Division of Chronic Disease Control, Korea Centers for Disease Control and Prevention, Cheongju, Korea.
Occupational Health Research Department, Korea Occupational Safety and Health Agency, Ulsan, Korea.
Epidemiol Health. 2020;42:e2020044. doi: 10.4178/epih.e2020044. Epub 2020 Jun 20.
The purpose of this study was to estimate the incidence of injuries and to identify their causes by classifying injuries according to various categories including age, sex, mechanism of injury, body parts injured, and place of injury.
This study used data from the Korea National Hospital Discharge In-depth Injury Survey (KNHDIS) from 2004 to 2016. The KNHDIS is conducted annually by the Korea Centers for Disease Control and Prevention, and its survey population includes all hospitalized patients discharged from medical institutions that have 100 or more beds, such as hospitals, general hospitals, and secondary community health centers. The number of injured cases is weighted and estimated using the mid-year estimated population of each year.
The injury discharge rate steadily increased since 2004 (1,505 per 100,000 population in 2004, 2,007 per 100,000 population in 2016) and most injuries were unintentional (annual average of 94.7%). On average, during the 13-year study period, the injury rate for males was 1.5 times as high as for females. The 2 main causes of injury were consistently traffic accidents and falls. Notably, the rate of injuries resulting from falls rose by 1.7-fold from 463 to 792 per 100,000 people, and exceeded the rate of traffic accidents in 2016.
The incidence of injuries steadily increased after the survey was first conducted, whereas mortality resulting from injuries mostly remained unchanged. This suggests that effective strategies and interventions should be reinforced to reduce unintentional injuries.
本研究旨在通过对各种类别(包括年龄、性别、损伤机制、受伤部位和受伤地点)的损伤进行分类,来估计损伤发生率并确定其原因。
本研究使用了 2004 年至 2016 年韩国国家医院出院深入损伤调查(KNHDIS)的数据。KNHDIS 由韩国疾病控制与预防中心每年进行,其调查人群包括拥有 100 张或更多床位的医疗机构(如医院、综合医院和二级社区保健中心)出院的所有住院患者。使用每年的年中估计人口对受伤病例数进行加权和估计。
自 2004 年以来,损伤出院率稳步上升(2004 年为每 10 万人 1505 例,2016 年为每 10 万人 2007 例),大多数损伤为非故意伤害(年平均 94.7%)。平均而言,在 13 年的研究期间,男性的损伤率是女性的 1.5 倍。损伤的 2 个主要原因始终是交通事故和跌倒。值得注意的是,跌倒导致的损伤率从 463 例/10 万人增加到 792 例/10 万人,增加了 1.7 倍,并在 2016 年超过了交通事故的发生率。
自首次进行调查以来,损伤的发生率稳步上升,而损伤导致的死亡率则基本保持不变。这表明,应加强有效的策略和干预措施,以减少非故意伤害。