摘要
【目的】了解2017—2020年上海市非故意伤害住院的发生特征,为制定伤害预防控制策略和措施提供参考依据。【方法】描述分析22家上海市伤害住院监测试点医疗机构通过监测信息系统报告的伤害发生日期在2017—2020年的非故意伤害住院病例数据,以构成比指标分析和探讨不同类型原因伤害的人群、时间和地点分布特征,以住院天数和住院费用描述疾病负担。【结果】2017—2020年上海市22家监测点共报告非故意伤害住院病例32716例,男女性别比为1.18∶1;男性以15~64岁者居多,女性以≥45岁者居多;前3位伤害发生原因依次为跌倒/坠落、道路交通伤害和钝器伤;全年以7月和8月病例数最多,发生地点在家中的病例占42.81%;骨折病例占75.79%,住院天数P50为10 d,住院费用P50为15431.50元。2018—2020年跌倒/坠落和非机动车车祸所占比例逐年递增。【结论】老年人跌倒、道路交通伤害是因伤住院的主要原因,男性劳动力人口的刀/锐器伤和钝器伤问题突出。鉴于伤害产生的直接和间接经济损失较高,应完善伤害监测体系,并对重点人群和重点伤害开展干预。
[Objective]To analyze the characteristics of hospitalized unintentional injuries and to provide evidence for formulating injury prevention and control strategies.[Methods]Descriptive analysis was conducted on injury information of unintentional injury cases reported from 22 monitoring hospitals during 2017 to 2020 by injury surveillance system.The composition ratio index was used to analyze and explore the distribution(population,time and place)of injuries related to different causes.The disease burden was described by the length of hospital stay and hospitalization cost.[Results]A total of 32716 hospitalized unintentional injury cases were reported from 22 monitoring hospitals.The male to female ratio was 1.18∶1.The majority of males were aged 15‒64 years and the majority of females were aged over 45 years.The top three causes of injuries were falls,traffic-related and blunt injury.Injuries occurred more frequently in July and August.42.81%of the cases occurred at home.Fracture cases accounted for 75.79%.The median length of hospital stay was 10 days and the median cost was 15431.50 yuan.The share of both falls and non-motor vehicle accidents increased year by year.[Conclusion]Falls among elderly people and road traffic injuries are the main causes of hospitalized unintentional injuries,and sharp or blunt instrument injuries are more severe in the male workforce.Considering high direct and indirect economic losses from injuries,steps should to be taken to improve injury surveillance system and to implement injury prevention and control strategies targeted on key groups and key injuries.
作者
徐乃婷
彭娟娟
高宁
周德定
喻彦
刘静红
施燕
XU Naiting;PENG Juanjuan;GAO Ning;ZHOU Deding;YU Yan;LIU Jinghong;SHI Yan(Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China)
出处
《上海预防医学》
CAS
2023年第1期35-41,共7页
Shanghai Journal of Preventive Medicine
关键词
伤害监测
非故意伤害
跌倒
道路交通伤害
疾病负担
injury surveillance
unintentional injury
fall
road traffic injury
burden of disease
