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乡村与城市的头部损伤。南澳大利亚州医院出院情况研究。

Head injuries in country and city. A study of hospital separations in South Australia.

作者信息

Woodward A, Dorsch M M, Simpson D

出版信息

Med J Aust. 1984 Jul 7;141(1):13-7. doi: 10.5694/j.1326-5377.1984.tb132660.x.

DOI:10.5694/j.1326-5377.1984.tb132660.x
PMID:6738403
Abstract

The incidence of head injury in South Australia was estimated from hospital separation (discharges, transfers and deaths) data for 1980 and 1981. The rate of hospital separation of patients with head injury in these years was high by international standards, and was 33% greater for country residents than for residents of the Adelaide metropolitan area. Marked differences in separation rates were observed between different age, sex and occupational groups. On the basis of indirect measures of injury severity, the injury severity threshold for admission to hospital with head injury appeared to be similar in country and city hospitals. An attempt was made to estimate the number of people seriously disabled by head injury each year. The findings raise questions about the concentration of acute surgical and long-term rehabilitation services in the city, at the expense of country areas; they also provide a starting point for further, analytical studies of head injury.

摘要

南澳大利亚州头部损伤的发病率是根据1980年和1981年的医院出院(出院、转院和死亡)数据估算得出的。按照国际标准,这些年份中头部损伤患者的医院出院率很高,而且农村居民的出院率比阿德莱德市区居民高33%。不同年龄、性别和职业群体之间的出院率存在显著差异。根据损伤严重程度的间接衡量指标,农村和城市医院因头部损伤入院的损伤严重程度阈值似乎相近。有人尝试估算每年因头部损伤而严重致残的人数。这些研究结果引发了对于以农村地区为代价,将急性外科手术和长期康复服务集中在城市的质疑;它们也为进一步深入分析头部损伤研究提供了一个起点。

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