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2019 - 2022年中国国家伤害监测系统中跌倒的流行病学特征

Epidemiological Characteristics of Falls from the National Injury Surveillance System - China, 2019-2022.

作者信息

Chen Siyi, Er Yuliang, Wang Yuan, Duan Leilei, Ye Pengpeng

机构信息

National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

出版信息

China CDC Wkly. 2024 Dec 6;6(49):1283-1288. doi: 10.46234/ccdcw2024.256.

Abstract

INTRODUCTION

This study describes and analyzes the distribution of fall cases documented in the National Injury Surveillance System (NISS) from 2019 to 2022.

METHODS

Fall data from the NISS (2019-2022) were descriptively analyzed by gender and age.

RESULTS

The NISS in China reported 2,324,577 fall cases from 2019 to 2022. Falls mostly happened at home (39.41%). Leisure activities (39.40%) were the most common cause of falls. Among these cases, 45.22% caused bruises, 31.57% lower limb injuries, while a substantial 73.41% constituted mild injuries. Age-related epidemiological patterns of falls revealed distinct trends. Among 0-9-year-olds, falls predominantly occurred at home (56.71%), with high head injury rates, particularly in infants (72.64%). Adolescents (10-19 years old) were prone to falls in school and school-related areas (37.12%) and during sports activities (27.37%). Elderly individuals (>60 years old) experienced higher fracture rates (36.84%) and an age-dependent increase in head injuries and severe harm.

CONCLUSIONS

Falls are the most prevalent injury category, exhibiting distinct characteristics across age groups. To address this, tailored public health strategies and interventions are essential, particularly for children, adolescents, and adults aged 60 years and older. Effective early prevention and intervention methods are paramount for these high-risk fall populations.

摘要

引言

本研究描述并分析了2019年至2022年国家伤害监测系统(NISS)记录的跌倒病例分布情况。

方法

对NISS(2019 - 2022年)的跌倒数据按性别和年龄进行描述性分析。

结果

中国的NISS报告显示,2019年至2022年期间有2324577例跌倒病例。跌倒大多发生在家中(39.41%)。休闲活动(39.40%)是跌倒最常见的原因。在这些病例中,45.22%导致擦伤,31.57%导致下肢受伤,而高达73.41%构成轻伤。与年龄相关的跌倒流行病学模式呈现出明显趋势。在0至9岁儿童中,跌倒主要发生在家中(56.71%),头部受伤率较高,尤其是婴儿(72.64%)。青少年(10至19岁)在学校及与学校相关的区域(37.12%)和体育活动期间(27.37%)容易跌倒。老年人(>60岁)骨折率较高(36.84%),头部受伤和严重伤害随年龄增长而增加。

结论

跌倒是最常见的伤害类型,在不同年龄组表现出不同特征。为此,制定针对性的公共卫生策略和干预措施至关重要,特别是针对儿童、青少年和60岁及以上的成年人。有效的早期预防和干预方法对于这些高风险跌倒人群至关重要。

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