王心雨, 曾跃萍, 宋菲, 田剑, 徐新, 冯国双. 22家三级甲等儿童医院住院儿童疾病和死亡外因流行病学分析[J]. 疾病监测, 2020, 35(12): 1141-1145. DOI: 10.3784/j.issn.1003-9961.2020.12.017
引用本文: 王心雨, 曾跃萍, 宋菲, 田剑, 徐新, 冯国双. 22家三级甲等儿童医院住院儿童疾病和死亡外因流行病学分析[J]. 疾病监测, 2020, 35(12): 1141-1145. DOI: 10.3784/j.issn.1003-9961.2020.12.017
Wang Xinyu, Zeng Yueping, Song Fei, Tian Jian, Xu Xin, Feng Guoshuang. An epidemiological analysis on external causes of morbidity and mortality for hospitalized children in 22 grade (A) children’s hospitals[J]. Disease Surveillance, 2020, 35(12): 1141-1145. DOI: 10.3784/j.issn.1003-9961.2020.12.017
Citation: Wang Xinyu, Zeng Yueping, Song Fei, Tian Jian, Xu Xin, Feng Guoshuang. An epidemiological analysis on external causes of morbidity and mortality for hospitalized children in 22 grade (A) children’s hospitals[J]. Disease Surveillance, 2020, 35(12): 1141-1145. DOI: 10.3784/j.issn.1003-9961.2020.12.017

22家三级甲等儿童医院住院儿童疾病和死亡外因流行病学分析

An epidemiological analysis on external causes of morbidity and mortality for hospitalized children in 22 grade (A) children’s hospitals

  • 摘要:
      目的  探索22 家三级甲等(三甲)儿童医院0~14岁住院儿童疾病与死亡外因分布情况,为促进儿童健康及预防儿童意外提供参考。
      方法  根据《国际疾病分类第十次修订本(ICD-10)》中关于疾病与死亡外因编码,提取2016 — 2018年22家三甲儿童医院因外因入院的0~14岁患儿病例,计算总体的各外因占比及分年龄组、分性别亚组的各外因占比。
      结果  共122 284份病案纳入分析,其中男性占64.20%,女性占35.98%。 在疾病与死亡外因的所有类别中,占比排在前5位的依次为跌倒(39.43%)、暴露于无生命机械性力量(20.34%)、行人在运输事故中的损伤(10.66%)、其他对呼吸的意外威胁(10.01%)及接触热和烫的物质(3.41%)。 不同性别、不同年龄组各外因占比的排序略有差异,但跌倒在各亚组中均排在第1位;男性在各类外因中的病例数均高于女性。
      结论  跌倒、暴露于无生命机械性力量、行人在运输事故中的损伤、其他对呼吸的意外威胁及接触热和烫的物质为导致儿童住院的主要外因,应采取针对性预防措施以减少儿童因外因导致的意外,降低儿童入院率和死亡率。

     

    Abstract:
      Objective  To explore the distribution of external causes of morbidity and mortality in hospitalized children aged 0–14 years in China and provide reference basis for improving children's health and prevention of accidental injury in children.
      Methods  According to the International Classification of Diseases, 10th edition (ICD-10) codes for external causes of morbidity and mortality, the patients aged 0–14 years hospitalized due to external causes in 22 grade III (A) children's hospitals in China from 2016 to 2018 were included, and the overall and age or gender specific proportions of external causes were calculated.
      Results  A total of 122 284 cases met the inclusion criteria for analysis, of which 64.20% were boys and 35.98% were girls. Among all categories of external causes of morbidity and mortality, the top five were fall (39.43%), exposure to inanimate mechanical forces (20.34%), injuries to pedestrians in traffic accidents (10.66%), other accidental threats to respiration (10.01%), and exposure to hot and thermal substances (3.41%). There were slight differences in the ranks of external causes between boys and girls and in different age groups, but fall ranked first in all subgroups. On the whole, the absolute number of the cases due to external causes was higher in boys than in girls.
      Conclusion  Through the analysis of a large sample, this study indicated that the major external causes of morbidity and mortality in children aged 0–14 years in China were fall, exposure to inanimate mechanical forces, injuries to pedestrians in traffic accidents, other accidental threats to respiration, and exposure to hot and thermal substances, to which close attention should be paid by all sectors of the society to prevent injury and decrease the morbidity and mortality due to external causes in children.

     

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