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在撒哈拉以南非洲地区的登记和监测系统中检查与跌倒有关的死亡率:系统性审查
Alissa Renz1, Samuel Mayeden2, Silvia Runge-Ranzinger2
1Research to Practice Group, Universitätsklinikum Heidelberg Heidelberg Institute of Global Health, Heidelberg, Germany alissa.renz@uni-heidelberg.de.
概括
撒哈拉以南非洲的创伤登记处不一致地报告了与跌倒有关的死亡率数据. 标准化数据收集对于有效的伤害预防和创伤护理策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 流行病学 流行病学
背景情况:
- 与跌倒相关的伤害构成了全球重大公共卫生挑战.
- 创伤登记册对于收集数据以告知伤害预防策略至关重要.
- 撒哈拉以南非洲地区面临着与跌倒相关的伤害造成的重大负担.
研究的目的:
- 审查整个撒哈拉以南非洲的创伤登记和监视系统中与跌倒相关的死亡率的报告.
- 识别数据收集和报告方法的不一致性.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 搜索了八个电子数据库,用于在撒哈拉以南非洲的研究,使用创伤登记册或关于跌倒相关死亡率的监视数据.
- 综合发现描述性地.
主要成果:
- 从3574个记录中包含了21项研究.
- 观察到与跌倒相关的死亡率的定义和报告不一致 (例如,总跌倒死亡人数与总死亡人数的跌倒死亡人数的百分比).
- 报告的与跌倒相关的死亡率差异很大 (儿科人口中为0.01%~2.4%,一般人口中为0.03%~60%).
- 在报告其他伤害和创伤护理变量方面也发现了不一致.
结论:
- 不同类型的发现和跨注册表的不规则数据收集阻碍了比较和扣除.
- 标准化数据收集对于提高结果的可比性至关重要.
- 标准化将促进基于证据的预防和优化创伤护理的实施.
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