J Korean Med Sci.
2018 Mar;33(10):e73. 10.3346/jkms.2018.33.e73.
Epidemiologic Characteristics of Injured School-age Patients Transported via Emergency Medical Services in Korea
- Affiliations
-
- 1Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
- 2Genome Epidemiology, Department of Epidemiology, Graduate School of Public Health, Seoul National University, Seoul, Korea.
- 3Department of Emergency Medicine, Myoungji Hospital, Goyang, Korea. arendt75@gmail.com
- 4Laboratory of Emergency Medical Services, Bio-Medical Research Institute, Seoul National University Hospital, Seoul, Korea.
- 5Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea.
- 6Korea Institute for Health and Social Affairs, Cheongju, Korea.
- KMID: 2405007
- DOI: http://doi.org/10.3346/jkms.2018.33.e73
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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