Unidad de Investigación en Emergencia y Desastre, Universidad de Oviedo, España.
Servicio de Salud del Principado de Asturias (SAMU-Asturias), Instituto de Investigación Sanitaria del Principado de Asturias.
Disaster Med Public Health Prep. 2023 Mar 1;17:e342. doi: 10.1017/dmp.2022.267.
To describe the epidemiological profile of multiple casualty incidents (MCI) and contribute to the better understanding of their impacts in Northern Spain.
Retrospective, population-based observational study of MCI between 2014 and 2020 in 5 autonomous communities (Aragón, Castilla y León, Galicia, the Basque Country and Principado de Asturias) that participated in the MCI Database of Northern Spain. Inclusion criteria was any incident with 4 or more patients needing ambulance mobilization. A total of 54 variables were collected. This study presents the most relevant results.
There were 253 MCI. Of these, 79.8% were road traffic accidents, 12.3% fires or explosions, 2.0% poisonings and 5.9% defined as others. Monthly average was 2.9 (SD = 0.35; EEM = 15.90), average of victims by MCI was 6.8 (CI95% 6.16 - 7.60). There were significantly < 0.05) more victims in 3 types of MCI (fires, poisonings, and others). We saw 37.7% of MCI involved 4 victims, 18.8% 5 victims, and 37.9% more than 5. Mean response time was 30.8 minutes (95% CI 28.6 - 33.1), longer in maritime incidents. A total of 67% (95% CI 64.5 - 69.5) of victims were mild.
Road traffic accidents are the most frequent MCI and minor injuries predominate. More than 50% of the MCI have 5 or fewer patients. Fires had significantly more mild patients and significantly more resources deployed. Maritime incidents had a significantly longer response time.
描述多发伤事件（MCI）的流行病学特征，并有助于更好地了解其在西班牙北部的影响。
这是一项回顾性、基于人群的观察性研究，研究对象为 2014 年至 2020 年期间西班牙 5 个自治区（阿拉贡、卡斯蒂利亚-莱昂、加利西亚、巴斯克地区和阿斯图里亚斯）参与西班牙北部 MCI 数据库的 MCI。纳入标准为需要救护车转运的 4 名以上患者的任何事件。共收集了 54 个变量。本研究介绍了最相关的结果。
共发生 253 起 MCI。其中，79.8%为道路交通事故，12.3%为火灾或爆炸，2.0%为中毒，5.9%为其他原因。每月平均为 2.9（SD=0.35；EEM=15.90），每起 MCI 的平均受害者人数为 6.8（95%CI 6.16-7.60）。在 3 种 MCI（火灾、中毒和其他原因）中，受害者明显更多（<0.05）。我们发现 37.7%的 MCI 涉及 4 名受害者，18.8%涉及 5 名受害者，37.9%涉及 5 名以上受害者。平均反应时间为 30.8 分钟（95%CI 28.6-33.1），海上事件时间更长。共有 67%（95%CI 64.5-69.5）的受害者为轻度。
道路交通事故是最常见的 MCI，以轻伤为主。超过 50%的 MCI 有 5 名或 5 名以下患者。火灾的轻度患者明显更多，投入的资源也明显更多。海上事件的反应时间明显更长。
