英国和威尔士的创伤复发:一项流行病学研究
Luke McNickle1, Jared M Wohlgemut2, George Ramsay3,4
1University of Glasgow, Glasgow, UK.
Trauma surgery & acute care open
|July 17, 2025
概括
在英格兰和威尔士的创伤复发主要影响老年患者,他们经历了重复的低能量跌倒. 预防需要对符合创伤登记标准的老年人进行早期多学科团队干预.
科学领域:
- 老年创伤的治疗方法
- 公共卫生监督 公共卫生监督
- 伤害预防 预防伤害
背景情况:
- 创伤复发症,定义为同一病人重复受伤,在英格兰和威尔士缺乏先前评估.
- 由于区域差异,现有关于创伤复发人口统计学和机制的研究可能不适用.
- 本研究调查了在英格兰和威尔士经历反复创伤的患者的具体特征和结果.
研究的目的:
- 确定患有复发性创伤的患者的人口特征.
- 识别导致创伤复发的主要伤害机制.
- 分析与重复创伤入院相关的结果.
主要方法:
- 进行了一项全国性的,追溯的,基于人口的队列研究.
- 数据来源于创伤审计和研究网络 (TARN) 国家创伤登记 (2019-2020) 的数据.
- 复发症被定义为在最初入院的一年内第二次入院,不同的伤害;分析是描述性的.
主要成果:
- 该研究包括2517名患者 (5136人入院),平均年龄为81岁;75%的患者年龄为65岁或以上.
- 在第一次和随后的入院中,最常见的受伤机制是从≤2米 (86%和89%分别) 跌落.
- 严重伤害从33%增加到39%,首次和第二次入院期间的家庭出院率从71%降至58%;第二次入院的死亡率为10.2%.
结论:
- 在英格兰和威尔士的创伤复发主要涉及老年人,经常性低能量跌倒.
- 预防策略应强调早期,全面的多学科团队参与,包括老年医生和相关卫生专业人员.
- 建议针对符合TARN纳入标准的65岁及以上患者进行有针对性的干预.
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