中国老年人群伤害死亡率的Meta分析  

Older adult injury mortality in China:a meta-analysis

作　　者：杨善岚 涂嘉欣 朱祥 张朗朗 邓莉芳 黄河浪[1] 余超 吴磊[1] YANG Shanlan;TU Jiaxin;ZHU Xiang;ZHANG Langlang;DENG Lifang;HUANG Helang;YU Chao;WU Lei(Jiangxi Provincial Key Laboratory of Preventive Medicine,School of Public Health,Nanchang University,Nanchang 330006,P.R.China;Center for Prevention and Treatment of Cardiovascular Diseases,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,P.R.China)

机构地区：[1]南昌大学公共卫生学院、江西省预防医学重点实验室,南昌330006 [2]南昌大学第二附属医院心血管疾病防治中心,南昌330006

出　　处：《中国循证医学杂志》2022年第12期1393-1399,共7页Chinese Journal of Evidence-based Medicine

基　　金：国家科技部重点研发项目(编号:2020YFC2002901);国家自然科学基金项目(编号:81960620、81360446)。

摘　　要：目的系统评价2000—2020年中国老年人群伤害死亡率及其原因,以预防和减少老年人群伤害的发生及死亡。方法计算机检索CNKI、VIP、WanFang Data、PubMed、SinoMed和Web of Science数据库,搜集有关我国≥60岁老年人群伤害死亡的横断面研究,检索时限均从2000年1月至2020年12月。由2位研究员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用R 4.1.2软件进行Meta分析。结果共纳入41个研究,包括1.25亿老年人,其中伤害死亡总人数187488人。Meta分析结果显示:总伤害死亡率为135.58/10万[95%CI(113.36,162.14),P<0.001]。亚组分析结果显示,男性伤害死亡率[146.00/10万,95%CI(116.00,183.74)]高于女性[127.90/10万,95%CI(102.31,159.88)],伤害死亡率随年龄增长呈指数上升(R2=0.957),≥80岁者尤其显著;中部地区伤害死亡率高于东、西部,乡村高于城市;进入老龄化社会时期(2000—2020年)老年人群伤害死亡率明显高于以前(1990—2000年);伤害死亡类型有12余种,位列前3依次是跌倒、交通事故、自杀。结论2000—2020年我国老年人群伤害死亡率先升高后略降低,男性多于女性,80岁之后尤为凸显。老年人群伤害死亡率存在地区差别,伤害死亡类型依次为跌倒、交通事故、自杀。受纳入研究数量和质量限制,上述结论尚需开展更多高质量研究予以验证。Objective To systematically review injury,death,and their causes in elderly people in China from 2000 to 2020 and to prevent and reduce the occurrence of injuries and death.Methods The CNKI,VIP,WanFang Data,PubMed,SinoMed,and Web of Science databases were searched to collect studies on injury and death among elderly people over 60 years of age who resided in China from January 2000 to December 2020.Two reviewers independently screened the literature,extracted data,and assessed the risk of bias of the included studies.A meta-analysis was then performed using R 4.1.2 software.Results A total of 41 studies with 187488 subjects were included,including 125 million elderly individuals.The pooled injury mortality rate was 135.58/105(95%CI 113.36/105 to 162.14/105,P<0.001).Subgroup analysis showed that male injury death(146.00/105,95%CI 116.00 to 183.74,P=0.001)was significantly higher than that of females(127.90/105,95%CI 102.31 to 159.88,P=0.001)and that overall injury mortality increased exponentially with age(R2=0.957),especially in those over 80 years old.The spatial distribution showed that the injury death rate in the central region was higher than that in the east and west and higher in the countryside than in the city.The time of death distribution showed that after China became an aging society(2000-2020),the time of death was significantly later than before(1990-2000).There were more than 12 types of injuries that caused death,the top three of which were falling,traffic accidents,and suicide.Conclusion From 2000 to 2020,the injury mortality rate of the elderly people in China initially increase and then slightly decrease.The phenomenon affects more men than women,especially those beyond the age of 80.Regional differences are identified,and the types of injuries that cause death are mainly falls,traffic accidents,and suicide.Due to the limited quantity and quality of the included studies,more high-quality studies are needed to verify the above conclusion.

关 键 词：伤害死亡率 老年人 跌倒 交通事故 自杀 META分析 

分 类 号：R195[医药卫生—卫生统计学]