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KMID : 0191120180330100073
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Journal of Korean Medical Science
2018 Volume.33 No. 10 p.73 ~ p.73
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Epidemiologic Characteristics of Injured School-age Patients Transported via Emergency Medical Services in Korea
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Park Hang-A
Ahn Ki-Ok
Park Ju-Ok
Kim Jung-Eun
Jeong Seung-Min
Kim Mee-Sook
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Abstract
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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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KEYWORD
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School, Children, Injury, Epidemiology, Falls
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