南非姆塔塔的人口概况与伤害流行病学
Demographic profile and epidemiology of injury in Mthatha, South Africa.
作者信息
Dhaffala A, Longo-Mbenza B, Kingu J H, Peden M, Kafuko-Bwoye A, Clarke M, Mazwai E L
机构信息
Department of Surgery, Walter Sisulu University, Mthatha, South Africa.
Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa.
出版信息
Afr Health Sci. 2013 Dec;13(4):1144-8. doi: 10.4314/ahs.v13i4.40.
OBJECTIVE
To determine the magnitude, socio-demographic and epidemiological characteristics of injury at a Provincial referral hospital.
METHODS
This review was conducted on all trauma patients admitted at the Mthatha Hospital Complex and Nelson Mandela Academic Hospital from the 1(st) January 1997 to the 31(st) December 2000.
RESULTS
The incident rate of injuries was 3.2% (n=2460/75,833 total admissions). Injured patients were mostly black (80%) and males (ratio: 5 men: 1 woman). Only 8.1% of injured patients were transported to hospital by ambulances. The leading causes of injuries were inter-personal violence accounting for 60% of cases, and motor vehicle accidents accounting for 19%; of them 38% were due to poor visibility, over speeding, and fatigue. The overall mortality was 33% (n=821) independently predicted by poverty (OR=8.2 95%CI 6-11.1; P<0.0001) and age>40 years(OR=7.8 95%CI 7.7-12.1;P<0.0001).
CONCLUSION
The burden of injury is a mass issue that warrants regional attention with quality of care and training.
目的
确定一家省级转诊医院伤害的严重程度、社会人口学特征及流行病学特征。
方法
对1997年1月1日至2000年12月31日期间在姆塔塔医院综合院区和纳尔逊·曼德拉学术医院收治的所有创伤患者进行了此项回顾性研究。
结果
伤害发生率为3.2%（n = 2460/75833例总入院患者）。受伤患者大多为黑人（80%）且以男性为主（比例为5名男性:1名女性）。仅有8.1%的受伤患者由救护车送往医院。伤害的主要原因是人际暴力，占病例的60%，机动车事故占19%；其中38%是由于能见度差、超速和疲劳所致。总体死亡率为33%（n = 821），贫困（比值比=8.2，95%置信区间6 - 11.1；P <0.0001）和年龄>40岁（比值比=7.8，95%置信区间7.7 - 12.1；P <0.0001）可独立预测死亡率。
结论
伤害负担是一个需要通过关注护理质量和培训给予区域重视的重大问题。
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