| BackgroundThroughout history, all sorts of injury are threatening human survival and security, varieties injury can be classified by different method, according to the intention, injury can be divided into accident and intentional injury, so accidental injury belongs to one of the injury. Along with our country the rapid development of the society, industry and agriculture, construction, transportation etc, the pace of construction of urban and rural areas was accelerated, rapid economic growth at the same time, the chance of accidental injury also has rise sharply. According to reliable research material, accidental injury is the leading cause of death for children under the age of five in our country. The main accidental death reason of Chinese urban population of men is traffic accident, accidental injury has become one of the important factors that lead to disability and death. Since the 1980s, in more and more developed countries, the accident injury prevention and control work had been incorporated gradually in the national health plan. Accidental injury research has just started in our country, much work was needed to be done. It is worth encouraged that accident injury has been caused more and more attention by the public and the society. The accidental injury prevention and control work was set in the "tenth five-year plan" and disease control work in the future by the ministry of health, therefore, accidental injury related work is a major public health problem.ObjectivesAccidental injury patients in a Third-class Hospital orthopedic department was investigated, and patients with different demographic characteristics, injury time, active with injury, the injured place, injury causes, injury parts and injury degree was analyzed. The patient’s medical insurance and hospitalization expenses information was acquired. The rule of accident injury was found, and countermeasures and suggestions to prevent and avoid the accident injury effectively were provided in the research.Materials and methodsRelated data of total accidental injury inpatients obtained in a city a Third-class Hospital orthopedic at 2014 medical records. The inpatients information was recorded from the hospital records and medical records, mainly including the patient’s name, gender, age, occupation, marital status, place of residence, time, date of admission, hospital days, place were injured, the injured activity state, degree of injury causes, injury parts and injury, medical insurance, hospitalization expenses, etc.The statistical analysis software SPSS 19.0 was applied on the data, and the related database was established. The accident injury to patients’gender, age, marital status, occupation, residence were descriptive analyzed generally. In the overall analysis of the accident happen, then analyzes different demographic characteristics of the injured site, injured activity state, degree of injury causes, injury parts and injury, medical insurance and hospitalization days and hospitalization expenses, then using the chi-square test to verify the count information in groups have statistical significance. Kruskal-Wallis test was used to test measurement data whether or not has statistical significance between the groups, logistic regression analysis was used by multivariate analysis, statistical indicators covering the above indicators. Experimental results was mapped by Origin 8.0 and SPSS 19.0 statistical software.Results(1) In 1060 hospitalized accidental inpatients in department of orthopedics in some third-class hospital, the total proportion of the main accident injury groups of farmers is 33.1%; 63.4% of the accidental injury occurred in the process of labor; the highest frequency injured site is the home, accounting for 47.7%; Machine accident in various reasons is the most important reasons, about 40.5%; hand injuries is the most occurring, reach to 62.4%.(2) In different parts injury,18.4% for isolated injury,17.6% for bone fractures, 16.6% is damage to hurt, muscle injury is 16.3%, the whole body injury about 14.0%.(3) The average hospitalization days is 13.06 days, the longest hospitalization days to 167 days; The average hospitalization cost about 10692.91 yuan, and the highest hospitalization expenses for 654473.40 yuan.Conclusions(1) In department of orthopedics in some third-class hospital, hospitalized accidental inpatients are mainly young adults and middle-aged people, more men than women, more married than unmarried, more in rural than urban, and more farmers than that of the other occupations significantly.(2) The distribution of orthopedic injury inpatients in different seasons is demonstrated on the trend of reduce gradually in the sequence of spring, summer, autumn and winter. In month distribution, the maximum is in May, the minimum is in June, it is stable relatively in the range of 1st～4th months, distribution fluctuations is present in the range of 5th～12th months.(3) Most accidental injury happened when patients laboring, home is the highest accidental injury occur site, on top of the accidental injury reason is machine accidents, The most obvious accidental injury parts are four limbs, more accidental injury lead to isolated injury and fracture injury.(4) The hospitalization days sustained within three weeks mostly, traffic accidents lead to the longest average hospitalized days to patients, the hospitalization days for damage injury, isolated injury and fracture injury patients is significantly longer than patients with other injuries.(5) Injury Severity Score (ISS) is mainly related to the activity status, site of residence, and month distribution by multivariate analysis.Countermeasures and Suggestions(1) More attention should be given to formulate relevant policies and regulations, coordinate the multi-sectoral cooperation by the government.(2) The happening of the accident should be prevented according to different people.(3) The happening of the accident should be prevented for different reasons.(4) The accident harm should be deal with in a timely manner. |
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