儿童吸入/摄入外体的国家趋势
Monica Saw-Aung1, Ryan M Kong1, Natalie Cipriano1
1Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA.
Clinical pediatrics
|June 28, 2023
概括
儿童吸收和摄入外体 (FB) 减少了,但吸收FB的结果中的种族差异仍然存在,特别是在黑人儿童中. 对这些趋势的进一步研究对于预防和改善护理至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生监督 公共卫生监督
- 伤害预防 预防伤害
背景情况:
- 外体 (FB) 的吸收和摄入是儿童住院和死亡的重要原因.
- 了解FB产品的风险因素和趋势对于有针对性的健康教育和政策至关重要.
- 关于儿科 FB 事件趋势和差异的现有数据需要进一步调查.
研究的目的:
- 从2010年到2020年分析儿科外体吸收和摄入的趋势.
- 确定与儿科FB病例住院和死亡率相关的风险因素.
- 检查儿童外体吸收结果中的种族差异.
主要方法:
- 使用国家电子伤害监测系统 (NEISS) 数据库进行的横截面研究.
- 纳入标准:被诊断患有吸入或摄入FB的18岁以下急诊室患者 (2010-2020年).
- 统计分析包括发病率计算和多变量分析,以确定入院和死亡的风险因素.
主要成果:
- 观察到儿科FB吸收率显著下降 (-23.6%,P=.013),而摄入的FB率显示非显著下降 (-9.4%,P=.066).
- 与白人儿童 (P<.001) 相比,吸入FB的黑人儿童在同一医院入院的几率较低 (OR=0.8),但转移入院 (OR=1.6) 和死亡率 (OR=9.2) 的几率明显更高.
结论:
- 虽然儿科FB愿望率正在下降,但结果仍然存在显著的种族差异,特别是关于黑人儿童的死亡率.
- 这些发现强调了需要有针对性的干预措施和卫生政策,以解决儿科外体损伤的差异.
- 持续的监测和研究对于减轻风险和改善患有FB吸收或摄入的儿童的护理至关重要.
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