Tlemissov Aidos S, Dauletyarova Marzhan A, Bulegenov Tolkyn A, Rakhypbekov Tolebay K, Grjibovski Andrej M
Semey State Medical University, Semey, Kazakhstan.
Dept. of International Public Health, Norwegian Institute of Public Health, Oslo, Norway; Dept. of Preventive Medicine, International Kazakh - Turkish University, Turkestan, Kazakhstan; International School of Public Health, Northern State Medical University, Arkhangelsk, Russia.
Iran J Public Health. 2016 Nov;45(11):1411-1419.
External causes of death are still among the main causes of death in the countries of the former Soviet Union. We studied epidemiology of injuries among elderly in a typical Kazakhstani city.
Data on all injuries among individuals aged 60 yr or older in the city of Semey (former Semipalatinsk) from 2010 to 2012 was collected from medical files. We present absolute numbers and incidence rates for the main ICD-codes in Chapters XIX and XX of ICD-10 by gender, ethnic background and place where the injury occurred.
Altogether, there were 6065 injuries in 2010-2012. The overall incidence of increased from 4746.6 per 100000 in 2010 to 5577.7 per 100000 in 2012. Injuries to the elbow and forearm, injuries to the shoulder and upper arm, and injuries to the knee and lower leg were the most common and comprised 17.3%, 15.5% and 14.6% of all injuries, respectively. Falls constituted 82.2% of all injuries. Most injuries occurred at home and among ethnic Russians.
The incidence and the absolute number of injuries among elderly in Semey increased during the study period in both men and women. Given that the population of Kazakhstan is getting older, injuries are expected to require more attention from the public health professionals and health authorities. More than four-fifths of traumas resulted from falls making this cause of injury the first target for preventive measures.
在前苏联国家，外部死因仍是主要死因之一。我们研究了哈萨克斯坦一个典型城市中老年人的伤害流行病学情况。
从塞米伊市（原塞米巴拉金斯克）2010年至2012年期间60岁及以上人群的所有伤害医疗档案中收集数据。我们按性别、种族背景和伤害发生地点列出了国际疾病分类第十版第十九章和第二十章中主要国际疾病分类编码的绝对数和发病率。
2010年至2012年期间共有6065例伤害。总体发病率从2010年的每10万人4746.6例增至2012年的每10万人5577.7例。肘部和前臂损伤、肩部和上臂损伤以及膝盖和小腿损伤最为常见，分别占所有伤害的17.3%、15.5%和14.6%。跌倒占所有伤害的82.2%。大多数伤害发生在家中，且多见于俄罗斯族人群。
在研究期间，塞米伊市老年人伤害的发病率和绝对数在男性和女性中均有所增加。鉴于哈萨克斯坦人口老龄化，预计伤害问题需要公共卫生专业人员和卫生当局给予更多关注。超过五分之四的创伤由跌倒导致，这使得此类伤害原因成为预防措施的首要目标。
