成年人受伤的流行病学:在大贝鲁特的一个多中心研究
Samar Al-Hajj1, Abdel-Badih Ariss2, Rana Bashir2
1Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Injury
|August 19, 2023
概括
伤害是黎巴嫩的一个重要公共卫生问题,影响所有年龄组,特别是年轻人和老年人. 确定住院的风险因素是制定有针对性的预防策略的关键.
科学领域:
- 公共卫生 公共卫生
- 创伤学 创伤学 创伤学
- 流行病学 流行病学
背景情况:
- 全球每年受伤负担包括数百万死亡和残疾,不成比例地影响低收入和中等收入国家 (LMICs).
- 黎巴嫩面临着相当大的伤害负担,需要当地数据才能进行有效的干预.
- 了解伤害模式对于LMICs公共卫生政策至关重要.
研究的目的:
- 描述黎巴嫩急诊室 (ED) 成人受伤模式.
- 确定与成人受伤入院相关的因素.
- 为黎巴嫩伤害预防计划的发展提供信息.
主要方法:
- 在五个黎巴嫩ED中 (从2017年6月至2018年5月) 对成年伤害患者 (≥16岁) 的回顾性横截面研究.
- 利用泛亚创伤结果研究 (PATOS) 变量进行数据收集.
- 使用描述性分析和后勤回归来确定入院风险因素.
主要成果:
- 分析了3,716个患者记录;男性和年轻成年人 (16-35岁) 受影响最多.
- 意外伤害占主导地位 (94.9%),跌倒是最常见的机制 (38.8%),特别是在老年人中.
- 入院与年龄较大 (≥56岁),私人保险,特定伤害类型 (脊椎,下肢,骨折,脑震荡) 和器官损伤有关.
结论:
- 在黎巴嫩等LMICs中,受伤代表了一个关键的,但往往被忽视的公共卫生挑战.
- 虽然年轻人和老年人非常脆弱,但伤害影响所有年龄人口统计数据.
- 建立伤害监测对于创建有针对性的预防计划以减少死亡率和发病率至关重要.
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