Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan.
Public Health. 2017 Jul;148:88-95. doi: 10.1016/j.puhe.2017.03.006. Epub 2017 Apr 18.
Injuries increasingly contribute to the global burden of disease in low- and middle-income countries. This study presents results from a large-scale surveillance study on injury from several urban emergency departments (EDs) in Pakistan. The objective is to document the burden of injuries that present to the healthcare system in Pakistan and to test the feasibility of an ED-based injury and trauma surveillance system.
Cross-sectional study conducted using active surveillance approach.
This study included EDs of seven tertiary care hospitals in Pakistan. The data were collected between November 2010 and March 2011. All patients presenting with injuries to the participating EDs were enrolled. The study was approved by the Institutional Review Boards of the Johns Hopkins School of Public Health, Aga Khan University, and all participating sites.
The study recorded 68,390 patients; 93.8% were from the public hospitals. There were seven male for every three female patients, and 50% were 20-39 years of age. About 69.3% were unintentional injuries. Among injuries with a known mechanism (19,102), 51.1% were road traffic injuries (RTIs) and 17.5% were falls. Female, patients aged 60 years or older, patients transferred by ambulance, patients who had RTIs, and patients with intentional injuries were more likely to be hospitalized.
The study is the first to use standardized methods for regular collection of multiple ED data in Pakistan. It explored the pattern of injuries and the feasibility to develop and implement facility-based systems for injury and acute illness in countries like Pakistan.
在中低收入国家，伤害导致的疾病负担日益加重。本研究报告了来自巴基斯坦多个城市急诊科的大规模伤害监测研究结果。目的是记录在巴基斯坦医疗保健系统中出现的伤害负担，并检验基于急诊科的伤害和创伤监测系统的可行性。
采用横断面研究方法进行的观察性研究。
本研究纳入了巴基斯坦 7 家三级护理医院的急诊科。数据收集于 2010 年 11 月至 2011 年 3 月期间。所有因受伤到参与急诊科就诊的患者均被纳入研究。本研究得到了约翰霍普金斯公共卫生学院、阿迦汗大学和所有参与机构的机构审查委员会的批准。
研究记录了 68390 名患者；93.8%来自公立医院。男女患者比例为 7:3，年龄 50%在 20-39 岁之间。约 69.3%为非故意伤害。在已知机制的伤害中（19102 例），51.1%为道路交通伤害（RTI），17.5%为跌倒。女性、60 岁及以上的患者、由救护车转来的患者、有 RTI 的患者和有意伤害的患者更有可能住院。
本研究首次在巴基斯坦使用标准化方法定期收集多个急诊科的数据。它探索了伤害模式，并检验了在巴基斯坦等国家开发和实施基于医疗机构的伤害和急性病监测系统的可行性。
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