응급의료 센터를 바탕으로 한 취학전 어린이 손상 환자의 심층적 손상감시 체계 시범적 적용 = A Preliminary Study of an Emergency Department-based In-depth Injury Surveillance System of Preschool Children Injury

다국어 초록 (Multilingual Abstract)

Purpose: To describe the use of an emergency department
(ED)-based, in-depth injury surveillance system to determine
the incidence and mechanism of preschool children injury.
Methods: We prospectively studied and registered injured
children under 7 years old, (n=5,921) whose injuries resulted
in ED treatment from August 2006 to July 2008. We upgraded
the checklist surveillance items, included place, accident
mechanism, and agent factors. The ED physicians recorded
the injury data on checklists in real time as they gave the ED
orders. The recorded data were stored in computer networks
and automatically coded, which enabled access to the raw
data sources. The statistical data were calculated in detail by
using relative frequency distribution from the raw data.
Results: A total of 29,548 injured patients visited the ED
from August 2006 to July 2008. Preschool children injuries,
except those from traffic accidents, were 5,921(20.0%). The
most common sources of injuries were from blunt trauma
(37%), slips(17%), and falls(16%). Among those admitted
to our hospital, fall injuries and inhalation of foreign body
accidents accounted for 7.6% and 7.5%, respectively. The
larger proportion of fall injuries occurred from a height of
less than 1 meter(82.2%). The frequency of injury mechanism
differed according to age: fall(35%), blunt(19%), and
burn(14%) were noted under 1 year old, compared to
blunt(34%), fall(14%), and slip(13%) from between 1 to
under 3 years of age, and blunt(37%), slip(19%), and fall
(11%) between 3 to under 7 years of age.
Conclusion: The ED-based preschool children injury surveillance
system could provide a useful and efficient method
to determine injury incidence and injury-related factors.

참고문헌 (Reference)

1 김태윤, "응급실 기반 심층적 손상감시체계의 시범적 적용" 대한응급의학회 17 (17): 124-137, 2006

2 이미진, "소아의 응급질환 - 우리나라 소아 및 청소년의 손상과 급성 중독을 중심으로 -" 대한소아과학회 51 (51): 116-121, 2008

3 Peden M, "World report on child injury prevention" World Health Organization publication 9-12, 2009

4 Jun BG, "The statistics of child mortality by injury in OECD nationals" Korea National Statistical Office 2-4, 2008

5 Kim MH, "The research of child injury etiology 2007"

6 Grossman DC, "The history of injury control and the epidemiology of child and adolescent injuries" 10 : 23-52, 2000

7 Williams JM, "The emergency department log as a simple injury-surveillance tool" 25 : 686-691, 1995

8 Kim SJ, "The effect of safety education on accident proneness prospect in preschooler" 6 : 372-386, 2000

9 Kovacevic M, "Surveillance of communicable diseases using a computer database of reported cases" 56 : 625-632, 1999

10 Khambalia A, "Risk factors for unintentional injuries due to falls in children aged 0-6 years: a systematic review" 12 : 378-381, 2006

11 Declich S, "Public health surveillance: historical origins, methods and evaluation" 72 : 285-304, 1994

12 Carande-Kulis VG, "Public goods and externalities: a research agenda for public health economics" 13 : 227-232, 2007

13 Sege RD, "Pediatric violence-related injuries in Boston: results of a city-wide emergency department surveillance program" 156 : 73-76, 2002

14 Runyan CW, "Introduction: back to the future-revisiting Haddon’s conceptualization of injury epidemiology and prevention" 25 : 60-64, 2003

15 ICECI Coordination and Maintenance Group, "International classification of external causes of injuries (ICECI) version1.2" Consumer Safety Institute and AIHW National Injury Surveillance Unit 1-393, 2004

16 Burt CW, "Injury visits to hospital emergency departments: United States, 1992-95" 131 : 1-76, 1998

17 Adirim TA, "Injury surveillance in a pediatric emergency department" 17 : 499-503, 1999

18 Horan JM, "Injury surveillance" 25 : 24-42, 2003

19 Lee JG, "In-depth injury surveillance monthly report 2007" Korea Center for Disease Control and Prevention 1-8, 2007

20 Jones G, "How many child deaths can we prevent this year?" 362 : 65-71, 2003

21 Gillam C, "Electronic injury surveillance in Perth emergency departments: validity of the data" 19 : 309-314, 2007

22 Dissanaike S, "Cooking-related pediatric burns: risk factors and the role of differential cooling rates among commonly implicated substances" 30 : 593-598, 2009

23 Borse NN, "CDC Childhood Injury Report: patterns of unintentional injuries among 0-19 Year olds in the United States 2000-2006" National Center for Injury Prevention and Control 21-25, 2008

24 Poulos R, "Area socioeconomic status and childhood injury morbidity in New South Wales, Australia" 13 : 322-327, 2007

25 UNICEF, "A league table of child deaths by injury in rich nations. Innocenti report card No 2" Unicef Innocenti Research Centre 4-9, 2001