[Distribution of children cases in the Chinese National Injury Surveillance System, 2006 - 2008]
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Published on: December 9, 2016
Chun-Mei Wu1, Xiao Deng, Yuan An
1National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
Boys experienced twice the injury rate of girls, with falls being the most common cause. Most injuries occurred at home and affected the head, highlighting the need for targeted prevention strategies.
Area of Science:
- Pediatric injury surveillance
- Public health research
- Injury prevention science
Background:
- Childhood injuries pose a significant public health challenge globally.
- Understanding injury patterns is crucial for developing effective prevention and control measures.
- Hospital-treated injuries provide valuable data for public health initiatives.
Purpose of the Study:
- To elucidate the epidemiological patterns of injuries among children treated in hospitals in China.
- To provide data-driven evidence for the development of targeted injury prevention programs.
- To analyze injury characteristics by cause, location, and affected body part.
Main Methods:
- Descriptive analysis of pediatric injury cases from the Chinese National Injury Surveillance System (NISS).
- Data collected spanned from 2006 to 2008, covering a three-year period.
- Analysis focused on incidence rates, demographics, injury causes, locations, and outcomes.
Main Results:
- Boys exhibited approximately twice the injury incidence rates compared to girls.
- The 5-14 year age group constituted about half of all treated injuries.
- Leading causes included falls (over 44%), road traffic injuries (RTIs, around 15%), and blunt force trauma (around 13%).
- Injuries most frequently occurred at home (over 35%), followed by schools/public places and roads/streets.
- The head was the most commonly injured body part (over 35%), followed by upper and lower limbs.
- The vast majority of injuries were unintentional (over 90%), minor, and resulted in discharge from the hospital.
Conclusions:
- The study identified distinct patterns in childhood injuries treated in hospitals, varying by age, cause, and location.
- These patterns differ significantly from injury-related mortality data.
- The Chinese National Injury Surveillance System (NISS) is a vital resource for understanding and addressing child injuries in China.
- Findings support the development of targeted interventions to reduce the burden of childhood injuries.
Objective:
To understand the pattern of children injuries treated in hospitals and to provide evidence for its further prevention and control.
Methods:
Data of children cases was descriptively analyzed from the Chinese National Injury Surveillance System (NISS), from 2006 to 2008.
Results:
The incidence rates of boys were twice (2.22, 2.15, 2.15) higher than girls. About one half (50.74%, 49.75%, 49.75%) of them were 5-14 year of age. The main causes were falls (44.14%, 45.68%, 47.15%), RTIs (15.71%, 14.46%, 13.79%), and blunt force injuries (13.20%, 12.92%, 12.40%). Main locations where the injuries happened were at home (34.96%, 36.86%, 38.84%), school and public places (24.72%, 19.80%, 21.19%), and road/street (21.21%, 19.63%, 19.33%). The major injured body parts were head (34.88%, 35.84%, 37.07%), upper limbs (28.00%, 28.21%, 27.81%) and lower limbs (21.86%, 21.49%, 21.31%). The majority cases were unintentional (93.01%, 92.66%, 90.58%), minor (78.50%, 81.20%, 81.52%) injuries, treated and discharged (82.37%, 85.19%, 84.84%). There were considerable differences in the distributions of causes, locations, injured body parts, and other contexts depending on age.
Conclusion:
The pattern of children's injury would include causes, places and other characteristics treated at hospitals from NISS and was related to the age of the injured child which was quite different from the spectrum of death caused by injury. NISS acts as an important source of information on children's injury in China, and can contribute to the prevention and control program on children's injury.
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