3つの資源不足の環境における損害の評価:世界規模の推定のための参考資料
Shailvi Gupta1, Sherry M Wren2, Thaim B Kamara3
1University of California, San Francisco East Bay, Oakland, CA, USA.
Lancet (London, England)
|August 28, 2015
まとめ
トラウマによる傷害は 低所得国の人々の18%に影響し 毎年260万人が死亡しています トラウマケアは世界的な健康上の優先事項であり 全ての健康システムにとって不可欠です
科学分野:
- 世界保健
- 公衆衛生の介入
- トラウマ流行病学
背景:
- トラウマは世界的なパンデミックで 2030年までに 4番目に多い死因になると予測されています
- 低所得国と中所得国 (LMIC) は死傷者の負担が最も大きい.
- 負傷による死亡率の上昇に対処するために 緊急の公衆衛生介入が必要である.
研究 の 目的:
- 低所得国におけるトラウマの発生率を推定する.
- 世界的にLMICにおける負傷による死亡率を決定する.
- 外科医の海外手術需要評価 (SOSAS) 調査から得られた人口ベースのデータを活用する.
主な方法:
- ネパール,ルワンダ,シエラレオネのデータは,怪我の発生率と死亡率を計算するために使用されました.
- 低所得国48カ国に重量平均を推計した.
- 交通事故,暴力,転倒,職場/家庭での事故,火傷などで負傷した.
主要な成果:
- 研究対象国における生涯における怪我の罹患率は18.03%であった.
- 毎年,11.64%の死亡が怪我に起因しています.
- 低所得国48カ国で 推定4億6500万人が生涯にわたって 負傷し 毎年約260万人が死亡しています
結論:
- 世界で最も貧しい国々では 約4億6千万人が生涯にわたって 怪我をします
- この地域では毎年260万人の死者が 創傷によるものです
- トラウマケアシステムを 世界保健インフラに統合することは 極めて優先事項です
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