Downing A, Cotterill S, Wilson R
Department of Public Health and Epidemiology, University of Birmingham, Birmingham, UK.
Emerg Med J. 2003 Sep;20(5):434-7. doi: 10.1136/emj.20.5.434.
The purpose of this study is to look at accident and emergency (A&E) attendances and admissions after assault in the West Midlands NHS region across a wide range of acute units.
This study used data from two sources, the A&E Minimum Data Set and the Hospital Episode Statistics database. Analyses were based on data from 12 of the 21 acute trusts in the West Midlands NHS region for the period 1 April 1999 to 31 March 2000.
Analyses were performed on 15 969 A&E attendances and 1596 admissions. Some 67.4% of attenders and 84.2% of those admitted were male. The mean age of the patients was between 27 and 29 years. Attendance peaked between 2100 and 0259, especially on Friday and Saturday night. The most common injury was to the head. Some 75.3% of A&E attenders were discharged home. The average stay in hospital was two days and six deaths were recorded. Those living in the most deprived areas were nearly four times more likely to be admitted than those in the least deprived areas (175.9 per 1000 compared with 45.1 per 1000).
This study shows assault is predominately a male phenomenon, worst in the evenings and at weekends, and is positively related to deprivation. It is probable that the levels recorded will be an underestimate, however with some additions to the information collected hospital records could create the basis for a comprehensive surveillance system.
本研究旨在观察西米德兰兹国民保健服务地区各类急症科室中遭受袭击后前往事故与急救（A&E）部门就诊及住院的情况。
本研究使用了两个数据源的数据，即A&E最低数据集和医院 Episode Statistics 数据库。分析基于西米德兰兹国民保健服务地区21家急症信托机构中12家在1999年4月1日至2000年3月31日期间的数据。
对15969例A&E就诊病例和1596例住院病例进行了分析。约67.4%的就诊者和84.2%的住院者为男性。患者的平均年龄在27至29岁之间。就诊高峰出现在21:00至02:59之间，尤其是在周五和周六晚上。最常见的受伤部位是头部。约75.3%的A&E就诊者被允许回家。平均住院时间为两天，记录到6例死亡。生活在最贫困地区的人入院的可能性几乎是最不贫困地区的人的四倍（每1000人中有175.9人入院，而最不贫困地区每1000人中有45.1人入院）。
本研究表明，袭击事件主要发生在男性身上，在晚上和周末最为严重，且与贫困呈正相关。然而，记录的水平可能被低估了，不过通过增加收集到的信息，医院记录可以为全面的监测系统奠定基础。
