Bener Abdulbari, Abdul Rahman Yassir S, Abdel Aleem Eltayib Y, Khalid Muayad K
Department of Medical Statistics & Epidemiology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar;
Sultan Qaboos Univ Med J. 2011 May;11(2):244-51. Epub 2011 May 15.
The aim of this retrospective descriptive hospital-based study was to determine the trend in the number, incidence and pattern of head and neck injuries involved with falls.
A retrospective analysis was carried out of 1,952 patients who were treated at the Accident and Emergency and Trauma centres of Hamad Medical Corporation, Qatar, for head (n = 1,629), neck (n = 225) and both (n = 98) injuries during the period 2001-2006. Head and neck injuries were determined according to the International Classification of Disease, ICD-10 criteria. Details of all the trauma patients who were involved in falls were extracted from the database of the Emergency Medical Services (EMS), Hamad Medical Corporation.
The majority of the victims were non-Qataris (78.6%), men (86.6%) and in the age group 20-29 years (26.8%). There was a disproportionately higher incidence of head and neck injuries from falls during weekends (27.1%). Nearly half of the head and neck injuries from falls occurred at work (49.4%). Neck injuries (10.2%) were more severe than head injuries (7.3%). The incidence rate of head and neck injuries per 10,000 population increased from 2.1 in the year 2001 to 5.5 in 2006, particularly among the elderly population above 60 years of age (13.1 in 2003 to 18.6 in the year 2006). Superficial injury to the head (29.4%) was more common among trauma patients.
The present study findings revealed that the incidence of head and neck injuries was higher among young adults and the elderly population.
这项基于医院的回顾性描述性研究旨在确定与跌倒相关的头颈部损伤的数量、发生率及模式的趋势。
对2001年至2006年期间在卡塔尔哈马德医疗公司的急症室和创伤中心接受治疗的1952例患者进行回顾性分析，这些患者头部（n = 1629）、颈部（n = 225）或两者（n = 98）均有损伤。头颈部损伤根据国际疾病分类ICD - 10标准确定。所有因跌倒而受伤的创伤患者的详细信息从哈马德医疗公司紧急医疗服务（EMS）数据库中提取。
大多数受害者为非卡塔尔人（78.6%）、男性（86.6%），年龄在20 - 29岁之间（26.8%）。周末因跌倒导致的头颈部损伤发生率不成比例地更高（27.1%）。近一半因跌倒导致的头颈部损伤发生在工作时（49.4%）。颈部损伤（10.2%）比头部损伤（7.3%）更严重。每10000人口的头颈部损伤发生率从2001年的2.1上升至2006年的5.5，尤其是60岁以上的老年人群（从2003年的13.1上升至2006年的18.6）。头部浅表损伤在创伤患者中更为常见（29.4%）。
本研究结果显示，头颈部损伤的发生率在年轻人和老年人群中较高。
