喀麦隆雅温得的伤害和暴力模式：医院数据的分析。
Patterns of injury and violence in Yaoundé Cameroon: an analysis of hospital data.
机构信息
Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room W1015, Baltimore, MD 21205, USA.
出版信息
World J Surg. 2011 Jan;35(1):1-8. doi: 10.1007/s00268-010-0825-5.
BACKGROUND
Injuries are quickly becoming a leading cause of death globally, disproportionately affecting sub-Saharan Africa, where reports on the epidemiology of injuries are extremely limited. Reports on the patterns and frequency of injuries are available from Cameroon are also scarce. This study explores the patterns of trauma seen at the emergency ward of the busiest trauma center in Cameroon's capital city.
MATERIALS AND METHODS
Administrative records from January 1, 2007, through December 31, 2007, were retrospectively reviewed; information on age, gender, mechanism of injury, and outcome was abstracted for all trauma patients presenting to the emergency ward. Univariate analysis was performed to assess patterns of injuries in terms of mechanism, date, age, and gender. Bivariate analysis was used to explore potential relationships between demographic variables and mechanism of injury.
RESULTS
A total of 6,234 injured people were seen at the Central Hospital of Yaoundé's emergency ward during the year 2007. Males comprised 71% of those injured, and the mean age of injured patients was 29 years (SD = 14.9). Nearly 60% of the injuries were due to road traffic accidents, 46% of which involved a pedestrian. Intentional injuries were the second most common mechanism of injury (22.5%), 55% of which involved unarmed assault. Patients injured in falls were more likely to be admitted to the hospital (p < 0.001), whereas patients suffering intentional injuries and bites were less likely to be hospitalized (p < 0.001). Males were significantly more likely to be admitted than females (p < 0.001)
DISCUSSION
Patterns in terms of age, gender, and mechanism of injury are similar to reports from other countries from the same geographic region, but the magnitude of cases reported is high for a single institution in an African city the size of Yaoundé. As the burden of disease is predicted to increase dramatically in sub-Saharan Africa, immediate efforts in prevention and treatment in Cameroon are strongly warranted.
背景
在全球范围内，伤害迅速成为导致死亡的主要原因，尤其对撒哈拉以南非洲地区的影响更为严重，而该地区关于伤害的流行病学报告极为有限。喀麦隆有关伤害模式和频率的报告也很少。本研究探讨了喀麦隆首都最繁忙创伤中心急诊室所见到的创伤模式。
材料和方法
对 2007 年 1 月 1 日至 12 月 31 日的行政记录进行回顾性分析；从所有到急诊室就诊的创伤患者中提取年龄、性别、损伤机制和结果等信息。采用单变量分析评估损伤机制、日期、年龄和性别方面的损伤模式。采用双变量分析探索人口统计学变量与损伤机制之间的潜在关系。
结果
2007 年，雅温得中央医院急诊室共收治 6234 名受伤人员。男性占受伤者的 71%，受伤患者的平均年龄为 29 岁（标准差=14.9）。近 60%的损伤是由道路交通伤害引起的，其中 46%涉及行人。故意伤害是第二常见的损伤机制（22.5%），其中 55%涉及无武装攻击。跌倒受伤的患者更有可能住院治疗（p<0.001），而故意受伤和咬伤的患者更不可能住院治疗（p<0.001）。男性患者住院的可能性明显高于女性（p<0.001）。
讨论
在年龄、性别和损伤机制方面的模式与来自同一地理区域的其他国家的报告相似，但对雅温得这样规模的非洲城市的单一机构来说，报告的病例数量很大。由于预计撒哈拉以南非洲地区的疾病负担将大幅增加，因此在喀麦隆立即开展预防和治疗工作是非常必要的。
Zotero 插件