在芝加哥使用适合年龄和尺寸的儿童安全套的人口统计模式
Arthi S Kozhumam1, Sideeq Ibrahim2, Abigail Guillaume2
1Medical Scientist Training Program, Northwestern University Feinberg School of Medicine; Mary Ann & J. Milburn Smith Child Health Outcomes, Research and Evaluation Center, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Academic pediatrics
|December 25, 2025
概括
许多在紧急护理环境中的儿童不适当地使用儿童座椅系统 (CRS). 针对急性护理中的家庭的干预措施可以提高儿童乘客的安全性,特别是在风险人口群体中.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 伤害预防 预防伤害
背景情况:
- 儿童座椅系统 (CRS) 的使用通常取决于年龄,但这可能无法解释个体尺寸和发育.
- 缺乏初级保健服务的儿童可能会错过关于儿童乘客安全的关键预期指导.
- 紧急诊所 (ED) 和急诊中心是这些家庭的关键接触点.
研究的目的:
- 评估适合年龄和大小的CRS使用在芝加哥大都市ED和紧急护理中心的儿童中.
- 为了确定与过早的CRS过渡相关的人口和访问相关的因素.
- 为提高儿童乘客安全提供有针对性的干预信息.
主要方法:
- 对与电子健康记录 (EHR) 相关的查数据进行了横截面分析.
- 数据包括护理人员报告的6个月至10岁儿童的运输行为.
- 使用CRS被归类为适当或过早过渡;统计分析确定了相关因素.
主要成果:
- 超过23%的儿童 (4,045人中有933人) 过早从他们的CRS过渡.
- 过早过渡与儿童年龄 (2-4岁或8岁以上),黑人种族,西班牙裔/拉丁裔种族以及急救诊所的访问有关.
- 观察到特定的差异,西班牙裔/拉丁裔和黑人儿童 (8岁以下) 和较大的家庭 (8+) 中的比例更高.
结论:
- 在芝加哥使用急性护理服务的儿童中,早发性CRS过渡很普遍.
- 这一群人面临着因不适当使用安全套而导致撞车相关伤害的高风险.
- 在急症监护机构中,儿童乘客安全干预至关重要,并应根据特定的人口群体的利益进行定制.
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