ICECI (International Classification of External Causes of Injuries)를 이용한 중증 소아외상의 분류

ICECI Based External Causes Analysis of Severe Pediatric Injury

  • 안기옥 (이화여자대학교 의과대학 응급의학교실) ;
  • 김재은 (이화여자대학교 의과대학 응급의학교실) ;
  • 장혜영 (이화여자대학교 의과대학 응급의학교실) ;
  • 정구영 (이화여자대학교 의과대학 응급의학교실)
  • Ahn, Ki Ok (Department of Emergency Medicine, College of Medicine, Ewha Womans University) ;
  • Kim, Jae Eun (Department of Emergency Medicine, College of Medicine, Ewha Womans University) ;
  • Jang, Hye Young (Department of Emergency Medicine, College of Medicine, Ewha Womans University) ;
  • Jung, Koo Young (Department of Emergency Medicine, College of Medicine, Ewha Womans University)
  • 투고 : 2006.02.06
  • 심사 : 2006.06.12
  • 발행 : 2006.06.30

초록

Purpose: Injury is a leading cause of morbidity and mortality for children. As an injury prevention measure, the differences in external causes of severe pediatric injuries based on ICECI were analyzed according to age groups. Methods: A retrospective study was performed for pediatric patients under 15 years of age, who had been admitted to the emergency department with severe injuries from January 1998 to December 2004. The external causes of injury were investigated according to the ICECI: intent, mechanisms, places of occurrence, objects/substances producing injury, and related activities. The patients were divided into four groups based on age: infant (<0 year), toddler (1~4 years), preschool age (5~8 years), and school age (9~15 years). Results: The injury mechanisms, the places of occurrence and the related objects/substances vary with the age groups. The most common subtype of traffic accidents was pedestrian injury in pre-school age group. Falls most frequently occurred in the toddler group. But falls from a height of less than l meter height (6 patients) occurred only in the infant group. The most common place of occurrence in the infant group was the home, and that of other groups was the road. The related objects/substances for falls, for example, household furnitures and playground equipment depended on the age group. Conclusion: The age-group specific characteristics of severe pediatric injury were analyzed successfully through the ICECI. Therefore, when establishing a plan for the prevention of pediatric injury, consideration must be given to the differences in the external causes of injuries according to age group.

키워드

참고문헌

  1. Mace SE, Gerardi MJ, Dietrich AM, Knazik SR, Mulligan-Smith D, Sweeney RL, et al CR. Injury prevention and control in children. Ann Emerg Med 2001;38:405-14 https://doi.org/10.1067/mem.2001.115946
  2. BS Park. Characters of death in Korean children. Master's thesis, Seoul National University 1994
  3. JO Park. The effect of an age and the socioeconomic status on the death from the injury in children. Master's thesis, Seoul National University 2004
  4. ICECI Coordination and Maintenance Group. International Classification of External Causes of Injuries. Version 1.2. 2004;1-18
  5. Available at: http://isafe.go.kr/index.jsp. Accessed July 22, 2005
  6. Christoffel KK, Scheidt PC, Afran PF, Kraus JF, Mclowghlin E, Paulson JA. Standard definitions for childhood injury research: excerpts of a conference paper. Pediatrics 1992;89:1027-34
  7. MSP Choe, JB Park. Clinical analysis of pediatric falls. J Korean Soc Emerg Med 2003;14(5):555-559
  8. You JY, Lee JI, Ryu JY. A Comparison of Characteristics in Pediatric Trauma Patients under 7 Years. Journal of the Korean Society of Traumatology 2004;017(02):197-205
  9. Agran PF, Winn D, Anderson C, Trent R, Walton- Haynes L. Rates of pediatric and adolescent injuries by year of age. Pediatrics 2001;108(3):45 https://doi.org/10.1542/peds.108.1.1
  10. Agran PF, Anderson C, Winn D, Trent R, Walton-Haynes L, Thayer S. Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics 2003;111:683-92 https://doi.org/10.1542/peds.111.6.e683
  11. Rivara FP. Prevention of injuries to children and adolescents. Inj Prev. 2002;8 (Suppl 4):IV5-8
  12. Available at: http://www.safekids.or.kr/safeworld_2.asp. Accessed July 22, 2005
  13. Durkin MS, Laraque D, Lubman I, Barlow B. Epidemiology and prevention of traffic injuries to urban children and adolescents. Pediatrics. 1999;103(6):74 https://doi.org/10.1542/peds.103.6.e74
  14. Hall JR, Reyes HM, Horvat M, Meller JL, Stein R. The mortality of childhood falls. J Trauma 1989;29(9):1273-5 https://doi.org/10.1097/00005373-198909000-00015
  15. Sikron F, Giveon A, Aharonson-Daniel L, Peleg K. My home is my castle! or is it- Hospitalizations following home injury in Israel, 1997-2001. Isr Med Assoc J. 2004 ;6(6):332-5
  16. Agran PF, Winn DG, Differences in child pedestrian injury events by location. Pediatrics. 1994;93(2):284-8
  17. Anderson CL. Stutts JC, Hunter WW. Motor vehicle and roadway factors in pedestrian and bicyclist injuries: an examination based on emergency department data. Accid Anal Prev. 1999;31(5):505-14 https://doi.org/10.1016/S0001-4575(98)00039-6
  18. Istre GR, McCoy MA, Stowe M, Davies K, Zane D, Anderson RJ, et al. Childhood injuries due to falls from apartment balconies and windows. Inj Prev. 2003;9(4):349-52 https://doi.org/10.1136/ip.9.4.349
  19. Available at: http://safe.cpd.or.kr. Accessed July 22, 2005
  20. Emanuelson I. How safe are childcare products, toys and playground equipment? A Swedish analysis of mild brain injuries at home and during leisure time 1998-1999. Inj Control Saf Promot. 2003;10(3):139-44 https://doi.org/10.1076/icsp.10.3.139.14553
  21. Available at: http://www.nypirg.org/consumer/playground04/conclusion.html Accessed July 22, 2005. Playing it safely
  22. Available at: http://safe.cpd.or.kr. Accessed July 22, 2005
  23. Baby safety checklist : CPSC(consumer product safety commission)206, 1997
  24. Thomasgard M, Shonkoff JP, Metz WP, Edelbrock C. Parent-child relationship disorders. Part II. The vulnerable child syndrome and its relation to parental overprotection. J Dev Behav Pediatr. 1995;16(4):251-6
  25. Saluja G, Brenner R, Morrongiello BA, Haynie D, Rivera M, Cheng TL. The role of supervision in child injury risk: definition, conceptual and measurement issues. Inj Control Saf Promot. 2004;11(1):17-22 https://doi.org/10.1076/icsp.11.1.1.26313
  26. Pollack-Nelson C, Drago DA. Supervision of children aged two through six years. Inj Control Saf Promot. 2002;9(2):121-6 https://doi.org/10.1076/icsp.9.1.1.3326
  27. Haider AH, Risucci DA, Omer SB, Sullivan T, DiRusso SM, Savino JA, et al. Injury prevention priority score: a new method for trauma centers to prioritize injury prevention initiatives. J Am Coll Surg. 2004;198(6):906-13 https://doi.org/10.1016/j.jamcollsurg.2004.02.013