学龄儿童在上学期间发生车祸的风险高于行人。

Chad Morrison, Ty Olson, Allison G McNickle, Douglas R Fraser, Deborah A Kuhls, Laura K Gryder-Culver, Samantha Slinkard-Barnum, Syed F Saquib, Joseph T Carroll, Paul J Chestovich
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引用次数: 0

摘要

背景:本研究考察了儿童汽车与行人碰撞(APCs)的发生率,并确定了最大风险的年龄和时期。我们假设,儿童APC的发病率在上学日和与上学和放学相关的时间范围内会更高。方法:回顾性病例对照研究2011年1月至2019年11月某城市二级儿童创伤中心18岁以下儿童上学日和非上学日APC情况。按小时计算的APC频率被绘制出来,包括上学日和非上学日以及年龄组:0岁到4岁,5岁到9岁,10岁到13岁,14岁到17岁。采用t检验,p值小于0.05为显著性。结果:研究期间共有441例小儿APC。所有APC的频率在上学日更高(0.174比0.101;相对危险度[RR], 1.72, p < 0.001),损伤严重程度评分大于15的APC(0.039比0.024;P = 0.014;RR 1.67;95%置信区间为1.10-2.56)。与非上学日相比,0岁组与4岁组APC频率无显著差异(0.021 vs. 0.014;p = 0.129),所有其他年龄组的APC频率在上学日更高:5至9岁(0.036比0.019;RR 1.89;P = 0.0134), 10 ~ 13岁(0.055 vs. 0.024;RR 2.29;P < 0.001), 14 ~ 17岁(0.061 vs. 0.044;RR 1.39;P = 0.045)。上学期间APC增幅最大的是10岁至13岁年龄组。讨论:所有学龄儿童在上学期间患APC的风险更高。这些数据支持了我们的假设,即儿童在往返学校的途中患APC的风险更高。10岁至13岁年龄组在上学期间APC频率增加了129%。这一年龄组应该成为预防伤害努力的重点。证据水平:预后和流行病学;IV级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Higher risk of auto versus pedestrian crashes in school-age children on school days.

Background: This study examines the rates of pediatric auto versus pedestrian collision (APCs) and determined ages and periods of greatest risk. We hypothesized that the rate of APC in children would be higher on school days and in the timeframes correlating with travel to and from school.

Methods: Retrospective case-control study of APC on school and nonschool days for patients younger than 18 years at an urban Level II pediatric trauma center from January 2011 to November 2019. Frequency of APC by hour of the day was plotted overall, for school versus nonschool days and for age groups: 0 year to 4 years, 5 years to 9 years, 10 years to 13 years, and 14 years to 17 years. t Test was used with a p value less than 0.05, which was considered significant.

Results: There were 441 pediatric APC in the study period. Frequency of all APC was greater on school days (0.174 vs. 0.101; relative risk [RR], 1.72, p < 0.001), and APC with Injury Severity Score greater than 15 (0.039 vs. 0.024; p = 0.014; RR, 1.67; 95% confidence interval, 1.10-2.56). Comparing school day with nonschool day, the 0-year to 4-year group had no significant difference in APC frequency (0.021 vs. 0.014; p = 0.129), APC frequency was higher on school days in all other age groups: 5 years to 9 years (0.036 vs. 0.019; RR, 1.89; p = 0.0134), 10 years to 13 years (0.055 vs. 0.024; RR, 2.29; p < 0.001), and 14 years to 17 years (0.061 vs. 0.044; RR, 1.39; p = 0.045). The greatest increase in APC on school days was in the 10-year to 13-year age group.

Discussion: All school age children are at higher risk of APC on school days. The data support our hypothesis that children are at higher risk of APC during transit to and from school. The age 10-year to 13-year group had a 129% increase in APC frequency on school days. This age group should be a focus of injury prevention efforts.

Level of evidence: Prognostic and Epidemiologic; Level IV.

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