Senterre Christelle, Levêque Alain, Di Pierdomenico Lionel, Dramaix-Wilmet Michèle, Pirson Magali
Research Center of Epidemiology, Biostatistics and Clinical Research, School of Public Health, Université Libre de Bruxelles, Route de Lennik 808, CP 598, 1070 Brussels, Belgium.
Research Center of Health Economics, Hospital's Management and Nursing, School of Public Health, Université Libre de Bruxelles, Route de Lennik 808, CP 592, 1070 Brussels, Belgium.
Biomed Res Int. 2014;2014:237486. doi: 10.1155/2014/237486. Epub 2014 Apr 28.
Investigating injuries in terms of occurrences and patient and hospital stay characteristics.
17370 stays, with at least one E code, were investigated based on data from 13 Belgian hospitals. Pearson's chi-square and Kruskal-Wallis tests were used to assess the variations between distributions of the investigated factors according to the injury's types.
Major injuries were accidental falls, transport injuries, and self-inflicted injuries. There were more men in the transport injuries group and the accidental falls group was older. For the transport injuries, there were more arrivals with the support of a mobile intensive care unit and/or a paramedic intervention team and a general practitioner was more implicated for the accidental falls. In three-quarters of cases, it was a primary diagnostic related to injury and poisoning which was made. The median length of stay was nearly equal to one week and for accidental falls, this value is three times higher. The median cost, from the social security point of view, for all injuries was equal to € 1377 and there was a higher median cost within the falls group.
This study based on hospitals data provides important information both on factors associated with and on hospital costs generated by injuries.
从发生率以及患者和住院时间特征方面调查损伤情况。
基于比利时13家医院的数据，对17370例至少有一个E编码的住院病例进行了调查。使用Pearson卡方检验和Kruskal-Wallis检验来评估根据损伤类型划分的各调查因素分布之间的差异。
重伤主要为意外跌倒、交通伤和自残伤。交通伤组男性更多，意外跌倒组年龄更大。对于交通伤，有更多患者在移动重症监护病房和/或护理人员干预小组的支持下入院，而对于意外跌倒，全科医生的关联更大。在四分之三的病例中，做出的是与损伤和中毒相关的初步诊断。住院时间中位数几乎等于一周，而对于意外跌倒，该值高出三倍。从社会保障角度来看，所有损伤的费用中位数为1377欧元，跌倒组的费用中位数更高。
这项基于医院数据的研究提供了有关损伤相关因素和损伤产生的医院费用的重要信息。
