Bansal Vishal, Fortlage Dale, Lee Jeanne G, Hill Linda L, Potenza Bruce, Coimbra Raul
University of California San Diego, Department of Surgery, Division of Trauma, Burns and Critical Care, San Diego, California 92103, USA.
Am J Prev Med. 2007 Sep;33(3):219-21. doi: 10.1016/j.amepre.2007.05.004.
The attention placed on cruise ship infectious epidemics has helped create important preventive strategies in improving food handling, sanitation, and overall cruise ship medical care. However, the incidence of serious injury in cruise ship passengers has never been fully described. In 2006, there was an increase in the number of cruise ship passengers receiving medical care at a Level I trauma center. This report provides a case series analysis of eight patients identified as suffering from significant cruise ship-related injuries.
A retrospective, descriptive study design was used. Data on trauma patients transported directly from cruise ships and admitted to a university Level I trauma center in 2003-2006 were reviewed.
A total of 2,132 patients were admitted as major trauma resuscitations in 2006. Eight were identified as being injured on a major cruise ship compared to an average of 1.7 patients/year in the preceding 3 years. All but one patient was female. Three patients had significant medical comorbidities. All eight patients suffered injuries from falls, five of which were in stairwells. Concussions were the most common injury. Five patients were discharged to home, two to extended rehabilitation facilities, and one died.
In this case series, falls were the sole cause of major injury among cruise ship passengers. Improved surveillance and characterization of injuries among cruise ship passengers is needed to inform safety policies and develop programs to prevent passenger injury.
对游轮传染病流行的关注有助于制定重要的预防策略，以改善食品处理、卫生条件和游轮整体医疗护理。然而，游轮乘客严重受伤的发生率从未得到充分描述。2006年，在一级创伤中心接受医疗护理的游轮乘客数量有所增加。本报告提供了对八名被认定患有与游轮相关严重伤害患者的病例系列分析。
采用回顾性描述性研究设计。对2003 - 2006年直接从游轮转运至大学一级创伤中心的创伤患者数据进行了回顾。
2006年共有2132名患者因严重创伤复苏入院。与前三年平均每年1.7名患者相比，有八名被认定在大型游轮上受伤。除一名患者外均为女性。三名患者有严重的合并症。所有八名患者均因跌倒受伤，其中五起发生在楼梯间。脑震荡是最常见的损伤。五名患者出院回家，两名转至长期康复机构，一名死亡。
在这个病例系列中，跌倒是游轮乘客严重受伤的唯一原因。需要加强对游轮乘客受伤情况的监测和特征描述，以便为安全政策提供信息并制定预防乘客受伤的计划。
