家就是我的城堡！真的是这样吗？1997 - 2001年以色列家庭伤害后的住院情况。

My home is my castle! Or is it? Hospitalizations following home injury in Israel, 1997-2001.

作者信息

Sikron Fabienne, Giveon Adi, Aharonson-Daniel Limor, Peleg Kobi

机构信息

Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Tel Hashomer, Israel.

出版信息

Isr Med Assoc J. 2004 Jun;6(6):332-5.

PMID:15214458

Abstract

BACKGROUND

Although the home is perceived to be a safe haven, it is a scene of numerous injuries.

OBJECTIVES

To characterize home injury in Israel, the victims, injury circumstances and outcomes, and to identify groups at high risk for injury in order to focus future interventions and thus effectively prevent these injuries and their associated hospitalizations.

METHODS

We analyzed 5 year records (1997-2001) from the National Trauma Registry of all patients arriving at eight trauma centers following home injury and admitted to hospital, transferred to another medical center, or died in the emergency department.

RESULTS

The study group included 26,921 patients, constituting 34% of all unintentional hospitalized trauma patients. Twenty-seven percent were children (0-4 years) and 37% were elderly (> or = 65 years), the two age groups whose home injury accounted for most of the trauma injuries. Among children more boys (59%) than girls (41%) were injured, but the opposite was true for the elderly (30% males and 70% females). The share of females among the home-injured increased with age. Falls caused 79% of all home injuries (97% among the elderly) and bums 9%, increasing to 18% among children (0-4 years). Among non-Jewish home-injured patients, infants predominated (50% compared to 20% among Jews). Moderate to critical injuries amounted for 42%, with 38% of the home-injured and 60% of the elderly requiring surgery. The clinical and economic consequences of home injuries differed according to the type of injury, with bums carrying the heaviest toll of prolonged intensive care and hospital stay. Overall, hospital stay averaged 6.2 days per patient (median 3 days).

CONCLUSIONS

Falls among the elderly, bums among children, and a high prevalence of hospitalization among non-Jewish children define groups at high risk for home injuries. Prevention programs should be based on these findings and should focus on the more vulnerable groups.

摘要

背景

尽管家被视为安全的港湾，但却是众多伤害事件的发生地。

目的

描述以色列家庭伤害的情况、受害者、伤害情形及后果，识别高风险伤害群体，以便将未来干预措施聚焦于此，从而有效预防这些伤害及其相关住院情况。

方法

我们分析了国家创伤登记处5年（1997 - 2001年）的记录，涵盖所有因家庭伤害到八家创伤中心就诊并住院、转至其他医疗中心或在急诊科死亡的患者。

结果

研究组包括26921名患者，占所有非故意伤害住院创伤患者的34%。27%为儿童（0 - 4岁），37%为老年人（≥65岁），这两个年龄组的家庭伤害占创伤伤害的大部分。儿童中受伤男孩（59%）多于女孩（41%），但老年人情况相反（男性30%，女性70%）。家庭伤害中女性比例随年龄增加。跌倒导致所有家庭伤害的79%（老年人中为97%），烧伤占9%，在儿童（0 - 4岁）中增至18%。在非犹太家庭伤害患者中，婴儿占主导（50%，而犹太人中为20%）。中度至重度伤害占42%，38%的家庭伤害患者和60%的老年人需要手术。家庭伤害的临床和经济后果因伤害类型而异，烧伤导致的长期重症监护和住院费用最高。总体而言，每位患者平均住院6.2天（中位数3天）。