Fall-related injuries in a low-income setting: Results from a pilot injury surveillance system in Rawalpindi, Pakistan

被引：3

作者：

Bhatti J.A. ^{[1
,2
,3
]}

Farooq U. ^{[4
]}

Majeed M. ^{[4
]}

Khan J.S. ^{[4
]}

Razzak J.A. ^{[5
]}

Khan M.M. ^{[4
]}

机构：

[1] Sunnybrook Health Sciences Centre Research Institute, Toronto

[2] Department of Surgery, University of Toronto, Toronto

[3] Institute for Clinical Evaluative Sciences, Toronto

[4] Surgical Unit I, Department of Surgery, Holy Family Hospital, Rawalpindi

[5] Department of Emergency Medicine, The Aga Khan University, Karachi

来源：

Journal of Epidemiology and Global Health | 2015年 / 5卷 / 3期

关键词：

Falls; Pakistan; Surveillance;

D O I：

10.1016/j.jegh.2015.01.003

中图分类号：

学科分类号：

摘要：

This study assessed the characteristics and emergency care outcomes of fall-related injuries in Pakistan. This study included all fall-related injury cases presenting to emergency departments (EDs) of the three teaching hospitals in Rawalpindi city from July 2007 to June 2008. Out of 62,530 injury cases, 43.4% (N = 27,109) were due to falls. Children (0-15 years) accounted for about two out of five of all fall-related injuries. Compared with women aged 16-45 years, more men of the same age group presented with fall-related injuries (50% vs. 42%); however, compared with men aged 45 years or more, about twice as many women of the same age group presented with fall-related injuries (16% vs. 9%, P< 0.001). For each reported death due to falls (n = 57), 43 more were admitted (n = 2443, 9%), and another 423 were discharged from the EDs (n = 24,142, 91%). Factors associated with death or inpatient admission were: aged 0-15 years (adjusted odds ratio [aOR] = 1.35), aged 45 years or more (aOR = 1.94), male gender (aOR = 1.15), falls occurring at home (aOR = 3.38), in markets (aOR = 1.43), on work sites (aOR = 4.80), and during playing activities (aOR = 1.68). This ED-based surveillance study indicated that fall prevention interventions in Pakistan should target children, older adult women, homes, and work sites. © 2015 Ministry of Health, Saudi Arabia.

引用

页码：283 / 290

页数：7

共 47 条

[1]

Peden M., McGee K., Sharma G., The injury chart book: a graphical overview of the global burden of injuries, (2002)

[2]

World report on child injury prevention, (2008)

[3]

Murray C.J.L., Lopez A.D., Mathers C.D., Stein C., The Global Burden of Disease 2000 project: aims, methods and data sources, (2001)

[4]

Lozano R., Naghavi M., Foreman K., Lim S., Shibuya K., Aboyans V., Et al., Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010, Lancet, 380, 9859, pp. 2095-2128, (2012)

[5]

Mathers C., Boerma T., Ma Fat D., The Global Burden of Disease 2004 update, (2008)

[6]

Injury research agenda: preventing injuries at home and in the community, (2002)

[7]

Lallier M., Bouchard S., St-Vil D., Dupont J., Tucci M., Falls from heights among children: a retrospective review, J Pediatr Surg, 34, 7, pp. 1060-1063, (1999)

[8]

Norton R., Hyder A.A., Bishai D., Peden M., Unintentional Injuries, Disease and mortality in sub-saharan Africa, (2006)

[9]

Rosenstock L., Cullen M., Fingerhut M., Occupational health, Disease and mortality in sub-saharan Africa, (2006)

[10]

Stevens J.A., Corso P.S., Finkelstein E.A., Miller T.R., The costs of fatal and non-fatal falls among older adults, Inj Prev, 12, 5, pp. 290-295, (2006)

← 1 2 3 4 5 →