卢旺达基加利急诊患者受伤特征、治疗和结果的性别比较分析

Lise Mumporeze, Chantal Uwamahoro, D. Uwamahoro, Aly Beeman, Destry Jensen, O. Y. Tang, Enyonam Odoom, S. Jarmale, S. Garbern, Catalina González Marqués, Andrew Stephen, A. Aluisio
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摘要

在高收入国家,性别与伤害特征有关。这项研究评估了卢旺达基加利大学医院中心基于性别的伤害流行病学和护理。2020 年 1 月 27 日至 6 月 28 日期间,急诊科对急性损伤患者进行了前瞻性登记,并对男性和女性进行了描述性统计和比较。在601名患者中,25.6%为女性,74.4%为男性。在受伤机制上存在性别差异,女性更容易在跌倒中受伤(43.5% 对 23.0%,p = 0.001);同时,男性更容易在道路交通事故中受伤(52.6% 对 39.6%,p = 0.006)。根据坎帕拉创伤评分的平均值(14.4 对 14.7,p = 0.09),两性受伤的严重程度相似。女性更有可能被院前服务转运(87.7% 对 72.9%,p = 0.001),而且在最初六小时内接受急性治疗的可能性较小(67.5% 对 78.1%,p = 0.009)。女性和男性的死亡率没有明显差异(2.0% 对 1.3%,p = 0.568)。这项研究强调了卢旺达男性和女性在流行病学和急诊伤害护理方面的差异。这些发现可为今后以性别为中心的医疗服务研究和发展提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comparative Gender Analysis of Injury Characteristics, Treatments and Outcomes among Persons Seeking Emergency Care in Kigali, Rwanda
In high-income nations, gender has been associated with injury characteristics. This study evaluated injury epidemiology and care based on gender at the Centre Hospitalier Universitaire de Kigali in Rwanda. Patients presenting to the emergency department with acute injuries were prospectively enrolled from 27 January–28 June 2020, and descriptive statistics were performed with comparisons between males and females. Of 601 patients, 25.6% were female and 74.4% were male. There were gender differences in the mechanism of injury, with females more likely to be injured in falls (43.5% versus 23.0%, p = 0.001); meanwhile, males were more likely to suffer road traffic accidents (52.6% versus 39.6%, p = 0.006). The severity of injury was similar between genders based on the mean Kampala Trauma Score (14.4 versus 14.7, p = 0.09). Females were more likely to have been transported by prehospital services (87.7% versus 72.9%, p = 0.001), and less likely to receive acute treatment during the first six hours of care (67.5% versus 78.1%, p = 0.009). There was no significant difference in mortality between females and males (2.0% versus 1.3%, p = 0.568). This study highlights differences in the epidemiology and care between males and females presenting for emergency injury care in Rwanda. These findings can inform future research and developments in gender-centered healthcare delivery.
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