死亡率的趋势和内损伤与外部原因之间的相关性:一项日本人口研究
Ryo Shimada1, Kazuhiko Kibayashi1
1Department of Forensic Medicine, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.
PloS one
|May 8, 2024
概括
全球头部创伤的发病率很高,日本的发病率最高. 这项研究分析了1999-2021年日本内伤害数据,揭示了死亡原因和风险因素的趋势,有助于预防工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 创伤学 创伤学 创伤学
背景情况:
- 头部创伤,特别是内损伤 (S06),对全球的健康造成重大负担,在全球范围内发现高发病率.
- 包括日本在内的西太平洋地区的头部创伤发病率最高.
- 了解内损伤的流行病学和原因对于有效的公共卫生干预至关重要.
研究的目的:
- 在日本分析内损伤 (S06) 和其外部原因 (V01-Y89) 的特征和相互关系.
- 确定与不同类型的内损伤及其外部原因相关的死亡趋势.
- 为预防,治疗和预测内损伤提供数据.
主要方法:
- 统计分析日本政府公布的关于死因内损伤的死亡数据 (1999-2021年).
- 使用JoinPoint软件进行趋势分析和JMP软件进行单变量分布和多变量相关性.
- 检查伤害类型 (例如,扩散性脑损伤,皮下出血) 和外部原因 (例如,跌倒,交通事故).
主要成果:
- 从1999年到2021年,观察到由内损伤引起的死亡总体下降趋势.
- 死亡率在65岁以上的人群中较高,在14岁以下的人群中较低.
- 跌倒和交通事故是主要的外部原因,而扩散性脑损伤和创伤性腹腔内出血是常见的损伤类型. 在2011年东日本大地震期间,死亡率显著增加.
结论:
- 这项研究为日本内损伤的流行病学提供了宝贵的见解.
- 确定了与较高死亡率相关的特定伤害类型和外部原因,为有针对性的预防策略提供了信息.
- 这些发现可以指导行政措施,以减少内损伤的负担.
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