急诊跌倒损伤的评估与临床结果

Shawbo Osman, V. Naqshbandi
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摘要

背景和目标:跌倒是造成死亡和发病的重要原因,对社会、家庭和受害者造成相当大的负担。该研究旨在确定跌倒相关损伤的干预措施和结果,以及受伤严重程度与跌倒高度之间的关系。方法:对2020年9月至2021年2月在埃尔比勒市西部和东部急救医院就诊的322名摔伤患者进行描述性横断面研究。分析研究样本的人口学、损伤位置、受影响的身体区域、结果和住院时间。结果:322例患者中,男性占68.9%,女性占31.1%。不到一半的样本(48.8%)年龄在18至36岁之间。与跌倒有关的伤害最常见的地点是住宅设施(44.1%),其次是工作场所(35.1%)。根据坠落类型,从地面坠落的占38.4%,从坠落高度1-3米坠落的占48.8%。最后,根据损伤分类,超过一半(56.5%)的研究样本具有显著的严重程度。在研究样本中,急诊室处理的出院状态所占比例最高(64.9%)。在不同类型的地面(软地或硬地)上,跌倒后果项和结果项的得分有显著差异。损伤严重程度与坠落高度有显著相关(p值= 0.00)。结论:跌倒损伤是埃尔比勒市急诊科最常见的病例。在18至36岁的人群中,男性比女性更容易摔倒。摔倒风险最高的职业是建筑工人,风险最大。与跌倒有关的伤害是卫生保健系统的负担,特别是在护理成本和资源方面,对伊拉克等发展中国家的急救服务来说。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment and Clinical Outcomes of Fall Related Injuries at Emergency
Background and objectives: Falls are significant cause of mortality and morbidity with a considerable burden on societies, families and victims. The study aims to determine the interventions and outcomes of fall-related injuries, and the association between injury se-verity and fall height. Methods: A descriptive cross-sectional study was conducted among 322 fall-related in-jured persons in West and East emergency hospitals in Erbil City from September 2020 to February 2021. Study sample demography, location of injury, place of affected body re-gions, outcome, and hospital stay were analyzed. Results: Of the 322 patients studied, 68.9% were males, and 31.1% were female. Less than half of the samples (48.8%) were between the ages 18 to 36 years old. The most common location for fall-related injuries was residential facilities (44.1%) followed by the place of work (35.1%). According to the type of fall, fall from ground was 38.4%, and fall from a fall height of 1-3 meters was 48.8%. Finally, according to the injury classification, more than half (56.5%) of the study sample had a significant degree of severity. The discharged status of disposition at the emergency room had the highest percentage (64.9%) of the study sample. There was a significant difference between the scores of the items of fall conse-quences and outcomes regarding to type of ground (soft or hard). There was a significant relationship between injury severity and fall height (p-value = 0.00). Conclusion: Fall-related injuries are the most common cases at emergency departments in Erbil city. Among ages 18 to 36, men are more frequently exposed to falls than women. The highest risk of fall is occupation with construction laborers at the greatest risk. Fall-related injury is a burden on the health care system, particularly on emergency services in developing countries like Iraq in relations cost of care and resources.
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