Jones Amy R, Smith Alastair, Christey Grant
Te Puna Oranga, Waikato Hospital, Pembroke Street, Hamilton.
Midland Trauma Research Centre, Meade Clinical Centre, Waikato Hospital, Hamilton.
N Z Med J. 2018 Oct 5;131(1483):50-58.
To examine the pattern and outcomes of equine-related injuries for hospitalised patients in the Midland Region of New Zealand over a five-year period.
A retrospective review of all patients admitted to hospitals within the Midland region of New Zealand with an injury date 1 January 2012-31 December 2016, as a direct result of equine-related trauma.
Seven hundred and one patients were admitted due to equine-related injuries, 6.6% were major trauma events (Injury Severity Scale >12), with nearly half of all injuries (47.3%) to the extremities. Mean age was 36 years (median 38 years), and 69% were females. The most common mechanisms of injury were falls from horse (70.6%), kicked (12.7%) and knocked (6.7%) by the horse. Males were more likely to have a non-fall injury. Average length of stay (all patients) was 3.4 days, and half of all patients required surgery. All patients survived. At Waikato Hospital, the largest district hospital in the region, the average inpatient cost was NZ$7,805/patient.
The study has identified the demography, injury types, risk factors and outcomes for equine-related injuries in the Midland Region of New Zealand. Indications are that the severity of such injuries may be less than previously reported. However, the volumes and costs of injury represent a significant burden on the health system, individuals and communities. More detailed understanding of causative factors will allow targeting of prevention strategies to address high-risk activities and demographic groups.
研究新西兰中部地区住院患者五年内与马相关损伤的模式及结果。
回顾性分析2012年1月1日至2016年12月31日期间新西兰中部地区因马相关创伤而住院的所有患者。
701名患者因与马相关的损伤入院，6.6%为严重创伤事件（损伤严重程度评分>12），近一半（47.3%）的损伤发生在四肢。平均年龄为36岁（中位数38岁），69%为女性。最常见的致伤机制是从马背上跌落（70.6%）、被马踢伤（12.7%）和被马撞倒（6.7%）。男性更易发生非跌落性损伤。（所有患者的）平均住院时间为3.4天，一半患者需要手术治疗。所有患者均存活。在该地区最大的地区医院怀卡托医院，每位患者的平均住院费用为7805新西兰元。
该研究确定了新西兰中部地区与马相关损伤的人口统计学特征、损伤类型、危险因素及结果。有迹象表明，此类损伤的严重程度可能低于先前报道。然而，损伤的数量和费用对卫生系统、个人和社区构成了重大负担。对致病因素的更详细了解将有助于针对高风险活动和人群制定预防策略。
