喀什部分地区2019年至2020年跌倒患者的临床特征和死亡危险因素分析  

Clinical characteristics and death risk factors of patients with fall-related injuries in parts of Kashgar Prefecture during 2019-2020

作　　者：刁喜财[1] 吴源泉[2] 胡岩君[3] 刘思景 张文娟[2] 魏胜梅 吐尔地卡日·牙生 陈勇[2] 林本丹[1] 潘春球 Diao Xicai;Wu Yuanquan;Hu Yanjun;Liu Sijing;Zhang Wenjuan;Wei Shengmei;Tuerdikari·Yasheng;Chen Yong;Lin Bendan;Pan Chunqiu(Department One of Orthopeadic Surgery,Shantou Central Hospital,Shantou 515031,China;Department of Trauma Center,The First People's Hospital of Kashgar Prefecture,Kashgar 844099,China;Division of Or-thopaedics and Traumatology,Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Orthopeadic Surgery,The Second Hospital Affiliated to Guangdong Medical University,Zhanjiang 524003,China;Department of Emergency,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]广东省汕头市中心医院骨外一科,汕头515031 [2]新疆维吾尔自治区喀什地区第一人民医院创伤中心,喀什844099 [3]南方医科大学南方医院骨科-创伤骨科,广州510515 [4]广东医科大学第二附属医院骨科,湛江524003 [5]南方医科大学南方医院急诊科,广州510515

出　　处：《中华创伤骨科杂志》2022年第6期543-547,共5页Chinese Journal of Orthopaedic Trauma

基　　金：广东省援疆农村科技(特派员)项目(KTP2020347);喀什地区应用技术研究与开发计划项目(KS20210493);新疆维吾尔自治区协同创新专项立项(2022E02040);汕头市中心医院院内科研培育计划项目(202115);汕头市医学科技人才培育及临床技术提升计划项目(190915165269567)。

摘　　要：目的探讨喀什部分地区跌倒患者的临床特征和死亡危险因素。方法回顾性分析2019年1月至2020年12月期间新疆维吾尔自治区喀什地区第一人民医院创伤中心收治的894例跌倒患者资料。记录患者的性别、年龄、跌倒发生地点、跌倒发生月份、跌倒高度、主要受伤部位、损伤严重程度评分(ISS)及格拉斯哥评分(GCS)等。分析跌倒患者的临床特征及死亡危险因素。结果894例患者中男性占72.3%(646/894),86.9%(777/894)的患者从1~6 m高度跌倒,年龄主要集中在15~59岁(74.3%,664/894)。家是跌倒的高发场所(60.2%,538/894),夏季(6~8月)发生跌倒的患者最多(32.3%,289/894)。21例(2.3%,21/894)患者死亡。死亡患者与未死亡患者的主要受伤部位、是否输血、ISS评分及GCS评分比较差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示:头面颈部受伤[OR=10.936,95%CI:1.177~101.627,P=0.035]、GCS评分≤12分[OR=5.640,95%CI:2.658~11.968,P<0.001]是喀什部分地区2019年至2020年跌倒患者死亡的危险因素。结论15~59岁男性是跌倒的高风险人群,6~8月为高发月份。头面颈部受伤、GCS评分≤12分的跌倒患者死亡风险高。Objective To study the clinical characteristics and death risk factors of the patients with fall-related injuries in parts of Kashgar Prefecture during 2019-2020.Methods The clinical data were retrospectively analyzed of the 894 patients with fall-related injuries who had been admitted to Department of Trauma Center,The First People's Hospital of Kashgar Prefecture,Xinjiang Uygur Autonomous Region from January 2019 to December 2020.Recorded were the patient's gender,age,location of fall,month of fall,fall height,major injury site,injury severity score(ISS)and Glasgow score(GCS).The clinical characteristics and death risk factors of the fall patients were analyzed.Results Of the 894 patients,72.3%(646/894)were male and 86.9%(777/894)fell from a height from 1 to 6 meters.Their ages ranged mainly from 15 to 59 years old(74.3%,664/894).Home was the most frequent site for falls(60.2%,538/894)and the patients who fell in summer months(from June to August)were the most(32.3%,289/894).Twenty-one patients(2.3%,21/894)died.There were significant differences in the major injury site,blood transfusion,ISS score and GCS score between the dead and survival patients(P<0.05).The multivariate logistic regression analysis showed that the injury to the head,face and neck[OR=10.936,95%CI:1.177 to 101.627,P=0.035]and GCS score≤12[OR=5.640,95%CI:2.658 to 11.968,P<0.001]were the death risk factors for the patients with fall-related injuries in parts of Kashgar Prefecture during 2019-2020.Conclusions In the patients with fall-related injuries in parts of Kashgar Prefecture during 2019-2020,males aged from 15 to 59 years old were the high-risk group of falls.Months with a high incidence of falls were from June to August.The fall patients with injuries to the head,face and neck and with a GCS score of≤12 were at a high risk of death.

关 键 词：意外跌倒 住院患者 临床特征 危险因素 

分 类 号：R195.4[医药卫生—卫生统计学]