医疗视角关于日本间接灾害相关死亡的系统性挑战
Motohiro Tsuboi1,2, Hiroyuki Sasaki3, Hyejeong Park3,4
1International Cooperation for Disaster Medicine Lab., International Research Institute of Disaster Science (IRIDeS), Tohoku University, 468-1 Aramaki-Aza-Aoba, Sendai City, Miyagi, 980-8572, Japan. tsuboi.motohiro.r8@dc.tohoku.ac.jp.
Scientific reports
|February 12, 2025
概括
由于医疗文档不一致,日本间接灾害死亡人数的准确统计具有挑战性. 大多数间接灾害死亡人数在官方记录中缺乏明确的灾害相关性,这凸显了对标准化报告的需求.
科学领域:
- 公共卫生 公共卫生
- 灾难医学 灾难医学
- 流行病学 流行病学
背景情况:
- 在日本,与灾难有关的间接死亡人数正在增加.
- 准确的统计数据对于减少间接灾害死亡至关重要.
- 目前日本的定义和报告这些死亡的系统面临挑战.
研究的目的:
- 在间接与灾害有关的死亡中评估灾难相关性文档.
- 分析大东日本地震后间接灾害死亡的特征.
- 确定当前关于灾害死亡率的报告系统中的挑战.
主要方法:
- 755个经过认证的间接灾害相关死亡事件的横截面研究.
- 分析死亡证明和医疗文件的灾难相关性.
- 检查人口统计数据,死亡时间和死亡原因.
主要成果:
- 只有9.8%的死亡证明和19.2%的医疗文件提到灾难相关性.
- 71.0%的相关性仅来自丧亲家庭的自我报告文件.
- 主要原因是循环 (32.7%) 和呼吸系统 (27.7%) 疾病,死亡的中位时间为21天.
结论:
- 医疗文档往往未能捕捉到灾难和间接死亡之间的联系.
- 审查委员会和市政当局之间缺乏共识,使准确的数据收集变得复杂.
- 建立医疗和社会共识对于可靠的灾害死亡统计和增强社会性至关重要.
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