Epidemiologic Characteristics of Injured School-age Patients Transported via Emergency Medical Services in Koreaopen access
- Authors
- Park, H.A.; Ahn, Ki Ok; Park, J.O.; Kim, J.; Jeong, S.; Kim, M.
- Issue Date
- Mar-2018
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- School; Children; Injury; Epidemiology; Falls
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.33, no.10, pp.1 - 9
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 33
- Number
- 10
- Start Page
- 1
- End Page
- 9
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/150357
- DOI
- 10.3346/jkms.2018.33.e73
- ISSN
- 1011-8934
- Abstract
- Background: The purpose of this study was to identify the characteristics of injuries of school-aged children transported via emergency medical services (EMS) that occurred in schools by comparing with injuries that occurred outside of school.
Methods: Data from the 119 EMS from 2012 to 2014 were analyzed. School and non-school injuries were analyzed in children 6 to 17 years of age. The epidemiologic characteristics were assessed according to school-age groups; low-grade primary (6-8 years), high-grade primary (9-13 years), middle (13-15 years) and high (15-17 years) school. Gender-stratified multivariable logistic regression analysis was conducted to estimate the risks of school injury in each age group.
Results: During the study period, a total of 167,104 children with injury were transported via 119 ambulances. Of these injuries, 13.3% occurred at schools. Boys accounted for 76.9% of school injuries and middle school children accounted for a significantly greater proportion (39.6%) of school injuries (P ˂ 0.001). The most frequent mechanisms of injury at school were falls (43.8%). The peak times for school injury occurrence were lunch time (13:00-13:59) in all age groups. Multivariate regression identified the risky age groups as high-grade primary (odds ratio [OR], 1.14; 95% confidence interval [CI], 1.09-1.20) and middle school-aged boys (OR, 1.82; 95% CI, 1.74-1.90) and middle school-aged girls (OR, 1.30; 95% CI, 1.21-1.40).
Conclusion: Notable epidemiologic differences exist between in-and out-of-school injuries. The age groups at risk for school injuries differ by gender.
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