Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study.
BMJ Open
; 7(2): e013724, 2017 02 07.
Article
em En
| MEDLINE
| ID: mdl-28174223
ABSTRACT
OBJECTIVES:
The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong.DESIGN:
A retrospective approach was adopted.SETTING:
AED, involving all local public emergency departments from 2001 to 2012.PARTICIPANTS:
63â 557 subjects aged 0-19â years with fall injury record were included in the analysis. PRIMARY OUTCOMEMEASURES:
Fall-related injury number and rates were calculated and reported. Poisson and negative binomial regression models were used to study the trends of injury incidence rate at different body regions.RESULTS:
AED fall-related attendance rate increased significantly with an annual percentage change of 4.45 (95% CI 3.43 to 5.47%, p<0.0001). The attendance number of male subjects was persistently higher than female subjects. The standardised rate of fracture injury increased by 1.31% (95% CI 0.56 to 2.05%, p<0.0001) and that of non-fracture injury increased by 9.23% (95% CI 7.07 to 11.43%, p<0.0001) annually. Upper limb was the most frequently fractured location. It included forearm/elbow, shoulder/upper arm and wrist/hand with descending order of frequency. On the contrary, head was the most frequent non-fracture location, followed by forearm/elbow.CONCLUSIONS:
The rates of fall-related attendance have been increasing and still remain high. There were significant increases in non-fracture injuries. Fractures were most frequently found in the upper extremity of a child while the most common non-fracture location was head. It appears that more efforts should be made and preventive measures should be implemented for children and adolescents in Hong Kong.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Acidentes por Quedas
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Extremidade Superior
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Serviço Hospitalar de Emergência
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Fraturas Ósseas
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Traumatismos Craniocerebrais
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Hospitalização
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article