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Titolo:
Trends and patterns of playground injuries in United States children and adolescents
Autore:
Phelan, KJ; Khoury, J; Kalkwarf, HJ; Lanphear, BP;
Indirizzi:
Childrens Hosp, Med Ctr, Div Gen & Community Pediat, Dept Pediat, Cincinnati, OH 45229 USA Childrens Hosp Cincinnati OH USA 45229 t Pediat, Cincinnati, OH 45229 USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 4, volume: 1, anno: 2001,
pagine: 227 - 233
SICI:
1530-1567(200107/08)1:4<227:TAPOPI>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE-CENTERS; PUBLIC PLAYGROUNDS; SEVERITY SCORE; PREVENTION; TRAUMA; IMPACT; RISK; EPIDEMIOLOGY; INTERVENTION; VALIDATION;
Keywords:
children; injury; National Hospital Ambulatory Medical Care Survey; playground falls; population-specific rates; prevalence; trends; unintentional injury;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
44
Recensione:
Indirizzi per estratti:
Indirizzo: Phelan, KJ Childrens Hosp, Med Ctr, Div Gen & Community Pediat, Dept Pediat, 3333 Burnet Ave, Cincinnati, OH 45229 USA Childrens Hosp 3333 Burnet AveCincinnati OH USA 45229 5229 USA
Citazione:
K.J. Phelan et al., "Trends and patterns of playground injuries in United States children and adolescents", AMBU PEDIAT, 1(4), 2001, pp. 227-233

Abstract

Objective.-To determine the prevalence, trends, and severity of injuries attributable to playground falls relative to other common unintentional mechanisms that resulted in an emergency department (ED) visit in the United States. Design and Setting.-Data from the emergency subset of the National Hospital Ambulatory Medical Care Survey collected from 1992 to 1997 for children <20 years. Methods.-Injury rates and 95% confidence intervals (CIs) were estimated and injury severity scores were computed. Results.-There were 920 551 (95% CI: 540 803 to 1 300 299) ED visits over the 6-year study period by children and adolescents that were attributable to falls from playground equipment. The annual incidence of visits for playground injuries did not significantly decrease over the course of the study(187 000 to 98 000, P = .053). Injury visits for playground falls were twice as prevalent as pedestrian mechanisms, but they were less prevalent thanvisits for motor vehicle- and bicycle-related injuries. A larger proportion of playground falls resulted in "moderate-to-severe" injury than did bicycle or motor vehicle injuries. Children aged 5 to 9 years had the highest number of playground falls (P = .0014). Playground falls were most likely tooccur at school compared to home, public, and other locations (P = .0016). Conclusions.-Playground injury emergency visits have not significantly declined and remain a common unintentional mechanism of injury. Injury visits for playground falls were proportionally more severe than injury visits attributable to other common unintentional mechanisms. Interventions targetingschools and 5- to 9-year-old children may have the greatest impact in reducing emergency visits for playground injuries.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 03:01:14