The epidemiology of upper extremity injuries presenting to the emergency department in the United States.
The epidemiology of upper extremity injuries presenting to the emergency department in the United States.
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DOI：
10.1007/s11552-011-9383-z
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发表时间：
2012-03-01
期刊：
影响因子：
--
通讯作者：
Ring, David C
中科院分区：
文献类型：
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作者：
Ootes, Daan;Lambers, Kaj T;Ring, David C
背景：在美国，急诊科就诊的上肢损伤的流行病学研究还不够深入。本调查的目的是估计急诊科就诊的上肢损伤的发生率。国家电子伤害监测系统（NEISS）-一个急诊科就诊数据库，基于选定的医院样本，并加权以代表整个美国人口，以便估计总体发病率-询问了2009年美国急诊科就诊的所有上肢损伤。损伤类型进行了分析，每个地区的上肢，发病率计算的基础上，人口估计从US Census.RESULTS：查询的NEISS导致92,601记录上肢损伤治疗在急诊科在美国，2009年，这转化为估计总数为3,468,996这样的伤害，这一年。这相当于每年每100，000人中有1，130例上肢受伤。最常见的受伤部位是手指（38.4%）。最常见的上肢损伤是骨折（29.2%）。发病率较高的具体损伤（每年每10万人）包括手指撕裂伤（221例）、手腕骨折（72例）、手指骨折（68例）和下臂骨折（64例）。家庭是最常见的设置为上肢injure.CONCLUSIONS：NEISS提供的上肢损伤的发生率估计，可能是有用的公共卫生举措。
BACKGROUND: The epidemiology of upper extremity injuries presenting to emergency departments in the USA is not well studied. The purpose of this investigation was to estimate the incidence rates of upper extremity injuries presenting to emergency departments.METHODS: The National Electronic Injury Surveillance System (NEISS)-a database of emergency department visits based on a sample of hospitals selected and weighted to represent the entire US population in order to allow estimates of overall incidence-was queried for all upper extremity injuries presenting to US emergency departments in 2009. Injury types were analyzed for each region of the upper extremity, and incidence rates were calculated based on population estimates from the US Census.RESULTS: A query of the NEISS resulted in 92,601 records of upper extremity injury treated at an emergency department in the USA in 2009, which translates to an estimated total of 3,468,996 such injuries that year. This corresponds to an incidence of 1,130 upper extremity injuries per 100,000 persons per year. The most common region injured was the finger (38.4%). The most common upper extremity injury was a fracture (29.2%). Specific injuries with high incidence rates (all per 100,000 per year) included finger lacerations (221), wrist fractures (72), finger fractures (68), and lower arm fractures (64). Home is the most common setting for an upper extremity injury.CONCLUSIONS: The NEISS provides estimates of the incidences of upper extremity injuries that may be useful for public health initiatives.