Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study

نویسندگان

  • James Chun-Yin Lee
  • Keith Tsz-Suen Tung
  • Tim M H Li
  • Frederick Ka-Wing Ho
  • Patrick Ip
  • Wilfred Hing-Sang Wong
  • Chun-Bong Chow
چکیده

OBJECTIVES The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong. DESIGN A retrospective approach was adopted. SETTING AED, involving all local public emergency departments from 2001 to 2012. PARTICIPANTS 63 557 subjects aged 0-19 years with fall injury record were included in the analysis. PRIMARY OUTCOME MEASURES Fall-related injury number and rates were calculated and reported. Poisson and negative binomial regression models were used to study the trends of injury incidence rate at different body regions. RESULTS AED fall-related attendance rate increased significantly with an annual percentage change of 4.45 (95% CI 3.43 to 5.47%, p<0.0001). The attendance number of male subjects was persistently higher than female subjects. The standardised rate of fracture injury increased by 1.31% (95% CI 0.56 to 2.05%, p<0.0001) and that of non-fracture injury increased by 9.23% (95% CI 7.07 to 11.43%, p<0.0001) annually. Upper limb was the most frequently fractured location. It included forearm/elbow, shoulder/upper arm and wrist/hand with descending order of frequency. On the contrary, head was the most frequent non-fracture location, followed by forearm/elbow. CONCLUSIONS The rates of fall-related attendance have been increasing and still remain high. There were significant increases in non-fracture injuries. Fractures were most frequently found in the upper extremity of a child while the most common non-fracture location was head. It appears that more efforts should be made and preventive measures should be implemented for children and adolescents in Hong Kong.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Contribution of Ageing to Hospitalisation Days in Hong Kong: A Decomposition Analysis

Background Ageing has become a serious challenge in Hong Kong and globally. It has serious implications for health expenditure, which accounts for nearly 20% of overall government expenditure. Here we assess the contribution of ageing and related factors to hospitalisation days in Hong Kong. We used hospital discharge data from all publicly funded hospitals in Hong Kong between 2001 and 2012.  ...

متن کامل

Health Related Quality of Life and Weight Self-Efficacy of Life Style among Normal-Weight, Overweight and Obese Iranian Adolescents: A Case Control Study

Background: Identifying and investigating the factors influencing self-efficacy and eventually health related quality of life (HRQoL) can be an important step toward the prevention and treatment of the obesity. The aim of the study was to compare weight self-efficacy and HRQoL among normal-weight, overweight and obese Iranian adolescents. Materials and Methods In this case-control study, 118 ob...

متن کامل

An international comparison of childhood injuries in Hong Kong.

OBJECTIVES This study describes 7813 childhood injuries in Shatin, Hong Kong. Supplementary analyses include developmental specificity of external causes and comparison with international childhood injury data. METHODS Children aged 0-15 attending the accident and emergency (A&E) department of the Prince of Wales Hospital in Hong Kong were recruited for the study. Attendance records of partic...

متن کامل

Anxiety symptoms associated with problematic smartphone use severity: The mediation role of COVID-19 anxiety

Background: The Coronavirus Disease 2019 (COVID-19) pandemic is regarded as the biggest global health crisis in recent decades. The changes in major life domains due to infection control strategies resemble the functional impairment consequential to emotional distress and place many people at greater risk of psychiatric conditions. Meanwhile, the COVID-19 pandemic and associated social distanci...

متن کامل

Meckel’s Scan for patient groups with and without gastrointestinal bleeding: A 15 years local review

Introduction: To retrospectively analyze the outcome of patients who underwent Meckel’s scan in a local centre in Hong Kong over the past fifteen years. Diagnostic values in different referring indications were also reviewed. Methods: All patients who referred for Meckel’s scan in a local hospital in Hong Kong from 1/1/1996 to 31/12/2010 were identified. Patients’ demographic data, presenting ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 7  شماره 

صفحات  -

تاریخ انتشار 2017