摘要
【目的】分析2021年上海市户籍为杨浦区的意外伤害住院病例数据,了解居民意外伤害住院的发生特征,为制定意外伤害防控措施提供参考。【方法】统计意外伤害所致住院病例的数据,以发生率(/10万)、住院天数为主要指标,分析意外伤害住院的发生特征。【结果】2021年上海全市报告杨浦居民意外伤害住院病例共4924例,发生率为468.77/10万;男女性别比为1∶1.41,≥65岁年龄组的发生率最高(占55.83%),≥65岁女性发生率是≥65岁男性的1.97倍(χ^(2)=287.61,P<0.05);各类伤害发生原因中发生率前5位依次为跌倒/坠落、道路交通伤害、钝器伤、刀/锐器伤、烧烫伤;女性跌倒/坠落伤害的发生率高于男性(χ^(2)=176.65,P<0.05),男性刀/锐器伤、钝器伤的发生率高于女性(刀/锐器伤χ^(2)=13.45、P<0.05,钝器伤χ^(2)=9.10、P<0.05);总体上跌倒/坠落、道路交通伤害的发生率随年龄增长而升高(跌倒坠落χ_(趋势)^(2)=1593.07,P<0.05;道路交通伤害χ_(趋势)^(2)=106.82,P<0.05);烧烫伤、溺水的住院天数中位数分别为8、14 d。【结论】跌倒/坠落是因意外伤害住院的首要发生原因(占意外伤害住院病例总数约74.00%),≥65岁老年人跌倒/坠落伤害的发生率较高,且女性高于男性;烧烫伤、溺水发生率虽然不高,但住院天数相对较长。应针对重点意外伤害(如跌倒/坠落、烧烫伤、溺水)和重点人群(如≥65岁女性老年人)开展意外伤害防控和干预,减少意外伤害发生的可能性和造成的损失。
[Objective]To analyze the data of hospitalized accidental injuries with registered residence in Yangpu District,Shanghai,to describe their characteristics,and to provide an evidence for formulating accidental injuries prevention and control strategies.[Methods]Statistic analysis was conducted on the data of accidental hospitalized injury cases in Yangpu District.The incidence rate(per 100000 population)and the hospital stay were used to analyze the characteristics of hospitalized accidental injuries.[Results]A total of 4924 hospitalized accidental injury cases were reported in Yangpu District,Shanghai.The incidence rate was 468.77/105,the ratio of male to female was 1∶1.41.Among them,the age≥65 group had the highest incidence rate,accounting for 55.83% of all cases.The incidence rate of female was 1.97 times higher than that of male(χ^(2)=287.61,P<0.05).The top five causes of injuries were falls,traffic-related,accident blunt injuries,injury by sharp instrument and fire or burns.The incidence rate of falls in female was higher than in male(χ^(2)=176.65,P<0.05).The incidence rates of sharp instrument and blunt injuries in male were higher than in female(sharp instrumentχ^(2)=13.45,P<0.05;blunt injuries χ^(2)=9.10,P<0.05).Altogether,the incidence rates of falls and traffic-related accident increased with age group(falls χ_(trend)^(2)=1593.07,P<0.05;traffic related χ_(trend)^(2)=106.82,P<0.05).Fire or burns and drowning had a median length of hospital stay of 8 and 14 days,respectively.[Conclusion]Falls is the leading cause of hospitalized accidental injuries(accounting for about 74% of the total number of hospitalized accidental injury cases),with a higher incidence rate among elderly people aged≥65 years old,and higher female than in male.Although the incidence rates of burns and drowning are not high,the hospital stay is relatively long.Therefore,accidental injury prevention and intervention should be targeted at key accidental injuries(such as falls,fire or burns,and drowning)and key populations(such
作者
孙千贺
代银
李辉
赵佳
SUN Qianhe;DAI Yin;LI Hui;ZHAO Jia(Yangpu District Center for Disease Control and Prevention,Shanghai 200090,China)
出处
《上海预防医学》
CAS
2024年第7期692-696,共5页
Shanghai Journal of Preventive Medicine
基金
上海市杨浦区卫生健康委员会重点学科(22YP2B12)。
关键词
意外伤害
跌倒
道路交通伤害
特征分析
accidental injury
fall
road traffic injury
characteristic analysis
