emergency department Injury mechanisms Hospitalization Emergency medicine Wounds and Injuries Accidental Falls Biostatistics 0305 other medical science business Emergency Service Hospital Research Article
Zdroj:	BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) BMC Public Health
ISSN:	1471-2458
Popis:	Background The unclear mechanisms and severity of injuries in the injury pyramids for Chinese children and adolescents prevent the prioritization of interventions. This study aimed to describe the injury mechanisms and injury pyramids in this population to provide a priority for injury prevention strategies. Methods Death, hospitalization, and outpatient/emergency department visit data from patients aged 0 ~ 17 years with injuries were obtained from January 1, 2013, to December 31, 2017, in Zhuhai City, China. The injury mechanism ratios were calculated, and the injury pyramid ratios were drawn in proportion using injury mortality and the incidence of both injury hospitalizations and outpatient/emergency department injury visits. Results The top three mechanisms for injuries in children and adolescents treated in outpatient/emergency departments were falls (52.02%), animal bites (14.57%), and blunt injuries (10.60%). The top three mechanisms for injury hospitalizations were falls (37.33%), road traffic injuries (17.87%), and fire/burns (14.29%), while the top three mechanisms for injury deaths were drowning (32.91%), road traffic injuries (20.25%) and falls (13.92%). The incidence rate of outpatient/emergency department injury visits for children and adolescents was 11,210.87/100,000; the incidence rate of injury hospitalization was 627.09/100,000, and the injury death rate was 10.70/100,000. For each injury death, there were 59 injury hospitalizations and 1048 outpatient/emergency injury visits. Conclusions The injury mechanisms were different for injury-related outpatient/emergency department visits, hospitalizations, and deaths among children and adolescents. The injury mechanisms by sex at different stages of child development, and interventions should be formulated based on this finding. The ratios of the injury pyramids varied by age, sex, region, and injury mechanisms; minor nonfatal injuries were more common in children and adolescents. The differences in the severity and extent of the injuries suggested that injury interventions in children and adolescents still have a long way to go.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2f3a349aa39b2ff62805ff72ef3ec03a https://doaj.org/article/86ce5ec3a32944e7ab8f890b888ae857 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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