20 年来（2000-2020 年）中国 187488 名老年人伤害死亡发生率的大数据：系统评价和荟萃分析。

Big data on the prevalence of injury deaths among 187 488 elderly Chinese in the past 20 years (2000-2020): a systematic review and meta-analysis.

机构信息

Jiangxi Provincial Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang, 330006, China.

Center for Prevention and Treatment of Cardiovascular Diseases, the Second Affiliated Hospital of Nanchang University, Nanchang, 330006, China.

出版信息

BMC Geriatr. 2023 May 31;23(1):340. doi: 10.1186/s12877-023-04056-0.

DOI:10.1186/s12877-023-04056-0

PMID:37259039

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10233884/

Abstract

BACKGROUND

This study systematically reviewed injury death and causes in the elderly population in China from 2000 to 2020, to prevent or reduce the occurrence of injuries and death.

METHODS

The CNKI, VIP, Wan Fang, MEDLINE, Embase, SinoMed, and Web of Science databases were searched to collect epidemiological characteristics of injury death among elderly over 60 years old in China from January 2000 to December 2020. Random effects meta-analysis was performed to pool injury mortality rate and identify publication bias, with study quality assessed using the AHRQ risk of bias tool.

RESULTS

(1) A total of 41 studies with 187 488 subjects were included, covering 125 million elderly. The pooled injury mortality rate was 135.58/10 [95%CI: (113.36 to 162.14)/10], ranking second in the total death cause of the elderly. (2)Subgroup analysis showed that male injury death (146.00/10) was significantly higher than that of females (127.90/10), and overall injury mortality increased exponentially with age (R = 0.957), especially in those over 80 years old; the spatial distribution shows that the injury death rate in the central region is higher than that in the east and west and that in the countryside is higher than that in the city; the distribution of death time shows that after entering an aging society (2000-2020) is significantly higher than before (1990-2000). (3) There are more than 12 types of injury death, and the top three are falling, traffic accidents, and suicide.

CONCLUSIONS

China's elderly injury death rate is at a high level in the world, with more males than females, especially after the age of 80. There are regional differences. The main types of injury death are falling, traffic, and suicide. During the 14th Five-Year Plan period, for accidental injuries and death, a rectification list for aging and barrier-free environments was issued.

PROSPERO REGISTRATION

The systematic review was registered in PROSPERO under protocol number CRD42022359992.

摘要

背景

本研究系统回顾了 2000 年至 2020 年中国老年人的伤害死亡和原因，以预防或减少伤害和死亡的发生。

方法

检索中国知网、维普、万方、MEDLINE、Embase、SinoMed 和 Web of Science 数据库，收集 2000 年 1 月至 2020 年 12 月中国 60 岁以上老年人伤害死亡的流行病学特征。采用随机效应荟萃分析计算伤害死亡率，并识别发表偏倚，使用 AHRQ 偏倚风险工具评估研究质量。

结果

（1）共纳入 41 项研究，包含 187488 名研究对象，涵盖 1.25 亿老年人。汇总的伤害死亡率为 135.58/10[95%CI：（113.36 至 162.14）/10]，在老年人总死亡原因中排名第二。（2）亚组分析显示，男性伤害死亡（146.00/10）明显高于女性（127.90/10），且总体伤害死亡率随年龄呈指数增长（R=0.957），尤其是 80 岁以上人群；空间分布显示，中部地区的伤害死亡率高于东部和西部，农村地区高于城市；死亡时间分布显示，进入老龄化社会（2000-2020 年）后明显高于老龄化社会前（1990-2000 年）。（3）伤害死亡类型超过 12 种，前三位是跌倒、交通意外和自杀。