Gilthorpe M S, Wilson R C, Moles D R, Bedi R
WHO Collaborating Centre for Oral Health, Disability and Culture, Eastman Dental Institute for Oral Health Care Sciences, University of London, UK.
Br J Oral Maxillofac Surg. 1999 Aug;37(4):294-300. doi: 10.1054/bjom.1998.0039.
The study retrospectively investigated variations in the use of secondary healthcare for head injury, particularly assault. A total of 25,300 emergency head-related admission were examined over a two-year period, of which 3756 were for assault. More males were admitted during summer and holiday periods, while there were fewer female patients with head injuries and the incidence varied less. The largest number of admissions was among men aged 15-44 and most assaults occurred at weekends. Females were more likely than males to die from all head injuries (OR=1.31) and violent head injuries (OR=2.38). Women (15+) stayed longer in hospital than males. Injuries among males are primarily associated with social occasions. Females experience head injuries all the year round suggesting that these injuries are the result of domestic violence. There are important demographic differences in numbers of patients and duration of hospital care required to treat these avoidable injuries.
该研究回顾性调查了头部受伤（尤其是受袭击所致）的二级医疗保健使用情况的差异。在两年时间里，共检查了25300例与头部相关的急诊入院病例，其中3756例是因受袭击所致。夏季和节假日期间男性入院人数更多，而头部受伤的女性患者较少，且发病率变化较小。入院人数最多的是15至44岁的男性，大多数袭击事件发生在周末。女性因各种头部损伤死亡的可能性高于男性（比值比=1.31），因暴力性头部损伤死亡的可能性也高于男性（比值比=2.38）。15岁及以上的女性住院时间比男性长。男性受伤主要与社交场合有关。女性全年都会发生头部损伤，这表明这些损伤是家庭暴力的结果。在治疗这些可避免的损伤所需的患者数量和住院护理时长方面，存在重要的人口统计学差异。
