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2006年至2015年中国四川省伤害负担及趋势分析:来自国家伤害监测系统的结果

Analysis of the burden and trend of injury in Sichuan, China, from 2006 to 2015: results from the national injury surveillance system.

作者信息

Cai Peng, Wu Xianping, Liu Zhihao, Deng Ying, Chen Xiaofang, Yi Guanghui, Xu Jiang, Huang Shirong, Luan Rongsheng

机构信息

Department of Epidemiology, Sichuan University West China School of Public Health, Chengdu, China.

Department of Non-communicable Disease Control and Prevention, Center for Disease Control and Prevention of Qingyang District, Chengdu, China.

出版信息

BMJ Open. 2019 Nov 18;9(11):e031184. doi: 10.1136/bmjopen-2019-031184.

Abstract

OBJECTIVE

This study investigates the distribution, burden and trends of injuries in Sichuan, China.

DESIGN

A surveillance study using injury data collected by the National Injury Surveillance System.

SETTING AND PARTICIPANTS

312 511 injury cases reported in the National Injury Surveillance System in Sichuan, China, from 2006 to 2015.

PRIMARY OUTCOME MEASURES

Years of potential life lost (YPLL) were calculated to determine the disease burden from injuries. Trend analysis was performed to assess the trends in specific injuries over time.

RESULTS

A total of 312 511 injury cases were reported in the last 10 years in Sichuan with 192 904 (men: 58.58%) and 119 607 (men: 67.11%) cases from the urban and rural surveillance hospitals, respectively. The annual number of injury cases increased from 21 257 in 2006 to 44 112 in 2015 with an average annual increase of 8.45%. The top three common causes of injury were fall (29.3%), animal-related injury (19.1%) and road-related injury (14.6%) in the urban area and fall (38.4%), road-related injury (17.2%) and blunt injuries (16.0%) in the rural area. YPLLs from injuries accounted for 13% of the total YPLLs in the urban area.

CONCLUSIONS

The number of injury cases varied according to rural/urban areas and gender and increased sharply in Sichuan over the last decade. It is necessary to develop targeted prevention and control measures to reduce the disease burden of injuries.

摘要

目的

本研究调查中国四川省伤害的分布、负担及趋势。

设计

一项利用国家伤害监测系统收集的伤害数据进行的监测研究。

地点与参与者

2006年至2015年中国四川省国家伤害监测系统报告的312511例伤害病例。

主要观察指标

计算潜在寿命损失年数(YPLL)以确定伤害造成的疾病负担。进行趋势分析以评估特定伤害随时间的趋势。

结果

过去十年四川省共报告312511例伤害病例,其中城市监测医院报告192904例(男性占58.58%),农村监测医院报告119607例(男性占67.11%)。伤害病例年数从2006年的21257例增加到2015年的44112例,年均增长8.45%。城市地区伤害的前三大常见原因是跌倒(29.3%)、动物相关伤害(19.1%)和道路相关伤害(14.6%),农村地区是跌倒(38.4%)、道路相关伤害(17.2%)和钝器伤(16.0%)。城市地区伤害导致的潜在寿命损失年数占总潜在寿命损失年数的13%。

结论

伤害病例数因城乡地区和性别而异,过去十年四川省伤害病例数急剧增加。有必要制定针对性的预防和控制措施以减轻伤害的疾病负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb9c/6886999/20f5c84060f0/bmjopen-2019-031184f01.jpg

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