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使用综合征监测用于大型大都市地区的无意和无定意溺水监测
Rohit P Shenoi1, Briana Moreland2, Jennifer L Jones3
1Division of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, 6621 Fannin St., Suite A 2210, Houston, TX, 77030, USA. rshenoi@bcm.edu.
Injury epidemiology
|September 26, 2024
概括
综合症监测准确地捕捉了无意的溺水访问. 这种方法可以实时监测大都市地区的溺水事件,特别是儿童的溺水事件.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 紧急医疗 紧急医疗
背景情况:
- 对于国家综合征监测计划 (NSSP) 数据,有一个标准化的溺水定义.
- 这一定义对于区域溺水急诊室和急诊诊所的准确性尚未得到充分证实.
研究的目的:
- 评估综合征监测 (SS) 定义在识别非故意和未确定的溺水故意 (UUID) 访问方面的有效性.
- 描述一个主要大都市地区的UUID访问的人口特征和趋势.
主要方法:
- 将SS溺水定义应用于休斯顿大都会地区2016-2022年的NSSP数据.
- 查询UUID ICD-10-CM代码,并手动审查SS访问的首席投诉和出院诊断.
- 计算了真实阳性率,并分析了2018-2022年UUID访问的人口统计和趋势.
主要成果:
- 在SS定义中,确定了2,759次访问,在审查后,98.0%被确认为真正的UUID访问.
- 18岁以下的儿童占UUID访问的79%.
- 2020年,UUID访问率最低,人口统计数据显示种族/族群之间的差异.
结论:
- 综合症监测为实时溺水监测提供了一种新且准确的方法.
- 这种方法是有效的监测溺水事件在区域一级在大型大都市地区.
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