创伤死亡,残疾和地理因素之间的关系:系统性审查
Bona Hwang1, Taewook Jeong2, Jiyeon Jo3,4
1Korea Disease Control and Prevention Agency, Cheongju, Korea.
Clinical and experimental emergency medicine
|August 1, 2023
概括
地理和社会经济因素显著影响创伤结果. 农村和低收入地区面临更高的死亡率,而创伤中心减少死亡.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 地理空间分析的研究.
背景情况:
- 创伤代表着一个重要的全球健康挑战,原因多种多样.
- 社会经济和地理因素影响与创伤相关的死亡率和残疾.
- 关于创伤与地理因素之间的具体关系的研究有限.
研究的目的:
- 研究地理因素和创伤结果之间的复杂关系.
- 确定影响创伤死亡率和残疾的特定区域和社会经济决定因素.
- 为旨在减少创伤相关死亡和残疾的政策提供基于证据的建议.
主要方法:
- 系统性文献审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 对2000年至2020年间发表的研究进行了国际和韩国数据库的全面搜索.
- 分析了研究区域经济指标 (城市化,GDP,贫困) 和医院资源 (创伤中心,床位供应) 的分析.
主要成果:
- 32项研究证实了重大创伤结果与地理因素之间的显著关联.
- 农村和低收入地区的创伤死亡率较高.
- 专门创伤中心的存在始终与创伤相关死亡率的降低有关.
结论:
- 地理因素显然影响创伤患者的结果.
- 将地理因素纳入创伤护理计划至关重要.
- 政策建议应解决地理差异,以减少与创伤相关的死亡和残疾.
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