Home and injury location discordance patterns in paediatric trauma: trends by mechanism, age and childhood opportunity level.

IF 2.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Prevention Pub Date : 2025-04-04 DOI:10.1136/ip-2024-045554

Erin E Ross, MaKayla L O'Guinn, Shadassa Ourshalimian, Ryan G Spurrier, Pradip P Chaudhari

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引用次数: 0

Abstract

Background/aims: Understanding how injury mechanisms, demographics and neighbourhood characteristics differ based on injury location can improve data-driven injury prevention efforts. Our objective was to describe the association between mechanism of injury (MOI), patient age, neighbourhood characteristics and home and injury location discordance.

Methods: We performed a retrospective, multicentre study of children transported by emergency medical services to 15 trauma centres in the county trauma registry from 2010 to 2021. Home-injury discordance (discordance between home and injury zip code) and neighbourhood opportunity discordance (more than one level difference across Childhood Opportunity Index (COI) levels) were trended by age and MOI. COI discordance by home COI for each MOI was also explored.

Results: Among 13 020 paediatric traumas, home-injury discordance occurred in 48% of injuries, and was highest in sports/recreation (72%) and motorised travel (69%). COI discordance (27% overall) was frequent in sports/recreation (34%) and rarer in assault (22%). Assault and assault and motorised travel injuries occurred closer to home and with less COI discordance.

Conclusion: Unique patterns of injury risk and COI discordance by home COI level demonstrate that injury prevention efforts may require differential focus on factors affecting residents versus visitors of a neighbourhood depending on the MOI.

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儿童创伤的家庭和伤害位置不一致模式：机制、年龄和儿童机会水平的趋势。

背景/目的：了解损伤机制、人口统计学和社区特征如何根据损伤位置而不同，可以改善数据驱动的损伤预防工作。我们的目的是描述损伤机制（MOI）、患者年龄、社区特征以及家庭和损伤位置不一致之间的关系。方法：我们对2010年至2021年通过紧急医疗服务转移到县创伤登记处15个创伤中心的儿童进行了一项回顾性多中心研究。家庭伤害不一致（家庭与伤害邮政编码之间的不一致）和邻里机会不一致（儿童机会指数（COI）水平之间的差异大于一个水平）随年龄和MOI呈趋势变化。还探讨了每个MOI的家庭COI不一致。结果：在13020例儿科创伤中，家庭伤害不一致发生率为48%，运动/娱乐（72%）和机动旅行（69%）中最高。COI不一致（27%）在运动/娱乐中很常见（34%），在攻击中较少见（22%）。攻击、攻击和机动旅行伤害发生在离家较近的地方，COI不一致较少。结论：家庭COI水平的伤害风险和COI不一致的独特模式表明，根据MOI的不同，伤害预防工作可能需要对影响居民和社区访客的因素进行不同的关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury Prevention 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.30

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.