Jansson Bjarne, Stenbacka Marlene, Leifman Anders, Romelsjö Anders
Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden.
Eur J Public Health. 2004 Jun;14(2):161-7. doi: 10.1093/eurpub/14.2.161.
The phenomenon of repetitive injuries has been judged to be of limited importance in the public health context. A study was therefore initiated in order to analyse all types of single and repetitive injuries using a longitudinal approach.
Hospital care, medical costs and risk factors were examined for single and repetitive severe injuries. A cross-sectional survey with a 12-year follow-up was performed. Questionnaire information from a survey of a random sample of the adult population 20-89 years old in 1984 in Stockholm County were linked to the Swedish national inpatient and cause-of-death register up to 1996, inclusive.
During the study period 13% of males and 15% of females were hospitalized or deceased as a result of injuries. Persons with three or more injuries comprise 19% of the injuries, but account for 63% of the total number of days of hospital care and medical costs. Injuries related to falls were most common among patients requiring hospital care. Factors such as high age, living alone, stroke earlier, and use of hypnotics and sedatives were especially associated with repetitive injuries. The risk factors for single and repetitive injuries covariate, but the size of the risk is overrepresented for stroke, drugs, self-reported injuries and living alone for two or more injuries.
These results indicate that subjects with repetitive injuries, and with the observed risk factors for such injuries, should be given extra attention, both in policy and prevention, but also in integrated treatment programmes.
在公共卫生背景下，重复性损伤现象被认为重要性有限。因此启动了一项研究，以便采用纵向研究方法分析所有类型的单次和重复性损伤。
对单次和重复性重伤的医院护理、医疗费用及风险因素进行了检查。开展了一项为期12年随访的横断面调查。1984年在斯德哥尔摩县对20至89岁成年人口随机抽样调查获得的问卷信息，与截至1996年（含）的瑞典国家住院病人和死亡原因登记册相关联。
在研究期间，13%的男性和15%的女性因伤住院或死亡。有三次或更多次受伤的人占受伤总数的19%，但占医院护理总天数和医疗费用的63%。在需要住院治疗的患者中，与跌倒相关的损伤最为常见。高龄、独居、既往中风以及使用催眠药和镇静剂等因素尤其与重复性损伤相关。单次和重复性损伤的风险因素存在共变，但中风、药物、自我报告的损伤以及独居导致两次或更多次损伤的风险程度被高估。
这些结果表明，对于有重复性损伤以及具有此类损伤所观察到的风险因素的对象，在政策制定、预防以及综合治疗方案中均应给予额外关注。
