Kim Ajung, Song Hyunjong, Park Namsoo, Choi Sangchun, Cho Joonpil
The Center for Community Safety Promotion, Suwon, Korea.
ChoonHae College of Health Sciences, Ulsan, Korea.
Clin Exp Emerg Med. 2018 Jun;5(2):84-94. doi: 10.15441/ceem.17.205. Epub 2018 Jun 29.
The injury-related disease burden in South Korea is relatively high compared to that in other nations. This study was conducted to identify the scale and causes of injury by severity, using an injury pyramid and analyzing the sex and age-dependent differences and the basic demographic characteristics.
Unintentional injury was estimated for each group after classifying injury-related deaths, hospitalizations, and outpatient department (OPD) visits based on their severity. The injury pyramid was calculated by classifying the injury outcomes into deaths, hospitalizations, and outpatient visits.
The incidence of unintentional injury included 31.74 deaths, 1,715.27 hospitalizations, and 7,317.55 OPD visits per 100,000 persons. The incidence of injury was higher among males than that among females. There were more hospitalizations and OPD visits than deaths among females. The mortality and hospitalization rates due to injury per 100,000 persons were the highest among those ≥75 years old, and the OPD visit rate was the highest among preschool children aged 0 to 6 years. The injury mechanisms that caused most deaths and hospitalizations in South Korea were injuries related to traffic, falls, poisoning, and burns/fires.
The scale of unintentional injury varies based on sex, age, and injury mechanism; additionally there are differences in the incidence of injuries between males and females depending on their age and injury mechanism. The high incidence of injury in elderly people could be a factor that increases the burden of injury in South Korea; hence, it is necessary to develop an injury prevention program that targets the elderly.
与其他国家相比,韩国与伤害相关的疾病负担相对较高。本研究旨在通过伤害金字塔确定不同严重程度伤害的规模和原因,并分析性别、年龄差异以及基本人口统计学特征。
根据伤害严重程度对与伤害相关的死亡、住院和门诊就诊进行分类后,估算每组的意外伤害情况。通过将伤害结果分为死亡、住院和门诊就诊来计算伤害金字塔。
意外伤害的发病率为每10万人中有31.74例死亡、1715.27例住院和7317.55例门诊就诊。男性的伤害发病率高于女性。女性的住院和门诊就诊人数多于死亡人数。每10万人中因伤害导致的死亡率和住院率在75岁及以上人群中最高,门诊就诊率在0至6岁的学龄前儿童中最高。在韩国,导致大多数死亡和住院的伤害机制是与交通、跌倒、中毒以及烧伤/火灾相关的伤害。
意外伤害的规模因性别、年龄和伤害机制而异;此外,男性和女性在伤害发生率上也因年龄和伤害机制存在差异。老年人伤害发生率高可能是增加韩国伤害负担的一个因素;因此,有必要制定针对老年人的伤害预防计划。