在三个资源较少的环境中进行伤害评估:全球估计的参考
Shailvi Gupta1, Sherry M Wren2, Thaim B Kamara3
1University of California, San Francisco East Bay, Oakland, CA, USA.
Lancet (London, England)
|August 28, 2015
概括
创伤影响了贫困国家的18%, 每年有260万人死亡. 创伤护理是全球卫生优先事项,
科学领域:
- 全球健康
- 公共卫生干预措施
- 创伤流行病学
背景情况:
- 创伤是全球性的流行病,
- 低收入和中等收入国家 (LMIC) 承担了致命伤害的最大负担.
- 迫切需要采取公共卫生干预措施来应对受伤死亡率的上升.
研究的目的:
- 估计贫困国家中创伤的发生率.
- 确定全球LMIC中受伤相关死亡的发生率.
- 利用来自外科医生海外外科需求评估 (SOSAS) 调查的基于人口的数据.
主要方法:
- 用尼泊尔,卢旺达和塞拉利昂的数据来计算受伤率和死亡率.
- 一个加权平均值被推断为全球48个低资源国家.
- 伤害包括道路交通事故,暴力,跌倒,工作/家庭事故和烧伤.
主要成果:
- 在研究国家中,伤害的终身患病率为18.03%.
- 每年有11.64%的死亡是由受伤造成的.
- 据估计,在48个贫困国家,有4.657亿人终身受伤,每年大约有260万人死亡.
结论:
- 在世界上最贫穷的国家, 大约有4.66亿人一生中受伤.
- 每年有260万人死于创伤.
- 将创伤护理系统整合到全球卫生基础设施是关键的优先事项.
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