| Objective:Collect and analyze the present situation,epidemic characteristics,influencing factors and changing trend of the elderly injury surveillance data in three hospitals in A region,and provide scientific and detailed basis for planning the targeted and practical measures,which can prevent and controls injuries.Methods:The research mainly uses the monitoring table survey method and the "National Injury Monitoring Report Card",collects the first confirmed 15404 cases of 60 year-old elder among 3 A region hospitals from 2009 to 2014,including the population distribution(Including sex,age,education level,etc.),the distribution of injury events(including the time and season of the injury,the cause of occurrence,the place of occurrence,the activity and the intention of the injury,etc.),the clinical distribution(including the damage parts,nature,damage severity and injury results,etc.),uses SPSS21.0 statistical software for descriptive statistical analysis,chooses the composition ratio for classification of the description.Results:After analysing 15404 injury cases of A region City,60 years of age(including),there were 7091 cases(46.03%)of male cases,8313 cases(53.97%)of female cases,1:1.17 for men and women,and the female cases were more than the male cases.Among them,the age group of 60-64 years was the most cases of elderly injuries(34.08%),and male cases(52.88%)were more than women cases(47.12%).Among other age groups that over 65 years of age,female cases were more than male cases.The overall situation of elderly injuries was increasing in the period of 2009 to 2014.The incidence of injury in the elderly mainly concentrated in the morning 8 ~ 11(32.61%)and 14 ~ 18 pm(30.13%),the elderly occurred in the season mainly concentrated in 3 to 10 months,that is,spring and summer,and female cases were higher than male cases in every time or month.The reasons of injury in proportion injuries constitute among the top five are: fall injury(50.05%),road traffic injuries(17.93%),blunt injury(14.78%),knife / sharp injuries(10.74%),animal injuries(2.66%).Among them the fall injury topped the list in the past few years,accounting for more than half of the total composition(50.05%),and 4886 cases(58.78%)were female cases and 2823 cases(39.81%)were male cases,and the whole trend was increasing.Among them,there were 4886 cases(58.78%)of women falling,the proportion was higher than men's 2823 cases(39.81%),and there was statistical difference(?2 = 550.516,P <0.01);In 2013,the road traffic injury is slightly lower than the blunt injury,ranking third place,the other five years ranked second.Among them,motor vehicle accidents(95.73%)is much higher than non-motor vehicle accidents(4.27%).Road traffic injuries,the proportion of males(19.01%)was higher than that of females(17.01%),and there was significant difference(?2 = 10.407,P <0.01).The proportion of male blunt injury(19.65%)was higher than that of female(10.63%),and there was significant difference(?2 = 246.652,P <0.01).The proportion of male hurt by knife(14.58%)was higher than that of female(7.47%),and there was significant difference(?2 = 201.822,P <0.01).Animal injury as a whole showed a downward trend.The proportion of male animals was 2.93% higher than that of female(2.42%),and there was significant difference(?2 = 3.933,P <0.05).Elderly injuries occurred mainly inside home(36.60%),road / street(29.56%),public housing(19.03%).When older people were hurt,the event occurred mainly by recreational activity(60.43%),driving vehicles(7.99%),carrying out household / learning(7.76%),working for pay(4.52%),sports activities(1.05%).Intention to harm is mainly unintentional injury(accident),accounting for 91.89%;intentional injury(violence,attack),accounting for 7.19%,self-mutilation / suicide 0.28%.The first three of the unintentional injuries are falls / fall(53.68%),road traffic injuries(19.41%),knife / sharp injuries(11.10%);the first three were intentional injuries are blunt injuries(80.58 %),fall(16.28%),Asphyxia / suspension(9.30%.),Of which,male(65.12%)self-mutilation / suicide is more than women(34.88%).The severity of injury is mainly composed of mild(68.71%)and moderate(29.61%).And(78.43%)of them who are after treatment,and(20.92%)of them are in hospital observation / hospitalization / transfer,(0.13%)died due to injury.Injury nature of the top three is contusion,abrasions(37.78%),fracture(29.38%),sharp injury,bites,open injury(19.78%),injuries are mainly concentrated in the head(27.10%),upper limb(25.72%)and lower limb(24.55%).Conclusion:The number of injuries to the elderly in the 60-year-olds(including)of the three injury monitoring points in A region was increasing from 6 years in 2009 to 2014.Among them,the majority of them are female cases,male and female sex are in ratio of 1:1.17;the age group of 60-64 years was the most cases of elderly injuries(34.08%),and the number of male cases is the highest.The distribution of injury time has some seasonal and time characteristics.A region elderly injury to fall / fall is the most,accounting for more than half of the total composition(50.05%),in it(58.78%)female cases are higher than those of male cases(39.81%),and the fall / fall of 6 years has been the first of old age injury,and the overall trend is rising,the elderly in A region City,this is one of the common serious injuries;The following is road traffic injuries(motor vehicle accidents),accounting for 17.93%,and it is in an upward trend.Intention to harm is mainly unintentional injury(accident),accounting for 91.89%,most of them are falling and traffic injures(73.09%);in intentional injury(violence,attack),mainly are blunt injury(80.58%).Damage mainly occurs at home,road / street,public residence place.The activities of the injury are mainly recreational activities,driving,and doing housework / study.Injuries are mainly for contusion,abrasions;fractures;sharp injuries,bites,open injury,accounting for 86.94%.Injury sites are mainly concentrated in the head,upper and lower limbs,accounting for 77.37%,mainly light and moderate injury.Injury prevention and control work must be to emphasize the human factors and role.To promote the government administrative intervention,to build a comprehensive management of injury prevention and management system;to strengthen the prevention and control of the elderly group of prevention and treatment of education,emphasizing the prevention of awareness and behavior of the elderly prevention awareness;to focus on prevention and response to the elderly fall,to take comprehensive intervention;To strengthen the elderly pension and care,to further develop and improve the elderly pension,social security and other policies and measures;to the characteristics and needs of the elderly to strengthen road construction,traffic control and comprehensive management efforts. |
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