Larsen C F, Lauritsen J M
Odense Universitetshospital, Ulykkes Analyse Gruppen.
Ugeskr Laeger. 1994 May 9;156(19):2889-92.
Epidemiological data on wrist injuries in a population can be used for planning by applying them to criteria of care and thus deriving estimates of needs for care according to currently desirable standards. In a one-year study all patients 15 years or older with acute wrist trauma and treated at the emergency room were examined according to an algorithm until a diagnosis was established. The overall incidence of wrist trauma was 69 per 10,000 inhabitants per year. Incidence of wrist trauma requiring radiographic examination was 58 per 10,000 per year. The incidence of fractures of the distal radius was 27 per 10,000 per year (males, 16 per 10,000, females, 37 per 10,000 per year). In order to evaluate the completeness (defined as the proportion of patients with wrist injuries seen at the emergency room out of all patients with wrist injuries in the catchment area) of the hospital based data an analysis was performed using data from a population based study. A completeness rate of 0.56 (95% confidence interval 0.31-0.78) was found. A radiographic examination had been performed in all patients reporting a fracture, justifying the use of fractures as an incidence measure when comparing groups of patients with a wrist trauma.
某一人群中手腕损伤的流行病学数据可应用于护理标准，从而根据当前理想标准推算护理需求，用于规划。在一项为期一年的研究中，对所有15岁及以上因急性手腕创伤在急诊室接受治疗的患者，按照一种算法进行检查，直至确诊。手腕创伤的总体发病率为每年每10000名居民中有69例。需要进行X光检查的手腕创伤发病率为每年每10000名居民中有58例。桡骨远端骨折的发病率为每年每10000名居民中有27例（男性为每年每10000名中有16例，女性为每年每10000名中有37例）。为了评估基于医院的数据的完整性（定义为急诊室所见手腕损伤患者占集水区所有手腕损伤患者的比例），利用一项基于人群的研究数据进行了分析。发现完整率为0.56（95%置信区间0.31 - 0.78）。所有报告骨折的患者均进行了X光检查，这证明在比较手腕创伤患者组时，将骨折用作发病率衡量指标是合理的。
