Romelsjö A, Alberts K A, Andersson R
Karolinska Institutet, Department of Social Medicine, Kronan Health Centre, Sundbyberg, Sweden.
Addiction. 1993 Jul;88(7):1013-6. doi: 10.1111/j.1360-0443.1993.tb02119.x.
A comprehensive programme for accident prevention and injury surveillance was established in Stockholm County in 1988. Its main objective is to reduce the morbidity and mortality of unintentional injuries by 25% by the year 2000, and by more than 25% in the high-incidence groups. An accident prevention unit has been assigned to task of planning and implementing an accident prevention programme, while a programme for prevention of alcohol-related problems was set up later. An injury epidemiological unit at the Karolinska Hospital is responsible for coordinating injury surveillance, which is an important contribution for monitoring and evaluation of the prevention programmes. On injured patients information about type of injury, extent of injury, place, activity, injury mechanism, external cause of injury, treatment and other items is entered on a special registration form. In (10%) of 11,327 injury events alcohol was considered by the physician to be a main or contributory cause of the injury, with a predominance among males. An act of violence was approximately three times as common among males and five times as common among females with alcohol involvement than among cases without alcohol involvement. The injury surveillance can be an important means for evaluation of programmes for prevention of injuries and alcohol-related events.
1988年，斯德哥尔摩县制定了一项全面的事故预防和伤害监测计划。其主要目标是到2000年将意外伤害的发病率和死亡率降低25%，在高发病率群体中降低幅度超过25%。已设立一个事故预防单位负责规划和实施事故预防计划，后来又设立了一个预防与酒精相关问题的计划。卡罗林斯卡医院的一个伤害流行病学单位负责协调伤害监测，这对预防计划的监测和评估有重要贡献。对于受伤患者，有关伤害类型、伤害程度、地点、活动、伤害机制、伤害外部原因、治疗及其他项目的信息会被录入一张特殊的登记表。在11327起伤害事件中，医生认为酒精是10%事件的主要或促成伤害的原因，在男性中占主导地位。在涉及酒精的情况下，男性暴力行为的发生率约为不涉及酒精情况的三倍，女性则为五倍。伤害监测可以成为评估伤害预防计划和与酒精相关事件计划的重要手段。
