Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study.
Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study.
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DOI：
10.1186/1471-227x-15-s2-s3
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发表时间：
2015
影响因子：
2.5
通讯作者：
Hyder AA
中科院分区：
文献类型：
--
作者：
Fayyaz J;Wadhwaniya S;Shahzad H;Feroze A;Zia N;Mir M;Khan U;Iram S;Ali S;Razzak J;Hyder AA
我们的目的是分析巴基斯坦各地急诊科（ED）出现的跌倒相关伤害的频率和模式。2010年11月至2011年3月，巴基斯坦国家急诊部门监测系统在巴基斯坦六个主要城市的七个主要急诊部门（五家公立医院和两家私立医院）使用标准化工具收集了24/7的数据。对于所有出现跌倒相关损伤的患者，我们按意图分析数据，重点关注意外福尔斯。对基本患者人口统计学、福尔斯机制、跌倒损伤结局、到达艾德的方式、调查和手术结局进行简单频率分析。有3335人因跌倒受伤。在可获得意图的情况下，三分之二（n = 1186，65.3%）的跌倒伤害是无意的。在急诊室就诊的意外跌倒患者中，大多数（76.9%）为男性，年龄在15-44岁之间（69%）。大多数意外福尔斯（n = 671，56.6%）是由于滑倒，其次是从高处跌落（n = 338，28.5%）。约三分之二（n = 675，66.6%）的跌倒损伤涉及四肢，其次是头部/颈部（n = 257，25.4%）和面部（n = 99，9.8%）。大部分患者出院（n = 1059，89.3%）。意外跌倒死亡17例（1.3%）。在巴基斯坦，福尔斯是与伤害有关的急诊就诊的重要原因。大多数跌倒受伤的患者是男性，并且处于生产年龄组。跌倒伤害对医疗保健系统，特别是急救服务构成负担，因此未来的研究应侧重于家庭和工作场所的安全措施，以减轻这种负担。
We aimed to analyse the frequency and patterns of fall-related injuries presenting to the emergency departments (EDs) across Pakistan. Pakistan National Emergency Departments surveillance system collected data from November 2010 to March 2011 on a 24/7 basis using a standardized tool in seven major EDs (five public and two private hospitals) in six major cities of Pakistan. For all patients presenting with fall-related injuries, we analysed data by intent with focus on unintentional falls. Simple frequencies were run for basic patient demographics, mechanism of falls, outcomes of fall injuries, mode of arrival to ED, investigations, and procedures with outcomes. There were 3335 fall-related injuries. In cases where intent was available, two-thirds (n = 1186, 65.3%) of fall injuries were unintentional. Among unintentional fall patients presenting to EDs, the majority (76.9%) were males and between 15-44 years of age (69%). The majority of the unintentional falls (n = 671, 56.6%) were due to slipping, followed by fall from height (n = 338, 28.5%). About two-thirds (n = 675, 66.6%) of fall injuries involved extremities, followed by head/neck (n = 257, 25.4%) and face (n = 99, 9.8%). Most of the patients were discharged from the hospital (n = 1059, 89.3%). There were 17 (1.3%) deaths among unintentional fall cases. Falls are an important cause of injury-related visits to EDs in Pakistan. Most of the fall injury patients were men and in a productive age group. Fall injuries pose a burden on the healthcare system, especially emergency services, and future studies should therefore focus on safety measures at home and in workplaces to reduce this burden.