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Adjusting Our View of Injury Risk: The Burden of Nonfatal Injuries in Infancy
To describe the incidence, external cause, and types of injuries among infants treated in US emergency departments (EDs) and to compare the external cause of nonfatal to fatal injuries. ED survey from the National Center for Health Statistics (NCHS) National Hospital Ambulatory Medical Care Survey f...
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| Published in: | Pediatrics (Evanston) 2002-10, Vol.110 (4), p.792-796 |
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| container_title | Pediatrics (Evanston) |
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| creator | Powell, Elizabeth C Tanz, Robert R |
| description | To describe the incidence, external cause, and types of injuries among infants treated in US emergency departments (EDs) and to compare the external cause of nonfatal to fatal injuries.
ED survey from the National Center for Health Statistics (NCHS) National Hospital Ambulatory Medical Care Survey for 1992-1999 and NCHS mortality data.
National probability sample of patients treated in EDs; data for children |
| doi_str_mv | 10.1542/peds.110.4.792 |
| format | article |
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ED survey from the National Center for Health Statistics (NCHS) National Hospital Ambulatory Medical Care Survey for 1992-1999 and NCHS mortality data.
National probability sample of patients treated in EDs; data for children <1 year old were used.
Incidence and external cause of nonfatal injury among infants. Rates were calculated using NCHS data for live births.
The 8-year annualized, weighted estimate of infant injuries was 426 957, a rate of 108.2 per 1000 infant years (95% confidence interval [CI]: 94.8-121.5). There were no significant differences in rates by sex, race, or ethnicity. An estimated 6% were admitted to the hospital (admission rate: 6.1 per 1000). Most injuries occurred in the home. Head trauma accounted for injuries in 12% of children (injury rate: 13.4 per 1000 per year [95% CI: 9.3-17.3]; 21% of children with head trauma had a skull fracture or an intracranial injury. An estimated 30.2 per 1000 (95% CI: 23.8-36.6) had face trauma and 23.9 per 1000 (95% CI: 18.2-29.6) had extremity injuries; open wounds or superficial injuries accounted for many of these injuries. An estimated 4% had extremity fractures (annual rate: 4.6/1000). Falls were the most frequent cause of injury (an estimated 35.1 per 1000 infant years). The rate of motor vehicle traffic injuries was 8.8 per 1000. Foreign bodies accounted for an estimated 5.2 injuries and poisonings for an estimated 3.8 injuries per 1000 infant years. A comparison with infant mortality data showed the ratio of nonfatal to fatal falls to be 8789:1. The ratio of nonfatal to fatal motor vehicle traffic injuries was 197:1. There were an estimated 1271 nonfatal poisonings for each poisoning fatality.
Nonfatal injuries far outnumber fatalities. Injuries from falls are very common, but they are rarely fatal. Surveillance of nonfatal injuries is essential to accurately describe and understand the burden of injury among infants. Prevention strategies must be developed to address extremely frequent, less serious injuries in infancy.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.110.4.792</identifier><identifier>PMID: 12359797</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Accidents, Home - mortality ; Accidents, Home - prevention & control ; Accidents, Home - statistics & numerical data ; Babies ; Behavioral assessment of children ; Biological and medical sciences ; Causes of ; Childhood behavioral assessment ; Childhood behavioural assessment ; Children ; Children's accidents ; Emergency Service, Hospital - statistics & numerical data ; Female ; Health Care Surveys ; Humans ; Immunization ; Incidence ; Infant ; Infants ; Injuries ; Injury Severity Score ; Male ; Medical sciences ; Miscellaneous ; National Center for Health Statistics (U.S.) ; Pediatric injuries ; Pediatrics ; Physiological aspects ; Risk Factors ; Traumas. Diseases due to physical agents ; United States - epidemiology ; Wounds and Injuries - epidemiology ; Wounds and Injuries - mortality ; Wounds and Injuries - prevention & control</subject><ispartof>Pediatrics (Evanston), 2002-10, Vol.110 (4), p.792-796</ispartof><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2002 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Oct 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c598t-61bebd0bea700cf678e57396bd5916cfa256346e88bdee028ce50566fce454063</citedby><cites>FETCH-LOGICAL-c598t-61bebd0bea700cf678e57396bd5916cfa256346e88bdee028ce50566fce454063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13959145$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12359797$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Powell, Elizabeth C</creatorcontrib><creatorcontrib>Tanz, Robert R</creatorcontrib><title>Adjusting Our View of Injury Risk: The Burden of Nonfatal Injuries in Infancy</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To describe the incidence, external cause, and types of injuries among infants treated in US emergency departments (EDs) and to compare the external cause of nonfatal to fatal injuries.
ED survey from the National Center for Health Statistics (NCHS) National Hospital Ambulatory Medical Care Survey for 1992-1999 and NCHS mortality data.
National probability sample of patients treated in EDs; data for children <1 year old were used.
Incidence and external cause of nonfatal injury among infants. Rates were calculated using NCHS data for live births.
The 8-year annualized, weighted estimate of infant injuries was 426 957, a rate of 108.2 per 1000 infant years (95% confidence interval [CI]: 94.8-121.5). There were no significant differences in rates by sex, race, or ethnicity. An estimated 6% were admitted to the hospital (admission rate: 6.1 per 1000). Most injuries occurred in the home. Head trauma accounted for injuries in 12% of children (injury rate: 13.4 per 1000 per year [95% CI: 9.3-17.3]; 21% of children with head trauma had a skull fracture or an intracranial injury. An estimated 30.2 per 1000 (95% CI: 23.8-36.6) had face trauma and 23.9 per 1000 (95% CI: 18.2-29.6) had extremity injuries; open wounds or superficial injuries accounted for many of these injuries. An estimated 4% had extremity fractures (annual rate: 4.6/1000). Falls were the most frequent cause of injury (an estimated 35.1 per 1000 infant years). The rate of motor vehicle traffic injuries was 8.8 per 1000. Foreign bodies accounted for an estimated 5.2 injuries and poisonings for an estimated 3.8 injuries per 1000 infant years. A comparison with infant mortality data showed the ratio of nonfatal to fatal falls to be 8789:1. The ratio of nonfatal to fatal motor vehicle traffic injuries was 197:1. There were an estimated 1271 nonfatal poisonings for each poisoning fatality.
Nonfatal injuries far outnumber fatalities. Injuries from falls are very common, but they are rarely fatal. Surveillance of nonfatal injuries is essential to accurately describe and understand the burden of injury among infants. Prevention strategies must be developed to address extremely frequent, less serious injuries in infancy.</description><subject>Accidents, Home - mortality</subject><subject>Accidents, Home - prevention & control</subject><subject>Accidents, Home - statistics & numerical data</subject><subject>Babies</subject><subject>Behavioral assessment of children</subject><subject>Biological and medical sciences</subject><subject>Causes of</subject><subject>Childhood behavioral assessment</subject><subject>Childhood behavioural assessment</subject><subject>Children</subject><subject>Children's accidents</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Immunization</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infants</subject><subject>Injuries</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>National Center for Health Statistics (U.S.)</subject><subject>Pediatric injuries</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Risk Factors</subject><subject>Traumas. Diseases due to physical agents</subject><subject>United States - epidemiology</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - mortality</subject><subject>Wounds and Injuries - prevention & control</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNpt0c-LEzEUB_AgiltXrx5lEAQPOzXJJJOJt1rWdaFakNVryGRepqnTTE1m2O1_b0oLtVByyK9P8uB9EXpL8JRwRj9toYlTknZsKiR9hiYEyypnVPDnaIJxQXKGMb9Cr2JcY4wZF_QluiK04FJIMUHfZ816jIPzbbYcQ_bbwWPW2-zer8ewy366-Odz9rCC7MsYGvD7qx-9t3rQ3cE4iJnzaW21N7vX6IXVXYQ3x_ka_fp6-zD_li-Wd_fz2SI3XFZDXpIa6gbXoAXGxpaiAi4KWdYNl6Q0VlNeFqyEqqobAEwrAxzzsrQGGGe4LK7R-8O_29D_HSEOat2PwaeSitKqEEQUPKGbA2p1B8p52w9BmxY8BN31HqxLxzNJZVFxxhLPL_A0Gtg4c8l_PPOJDPA0tHqMUVV3izN6c4mavuugBZVaM1-e8emBm9DHGMCqbXAbHXaKYLVPXe1TVyl1xVRKPT14d2zHWG-gOfFjzAl8OAIdje5sSGG5eHKFTI1n_FR55drVowuwr-T0EJyJ_y1Plf8BNF_CVA</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Powell, Elizabeth C</creator><creator>Tanz, Robert R</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope></search><sort><creationdate>20021001</creationdate><title>Adjusting Our View of Injury Risk: The Burden of Nonfatal Injuries in Infancy</title><author>Powell, Elizabeth C ; Tanz, Robert R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c598t-61bebd0bea700cf678e57396bd5916cfa256346e88bdee028ce50566fce454063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Accidents, Home - mortality</topic><topic>Accidents, Home - prevention & control</topic><topic>Accidents, Home - statistics & numerical data</topic><topic>Babies</topic><topic>Behavioral assessment of children</topic><topic>Biological and medical sciences</topic><topic>Causes of</topic><topic>Childhood behavioral assessment</topic><topic>Childhood behavioural assessment</topic><topic>Children</topic><topic>Children's accidents</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Immunization</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infants</topic><topic>Injuries</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>National Center for Health Statistics (U.S.)</topic><topic>Pediatric injuries</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Risk Factors</topic><topic>Traumas. Diseases due to physical agents</topic><topic>United States - epidemiology</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - mortality</topic><topic>Wounds and Injuries - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Powell, Elizabeth C</creatorcontrib><creatorcontrib>Tanz, Robert R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Powell, Elizabeth C</au><au>Tanz, Robert R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adjusting Our View of Injury Risk: The Burden of Nonfatal Injuries in Infancy</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>110</volume><issue>4</issue><spage>792</spage><epage>796</epage><pages>792-796</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To describe the incidence, external cause, and types of injuries among infants treated in US emergency departments (EDs) and to compare the external cause of nonfatal to fatal injuries.
ED survey from the National Center for Health Statistics (NCHS) National Hospital Ambulatory Medical Care Survey for 1992-1999 and NCHS mortality data.
National probability sample of patients treated in EDs; data for children <1 year old were used.
Incidence and external cause of nonfatal injury among infants. Rates were calculated using NCHS data for live births.
The 8-year annualized, weighted estimate of infant injuries was 426 957, a rate of 108.2 per 1000 infant years (95% confidence interval [CI]: 94.8-121.5). There were no significant differences in rates by sex, race, or ethnicity. An estimated 6% were admitted to the hospital (admission rate: 6.1 per 1000). Most injuries occurred in the home. Head trauma accounted for injuries in 12% of children (injury rate: 13.4 per 1000 per year [95% CI: 9.3-17.3]; 21% of children with head trauma had a skull fracture or an intracranial injury. An estimated 30.2 per 1000 (95% CI: 23.8-36.6) had face trauma and 23.9 per 1000 (95% CI: 18.2-29.6) had extremity injuries; open wounds or superficial injuries accounted for many of these injuries. An estimated 4% had extremity fractures (annual rate: 4.6/1000). Falls were the most frequent cause of injury (an estimated 35.1 per 1000 infant years). The rate of motor vehicle traffic injuries was 8.8 per 1000. Foreign bodies accounted for an estimated 5.2 injuries and poisonings for an estimated 3.8 injuries per 1000 infant years. A comparison with infant mortality data showed the ratio of nonfatal to fatal falls to be 8789:1. The ratio of nonfatal to fatal motor vehicle traffic injuries was 197:1. There were an estimated 1271 nonfatal poisonings for each poisoning fatality.
Nonfatal injuries far outnumber fatalities. Injuries from falls are very common, but they are rarely fatal. Surveillance of nonfatal injuries is essential to accurately describe and understand the burden of injury among infants. Prevention strategies must be developed to address extremely frequent, less serious injuries in infancy.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>12359797</pmid><doi>10.1542/peds.110.4.792</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 2002-10, Vol.110 (4), p.792-796 |
| issn | 0031-4005 1098-4275 |
| language | eng |
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| source | EZB Electronic Journals Library |
| subjects | Accidents, Home - mortality Accidents, Home - prevention & control Accidents, Home - statistics & numerical data Babies Behavioral assessment of children Biological and medical sciences Causes of Childhood behavioral assessment Childhood behavioural assessment Children Children's accidents Emergency Service, Hospital - statistics & numerical data Female Health Care Surveys Humans Immunization Incidence Infant Infants Injuries Injury Severity Score Male Medical sciences Miscellaneous National Center for Health Statistics (U.S.) Pediatric injuries Pediatrics Physiological aspects Risk Factors Traumas. Diseases due to physical agents United States - epidemiology Wounds and Injuries - epidemiology Wounds and Injuries - mortality Wounds and Injuries - prevention & control |
| title | Adjusting Our View of Injury Risk: The Burden of Nonfatal Injuries in Infancy |
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