2019-2020年上海市宝山区老年人住院伤害病例特征分析  

Characteristics of Hospitalized Injury Cases among the Elderlies in the Baoshan District,Shanghai from 2019 to 2020

作　　者：汤德珍 孟杨[1] 朱礼明[1] TANG De-zhen;MENG Yang;ZHU Li-ming(Shanghai Baoshan District Center for Disease Control and Prevention,Shanghai 201901,China)

机构地区：[1]上海市宝山区疾病预防控制中心,上海201901

出　　处：《伤害医学（电子版）》2021年第4期32-38,共7页Injury Medicine(Electronic Edition)

摘　　要：目的了解上海市宝山区60岁及以上老年人住院伤害病例的发生现状及流行特征,为制定预防60岁及以上老年人住院伤害的策略措施提供依据。方法通过对2019-2020年上海市宝山区住院伤害报告监测点医院上报的数据,选择年龄段60岁及以上住院老年人伤害病例资料进行描述性统计分析。结果共采集2019-2020年60岁及以上住院老年人伤害病例1 015例,性别比为1∶2.09,其中99.21%伤害病例为非故意伤害。伤害类型前3位为跌倒/坠落(95.47%),道路交通伤(2.07%)和其他(1.08%)。1天中8:00-12:59(63.25%)和14:00-20:59 (18.23%) 2个时间段伤害病例占比最多。伤害发生地点以家中(85.62%)、公共公路、街道和道路(7.09%)、工业和建筑场所(1.77%)为主。住院伤害发生时60岁及以上老年人的主要活动分别为生命活动(56.06%)、休闲娱乐活动(37.34%)和未特指的活动(2.17%)。60岁及以上老年人的全部住院伤害中,90.25%的老年人造成中度损伤,下肢、上肢和躯干受伤占比分别为46.90%,30.34%和20.69%。结论跌倒/坠落是造成60岁及以上老年人住院伤害的主要原因,可通过教育、环境等干预策略有效预防老年人跌倒。Objective To understand recent situations and epidemic characteristics of hospitalized injury cases among the elderlies(over 60 years old) in the Baoshan District of Shanghai from 2019 to 2020, and to provide basis for prevention. Methods The data of hospitalized injury cases for the elderlies from 2019 to 2020 were analyzed. Results A total of 1 015 inpatient injury cases were collected by the Baoshan injury monitoring system, with a male to female ratio of47.96%, and 99.21% of them were unintentional injuries. The top three injury causes were fall(95.47%), road traffic injury(2.07%) and others(1.08%). The proportions of injury cases in 8:00-12:59(63.25%) and 14:00-20:59(18.23%) were the highest. The main occurrence places were at home(85.62%), public roads, streets and roads(7.09%), industrial and construction sites(1.77%). The top three activities of the elderlies were life activities(56.06%), leisure and entertainment activities(37.34%) and unspecified activities(2.17%). Among all the hospitalized injuries of the elderlies, 90.25% had moderate injuries, and the proportions of lower limb, upper limb and trunk injuries were 46.90%, 30.34% and 20.69%respectively. Conclusions Hospitalization injury is the main reason for the elderlies to go to medical institutions, and its prevention and control should be strengthened. Our observations suggest that further improvements in the collection of information related to in-hospital injury monitoring is needed to provide more sufficient basis for evidence-based in-hospital injury intervention for the elderlies.

关 键 词：老年人 伤害 流行病学研究 

分 类 号：R195[医药卫生—卫生统计学]