家庭并不总是安全的:儿童无意的家庭伤害在第三级急诊室设置中
Göksel Vatansever1, Erkan Şimşekli2, İdil Sivaslı2
1Department of Pediatrics, Ankara University School of Medicine, 06230 Ankara, Türkiye.
Journal of clinical medicine
|October 29, 2025
概括
儿童的非故意家庭伤害 (UHI) 主要是由跌倒,烧伤和抱负造成的,特别是在5岁以下的儿童中. 预防策略和护理人员监督对于减少儿科UHI发生率和医疗负担至关重要.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 非故意的家庭伤害 (UHI) 是儿童发病率和死亡率的重要,可预防的原因.
- 了解儿科UHI的流行病学模式对于有效的预防至关重要.
研究的目的:
- 分析儿科家庭意外伤害的流行病学特征,伤害机制和临床结果.
- 确定住院和儿科重症监护室 (PICU) 入院的风险因素.
主要方法:
- 对2016年至2024年间被诊断患有UHI的18岁以下儿科患者的回顾性分析.
- 对人口统计数据,伤害类型,治疗方法和结果的统计分析,包括住院和PICU的入院情况.
主要成果:
- 超高压感染占儿科急诊室访问的1.4%,跌倒,烧伤和渴望是最常见的原因.
- 五岁以下的儿童,特别是男孩,受到影响最多. 住院和PICU入院率分别为11.7%和1.2%.
- 在COVID-19大流行期间,录取人数上升;年轻的年龄和特定的受伤类型预测了严重的结果.
结论:
- 跌倒,烧伤和外体吸收是儿科UHI的主要原因,在2-4岁年龄组的发病率很高.
- 加强护理人员监督和更安全的家庭环境对于减少儿科家庭意外伤害至关重要.
- 有针对性的预防计划对于减轻UHI对儿童和医疗保健系统的影响至关重要.
相关概念视频
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Esophageal Perforation-I: Introduction
406
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
406
Cardiopulmonary Resuscitation III: AED Use
521
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
521
Acute Kidney Injury V: Interprofessional Care
294
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
294
Flail Chest-II
516
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
516
Drug Dosing: Infants and Children
248
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
248


