To document the current epidemiology of pediatric injury-related deaths in a rural state and evaluate changes over time.
Retrospective review of injury-related deaths in children less than 15 years of age.
Data were obtained from death certificates and coroner, autopsy, prehospital, and hospital records.
Analysis was done of the mechanism of injury, age, sex, race, location of incident, toxicology, and safety device use.
Comparisons with analogous data collected from an earlier time period were made.
The state of Montana, from October 1989 to September 1992.
Deaths per 100,000 population, intentionality of injury, mechanism of injury, use of protective devices, and comparisons with previous data (1980-1985) collected by Baker and Waller (Childhood injury : State by state mortality facts.
Baltimore : Johns Hopkins Injury Prevention Center, 1989 ; 148-152).
Of 121 patients reviewed, 56% were male and 44% were female.
Mean age was 7.0 years (median, 8.0).
Eighty-one percent of patients were Caucasian, and 16% were Native American.
The leading cause of injury was motor vehicle crashes, which was followed by drowning, unintentional firearm injuries, deaths related to house fires, homicides, and suicides.
Overall, 87% of injuries were unintentional and 13% were intentional, with 62% of these suicides and 38% homicides.
When considered independently of intent, firearm-related injuries ranked second. (...)
Mots-clés Pascal : Mortalité, Traumatisme, Zone rurale, Enfant, Homme, Epidémiologie, Arme à feu, Suicide
Mots-clés Pascal anglais : Mortality, Trauma, Rural area, Child, Human, Epidemiology, Fire arm, Suicide
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0074614
Code Inist : 002B30A03B. Création : 31/05/1999.