2011 - 2019年美国因水烟吸食相关急性损伤而到医院急诊科就诊的全国估计数。
National Estimates of hospital emergency department visits due to acute injuries associated with hookah smoking, United States, 2011-2019.
作者信息
Inyang Naa A, Chang Joanne T, Wang Baoguang
机构信息
US Food and Drug Administration, Center for Tobacco Products, Office of Science, 10903 New Hampshire Avenue, Silver Spring, MD, 20993-0002, USA.
出版信息
Inj Epidemiol. 2020 Aug 10;7(1):41. doi: 10.1186/s40621-020-00267-w.
INTRODUCTION
Hookah (also known as waterpipe) smoking is associated with acute adverse health effects such as vomiting and fainting, symptoms related to carbon monoxide poisoning, and decreased pulmonary function, however, national estimates of hookah-related acute injuries are not currently available in the scientific literature. This study provides national estimates of United States hospital emergency department visits due to hookah-related acute injuries.
METHODS
We analyzed 2011-2019 data from the National Electronic Injury Surveillance System to calculate national estimates of emergency department visits due to hookah-related acute injuries. National Electronic Injury Surveillance System data were gathered from approximately 100 United States hospitals selected as a probability sample of approximately 5000 hospitals with emergency departments. Each case contains information abstracted from all emergency department records involving injuries associated with consumer products. All individuals admitted to emergency departments who sustained hookah-related acute injuries were included in the study.
RESULTS
During 2011-2019, an estimated 1371 (95% confidence interval: 505-2283) United States hospital emergency department visits were related to hookah-related acute injuries. The most common injuries were sustained from dizziness/light-headedness and syncopal episodes (54.8%), followed by burns (41.5%). Young adults aged 18-24 years accounted for 66.8% of hookah-related acute injuries admitted to United States emergency departments.
CONCLUSIONS
This study provides national estimates of hospital emergency department visits due to hookah-related acute injuries. We found that hookah smoking related AIs mostly occurred among young adults. Study findings may inform public health policy and educational intervention efforts to prevent these events and complement other acute injury surveillance systems, such as the National Poison Data System.
引言
水烟吸食与急性健康不良影响有关，如呕吐和昏厥、一氧化碳中毒相关症状以及肺功能下降，然而，目前科学文献中尚无关于水烟相关急性损伤的全国性估计数据。本研究提供了美国因水烟相关急性损伤而前往医院急诊科就诊的全国性估计数据。
方法
我们分析了2011 - 2019年国家电子伤害监测系统的数据，以计算因水烟相关急性损伤而前往急诊科就诊的全国性估计数据。国家电子伤害监测系统的数据来自约100家美国医院，这些医院是从约5000家设有急诊科的医院中按概率抽样选取的。每个病例包含从所有涉及与消费品相关损伤的急诊科记录中提取的信息。所有因水烟相关急性损伤而入住急诊科的个体均纳入本研究。
结果
在2011 - 2019年期间，估计有1371例（95%置信区间：505 - 2283）美国医院急诊科就诊与水烟相关急性损伤有关。最常见的损伤是头晕/眩晕和昏厥发作（54.8%），其次是烧伤（41.5%）。18 - 24岁的年轻人占美国急诊科收治的水烟相关急性损伤的66.8%。
结论
本研究提供了因水烟相关急性损伤而前往医院急诊科就诊的全国性估计数据。我们发现水烟吸食相关的急性损伤大多发生在年轻人中。研究结果可为公共卫生政策和教育干预措施提供参考，以预防这些事件，并补充其他急性损伤监测系统，如国家中毒数据系统。
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