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格鲁吉亚伤害的流行病学特征:一项为期一年的回顾性研究。

Epidemiological characteristics of injury in Georgia: A one-year retrospective study.

作者信息

Chkhaberidze Nino, Burkadze Eka, Axobadze Ketevan, Pitskhelauri Nato, Kereselidze Maia, Chikhladze Nino, Coman Madalina Adina, Peek-Asa Corinne

机构信息

Ivane Javakhishvili Tbilisi State University, Faculty of Medicine, 1 Ilia Chavchavadze Avenue, Tbilisi 0179, Georgia; National Center for Disease Control and Public Health, Kakheti Highway 99, Tbilisi 0198, Georgia.

Ivane Javakhishvili Tbilisi State University, Faculty of Medicine, 1 Ilia Chavchavadze Avenue, Tbilisi 0179, Georgia.

出版信息

Injury. 2022 Jun;53(6):1911-1919. doi: 10.1016/j.injury.2022.03.009. Epub 2022 Mar 10.

Abstract

INTRODUCTION

Injury is a major health problem worldwide and a leading cause of death and disability. Disability caused by traumatic injury is often severe and long-lasting. Injuries place a large burden on societies and individuals in the community, both in cost and lost quality of life. Progress in developing effective injury prevention programs in developing countries is hindered by the lack of basic epidemiological injury data regarding the prevalence of traumatic injuries. The aim of this research was to describe the epidemiological characteristics of injury in all hospitals in Georgia.

METHODS

The database of the National Center for Disease Control and Public Health of Georgia for 2018, which includes all hospital admissions, was used to identify injury cases treated in hospitals. Cases were included based on the S and T diagnosis coded of ICD-10.

RESULTS

A total of 25,103 adult patients were admitted for an injury, of whom 14,798 (59%) were males and 10,305 (41%) were females, between the ages of 18 and 108 years old. The highest prevalence was among the age group 25-44 years old (n = 8654; 34%), followed by 45-64 years old (n = 6852; 27%). The main mechanism of injury was falls (n = 13,932; 55%) and exposure to mechanical forces (n = 2701; 11%). Over 1,50% (n = 379) of injuries resulted in death after hospitalization. The median hospital length of stay (LOS) was 2 days. There was a significant association between age, mechanism of injury, type of injury, performed surgical interventions, and longer LOS.

CONCLUSION

Injuries are prevalent throughout the life course and cause substantial hospitalization time. This research can help focus prevention efforts can focus on the demographic and injury causes that are most prevalent.

摘要

引言

伤害是全球主要的健康问题,也是死亡和残疾的主要原因。创伤性损伤导致的残疾往往严重且持久。伤害给社会和社区中的个人带来了巨大负担,包括成本和生活质量的损失。发展中国家在制定有效的伤害预防计划方面的进展受到缺乏关于创伤性损伤患病率的基本流行病学伤害数据的阻碍。本研究的目的是描述格鲁吉亚所有医院伤害的流行病学特征。

方法

使用格鲁吉亚国家疾病控制和公共卫生中心2018年的数据库,其中包括所有住院病例,以识别在医院接受治疗的伤害病例。根据国际疾病分类第10版的S和T诊断编码纳入病例。

结果

共有25103名成年患者因伤害入院,其中14798名(59%)为男性,10305名(41%)为女性,年龄在18至108岁之间。患病率最高的是25至44岁年龄组(n = 8654;34%),其次是45至64岁年龄组(n = 6852;27%)。主要伤害机制是跌倒(n = 13932;55%)和暴露于机械力(n = 2701;11%)。超过1.50%(n = 379)的伤害在住院后导致死亡。住院时间中位数为2天。年龄、伤害机制、伤害类型、进行的手术干预与较长的住院时间之间存在显著关联。

结论

伤害在整个生命过程中普遍存在,并导致大量住院时间。这项研究有助于将预防工作重点放在最普遍的人口统计学和伤害原因上。

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