Distribution and circumstances of injuries in squatter settlements of Karachi, Pakistan
Distribution and circumstances of injuries in squatter settlements of Karachi, Pakistan
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DOI：
10.1016/j.aap.2005.11.010
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发表时间：
2006-05-01
影响因子：
5.9
通讯作者：
Rabbani, F
中科院分区：
文献类型：
--
作者：
Rizvi, N;Luby, S;Rabbani, F
目的：本研究旨在研究巴基斯坦卡拉奇棚户区居民受伤的发生率、分布、类型、原因、严重程度和情况。受过培训的访谈者要求对未寻求医疗保健的轻伤进行2周召回，对咨询医疗服务提供者的重伤进行2个月召回，对住院治疗进行1年召回，1995年5月至8月期间，在卡拉奇的五个棚户区，三分之一的家庭有残疾和死亡。结果：在1182户居民中，9891人发生轻伤84例，重伤42例，住院7例，致残0.6例，死亡0.3例/1000人年。包括所有损伤事件，常见的损伤类型为切割或刺穿（n=532）、福尔斯（n = 382）和烧伤（n = 235），估计每1000人年发生54、38和23次损伤事件。损伤主要由玻璃碎片（n = 367）、高处坠落（n = 98）和刀（n = 97）引起，估计每1000人年分别有37、10和10起损伤事件。跌倒（n = 32，3.2/1000人年）是住院的主要原因，所有永久性残疾均由闭合性损伤引起。受过医疗培训的供应商大多接触（n = 339，34/1000人年），但传统的治疗者首选在bone injury.Conclusion：受伤是发病率和死亡率在巴基斯坦和国家卫生和发展议程的主要原因，应包括评估和预防受伤。(c)2005爱思唯尔有限公司保留所有权利。
Objectives: This research was conducted to study incidence, distribution, type, causes, severity and circumstances of injuries among people living in squatter settlements in Karachi, Pakistan.Methods: Trained interviewers sought a 2 weeks recall for minor injuries for which no health care was sought, 2 months recall for major injuries for which a health provider was consulted and 1 year recall for hospitalization, disability and death from every third household in five squatter settlements in Karachi between May and August 1995. For understanding the injury circumstances 250 in-depth interviews of the injured or the close relatives were also conducted.Results: Among 1182 households, having 9891 residents, 84 minor, 42 major injury episodes, 7 hospitalizations, 0.6 permanent disabilities and 0.3 deaths per 1000 person years were reported. Including all injury episodes, the common types of injury were cutting or piercing (n=532), falls (n = 382) and burns (n = 235) estimating to 54, 38 and 23 injury episodes per 1000 person years. Injury mainly resulted from a piece of glass (n = 367), falling from height (n = 98) and knife (n = 97) estimating to 37, 10 and 10 injury episodes per 1000 person years, respectively. Fall (n = 32, 3.2/1000 person years) was the major reason for hospitalizations and all permanent disabilities resulted from closed injuries. Medically trained providers were mostly contacted (n = 339, 34/1000 person years), but traditional healers were preferred in bone injury.Conclusion: Injuries are a major cause of morbidity and mortality in Pakistan and the national health and development agenda should include assessment and prevention of injuries. (c) 2005 Elsevier Ltd. All rights reserved.