了解安大略省2010-2018年伤呈现和护理分配情况
Yousuf Ahmed1,2, Malcolm Davidson3, Alex Poole4,5
1Department of Emergency Medicine, Saint John Regional Hospital, Saint John, NB, Canada.
概括
伤是一种感冒损伤,经常影响四肢,特别是在男性身上,在极度寒冷的冬季更为常见. 对所有人群来说,公众对伤预防和治疗的教育至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 寒冷伤害研究 寒冷伤害研究
背景情况:
- 伤是一种严重的寒冷天气损伤,有可能导致功能性疾病和截肢.
- 关于伤的流行病学和区域分布的研究有限.
- 这项研究描述了安大略省的伤患者及其护理.
研究的目的:
- 描述安大略省伤患者的特征.
- 分析伤的区域分布和护理模式.
- 为了确定与伤相关的趋势和风险因素.
主要方法:
- 利用了来自临床和评估科学研究所的数据,用于安大略省急诊部 (2010-2018) 的成年伤患者 (≥18岁).
- 随访患者进行30天的再入院和180天的额外治疗.
- 分析了患者的人口统计,受伤特征,社会经济因素和医疗保健利用情况.
主要成果:
- 记录了5311个独特的伤发作,主要影响男性 (平均年龄40岁) 的四肢,并有少数并发症.
- 病例发生在所有收入和边缘化水平,在更多边缘化地区的发病率更高的趋势和与深度伤相关的无家可归.
- 大多数病例 (75%) 发生在小型/中型非学术性医院,在极度寒冷的冬季 (2014-2015年) 发生率增加.
结论:
- 伤患者通常在较小的非学术性医院接受治疗,严重感冒期间的发病率上升.
- 虽然低收入和边缘化人口中伤增加的趋势存在,但这种伤害影响着所有社会阶层.
- 建议对公众和医疗服务提供者就伤预防和管理进行教育,以改善患者的治疗结果.
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