Larsen C F, Lauritsen J
Department of Orthopaedics, Odense University Hospital, Denmark.
Int J Epidemiol. 1993 Oct;22(5):911-6. doi: 10.1093/ije/22.5.911.
Epidemiological data on wrist injuries in a population can be used for planning by applying them to criteria for care and thus deriving estimates of provisions for care according to currently desirable standards. In a 1-year study all patients > or = 15 years with acute wrist trauma and treated in 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 x-ray examination was 58 per 10,000 per year. The incidence of distal radius fractures 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 in the emergency room to 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. An x-ray had been taken for all patients reporting a fracture thus justifying the use of fractures as an incidence measure when comparing groups of patients with wrist trauma.
某一人群中手腕损伤的流行病学数据可通过将其应用于护理标准来进行规划，从而根据当前理想标准得出护理需求的估计值。在一项为期1年的研究中，所有年龄≥15岁、因急性手腕创伤在急诊室接受治疗的患者，均按照一种算法进行检查，直至确诊。手腕创伤的年总发病率为每10000名居民中有69例。每年需要进行X线检查的手腕创伤发病率为每10000人中有58例。桡骨远端骨折的发病率为每年每10000人中有27例（男性为每10000人中有16例，女性为每10000人中有37例）。为了评估基于医院数据的完整性（定义为在急诊室就诊的手腕损伤患者占集水区所有手腕损伤患者的比例），利用一项基于人群研究的数据进行了分析。结果发现完整性率为0.56（95%置信区间：0.31 - 0.78）。对于所有报告骨折的患者均进行了X线检查，因此在比较手腕创伤患者组时，将骨折作为发病率测量指标是合理的。
