Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 21
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
PLoS One ; 15(1): e0227073, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31917792

RESUMO

OBJECTIVE: Cognitive impairment is common among hemodialysis patient, but still lack adequate screening in clinical settings. The Montreal Cognitive Assessment (MoCA) is reportedly to be a sensitive screening tool for cognitive impairment, but its clinical value in patients undergoing hemodialysis is not well established. We aimed to validate the utility of the Beijing version of the MoCA (MoCA-BJ) for detecting cognitive impairment in comparison to a detailed neuropsychological battery as the gold standard. METHODS: We assessed 613 patients undergoing hemodialysis using the MoCA-BJ, the Mini-Mental State Examination (MMSE), and a comprehensive neuropsychological battery. Cognitive dysfunction was defined by the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Spearman's correlation and linear regression were used to estimate the performance of the MoCA-BJ and MMSE in predicting cognitive impairment. A receiver operating characteristic (ROC) curve analysis was used to evaluate the utility of various cutoffs of the MoCA-BJ and MMSE for predicting cognitive impairment. RESULTS: Cognitive impairment was diagnosed in 80.91% (496/613), 75.69% (464/613), and 61.34% (376 /613) of the patients using the DSM-V, MoCA-BJ, and MMSE, respectively. Spearman's rank correlation analysis indicated that the MoCA-BJ was significantly correlated with the neuropsychological battery (rs = 0.639, p<0.001), whereas the MMSE had a weaker correlation with the battery. The area under the ROC curve for cognitive impairment diagnosis using the MoCA-BJ was 0.891 (95% confidence interval: 0.859-0.924) while using the MMSE was 0.823 (95% confidence interval: 0.786-0.860). The optimal MoCA-BJ cutoff score in discriminating patients with and without cognitive impairment was 24 points with a sensitivity of 0.877 and specificity of 0.752. CONCLUSION: The MoCA-BJ offers good sensitivity and specificity levels in detecting cognitive impairment in hemodialysis patients. These findings support the utility of the MoCA-BJ as a screening tool for cognitive impairment in Chinese patients undergoing hemodialysis.

2.
Environ Health ; 18(1): 98, 2019 11 20.
Artigo em Inglês | MEDLINE | ID: mdl-31771610

RESUMO

BACKGROUND: Very few studies have focused on the relationship between ambient apparent temperature (AT) and admission of mental and behaviour disorders (MDs). Therefore, a time-series study was conducted in Yancheng, China, to explore the effects of AT on the daily emergency admissions of patients with MDs over the period of 2014-17. METHODS: A quasi-Poisson generalized linear model (GLM) combined with a distributed lag non-linear model (DLNM) was adopted to explore the associations after adjusting for time trend, day of the week, humidity, sunshine duration, rainfall, holidays and air pollutants. In the subgroup analysis, the modification effects of age and sex were also examined. RESULTS: Overall, 8438 cases of MDs emergency admissions were identified. With the apparent temperature with the minimum number of admissions (- 3.4 °C) serving as a reference, a positive correlation emerged between high AT and daily emergency admissions of patients with MDs in Yancheng, China, with the lagged effect of 1 to 5 days. The subgroup analysis demonstrated a positive relationship between AT and MDs emergency admissions among males and individuals younger than 45 years old, with no lagged effect. CONCLUSIONS: The results will provide important scientific evidence for mental health policy-makers and practitioners for possible intervention, especially among the vulnerable populations.

3.
Sci Total Environ ; 685: 1030-1041, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31390694

RESUMO

PURPOSE: The association between meteorological variables and risk of fractures has attracted increasing attentions but remain controversial. Therefore, our main aim is to clarify the association, and also to identify possible susceptible groups. METHODS: Relevant literature was obtained through standard MeSH literature searching seven electronic databases. Because some studies expressed the association as the rate of incidence (IRR) of fractures associated with each 1 °C rise in temperature and 1% increase in relative humidity (RH), some expressed as IRR of fractures for the day with specific climatic variable versus control days, and also the association was expressed as correlations coefficients (COR) in some studies, separated meta-analyses were undertaken, with one based on IRR and another based on COR. RESULTS: A total of 24 studies were included. Results showed that each 1 °C increase was significantly associated with a 3.0% decrease in fracture risk (IRR = 0.970, 95%CI: 0.952-0.988). The day with freezing rain and snow were associated with increased risk for both the lower extremity fracture (freezing rain: IRR = 1.174, 95%CI: 1.022-1.348; snow: IRR = 1.245, 95%CI: 1.050-1.477) and the upper extremity fracture (freezing rain: IRR = 1.376, 95%CI: 1.192-1.588; snow: IRR = 1.548, 95%CI: 1.361-1.761). No significant association was detected between RH, dew, frost, fog, storm and high wind, and fracture. The COR meta-analysis showed that mean temperature (moderately), maximum temperature (moderately), rainfall (weakly) and sunlight duration (weakly) were correlated with fracture occurrence. CONCLUSION: The incidence of fractures was increased in lower temperature, the day with freezing rain, and snow. Other meteorological factors may have some effects on the incidence of fracture. The association maybe stronger for males, lower extremity fracture, and people living in Asia, subtropical zone, low-latitude, and northern hemisphere. Further studies are needed.


Assuntos
Exposição Ambiental/estatística & dados numéricos , Fraturas Ósseas/epidemiologia , Conceitos Meteorológicos , Humanos
4.
Chin J Cancer Res ; 31(3): 489-498, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31354218

RESUMO

Objective: Our goal is to analyze the trend of colorectal cancer (CRC) regarding the death, incidence and prevalence rates over time, and to provide epidemiological knowledge basis for health policy revision by comparing data about fatal outcomes of CRC in 2017 to those data in 1990, which was extracted from the Global Burden of Disease (GBD). Methods: The time trend and changes of CRC burden from 1990 to 2017 were measured by using the methods and results from the Institute for Health Metrics and Evaluation (IHME) GBD 2017, based on the rates of death, incidence and prevalence. Results: The death rate of CRC is 13.24/100,000, accounting for 1.79% of total deaths in China in 2017. In 1990, CRC ranked 21st in all causes of death in China compared to its 11th ranking in 2017. The death, incidence and prevalence rate of CRC were standardized by the age scale of the global population in 2010, the change of standardized death rate of CRC was not significant, from 9.33/100,000 in 1990 to 10.10/100,000 in 2017. The standardized incidence rate of CRC significantly increased from 12.18/100,000 in 1990 to 22.42/100,000 in 2017. The standardized prevalence rate of CRC significantly increased from 44.55/100,000 in 1990 to 118.40/100,000 in 2017. The trend of the prevalence rate in both genders grow higher in 2017 compared to the 1990, resulting in 141.6%, 209.8% and 189.0% for the studied three age groups (15-49, 50-69 and 70+ years old), respectively. The death rate increased in the age groups of 50-69 and 70+ years in both genders (8.6% and 31.0% respectively), in contrast to a decrease of death rate in the age group of 15-49 years old (-10.8%). Conclusions: China experienced a stunning increase in terms of incidence and prevalence rate of CRC from 1990 to 2017. To decrease the burden of CRC, prevention and management of known risk factors should be promoted through national polices.

5.
Inj Prev ; 25(1): 67-73, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30670561

RESUMO

OBJECTIVES: To describe the prevalence status of violence and its prevention in China, and to provide reference for the development of strategies regarding violence prevention. METHODS: Violence mortality data between 2006 and 2015 were obtained from the national disease/death surveillance data set in 2006-2015. Data on violence-related medical cases were collected from the 2015 National Injury Surveillance System. The laws and policies about violence prevention and violence prevention programmes in China were described. RESULTS: Violence mortality declined by 57.02% during 2006-2015 from 1.21/100 000 to 0.52/100 000. Violent death rate in males peaked in the age group 25-29 years (1.05/100 000) and it was low in the age group <15 years. Female violence mortality rate peaked during infancy (0.54/100 000), aged 25-29 (0.53/100 000) and age above 85 (0.98/100 000). The laws and policies about violence prevention were more perfect, while most prevention programmes were limited in scale and duration. CONCLUSIONS: The mortality of violence declined in China during 2006-2015. It is necessary to conduct gender-specific prevention strategies and improve the data collection and prevention service.


Assuntos
Promoção da Saúde/organização & administração , Homicídio/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Violência/estatística & dados numéricos , Ferimentos e Lesões/mortalidade , Adolescente , Adulto , Distribuição por Idade , Causas de Morte , Criança , Pré-Escolar , China/epidemiologia , Feminino , Inquéritos Epidemiológicos , Homicídio/prevenção & controle , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Vigilância da População , Prevalência , Distribuição por Sexo , Suicídio/prevenção & controle , Violência/prevenção & controle , Ferimentos e Lesões/prevenção & controle , Adulto Jovem
6.
Int J Cardiol ; 277: 125-129, 2019 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-30473335

RESUMO

OBJECTIVES: To compare clinical epidemiological features of atrial fibrillation (AF) in chronic kidney disease (CKD) and non-CKD populations. METHODS: This study included 88,312 adults aged ≥45 years old from the KAILUAN study. AF was ascertained with a 12-lead electrocardiogram. CKD was defined as an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2 and/or proteinuria. Participants were categorized into non-CKD (eGFR > 60 mL/min/1.73 m2 without proteinuria, n = 66,725) and CKD (n = 21,578) groups. We evaluated the prevalence of AF in both groups, evaluated risk factors for AF using multivariable-adjusted logistic regression analysis. RESULTS: The prevalence of AF among non-CKD and CKD participants was 0.26% and 1.00%, respectively. Multivariable-adjusted analysis showed that older age (odds ratio [OR]: 1.08, 95% confidence interval [CI]: 1.07-1.10, P < 0.001), smoking (OR: 1.23, 95% CI: 1.07-1.57, P = 0.017), hypertension (OR: 2.14, 95% CI: 1.44-3.17, P < 0.001), diabetes (OR: 1.79, 95% CI: 1.10-2.89, P < 0.001), and larger waist circumference (OR: 1.03, 95% CI: 1.01-1.04, P < 0.001) were significantly associated with AF in the non-CKD group. In the CKD group, older age, smoking, larger waist circumference, reduced eGFR (OR: 0.97, 95% CI: 0.95-0.99, P < 0.001), proteinuria (OR: 2.01, 95% CI: 1.09-3.74, P < 0.001) and raised serum C-reactive protein (1.01, 1.00-1.03, P < 0.001) were significantly associated with AF. CONCLUSIONS: The prevalence of AF in Chinese adults with CKD is higher than that among those without CKD. Risk factors for AF in non-CKD population were not the same compared with those in CKD population, kidney function and inflammatory markers were associated with the prevalence of AF.


Assuntos
Fibrilação Atrial/diagnóstico , Fibrilação Atrial/epidemiologia , Taxa de Filtração Glomerular/fisiologia , Vigilância da População , Insuficiência Renal Crônica/diagnóstico , Insuficiência Renal Crônica/epidemiologia , Idoso , Fibrilação Atrial/fisiopatologia , China/epidemiologia , Estudos Transversais , Eletrocardiografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Sistema de Registros , Insuficiência Renal Crônica/fisiopatologia , Fatores de Risco
7.
J Am Heart Assoc ; 7(21): e010596, 2018 11 06.
Artigo em Inglês | MEDLINE | ID: mdl-30608199

RESUMO

Background Current evaluation about the relationship of sequential change in estimated glomerular filtration rate ( eGFR ) and clinical outcomes are still inconsistent. We aimed to investigate the association between the change in kidney function over time and the risk of all-cause mortality and cardiovascular disease. Methods and Results This prospective cohort including 37 691 participants aged ≥45 years used data from the Kailuan Health Registry. The relationship of the annual percentage and absolute change in eGFR and outcomes were analyzed with Cox proportional regression. The participants were stratified according to the quintiles distribution of the percentage annual change in eGFR (Q1-Q5). After adjusting for baseline covariates including initial eGFR , participants with annual eGFR decline were at significantly greater risk for all-cause mortality (Q1: hazard ratio, 1.22 [95% confidence interval, 1.04-1.43]; Q2: 1.19 [1.01-1.40]) than noted for patients in Q3. Cardiovascular disease risk was also significantly higher in participants with annual eGFR decline (Q1 and Q2). No significantly increased risk of adverse outcomes was noted for patients with annual eGFR increased groups (Q4 and Q5). When considering the absolute eGFR annual change rate (no/mild/rapid decline), we obtained similar results in chronic kidney disease participants, whereas non-chronic kidney disease participants had less pronounced association of eGFR decline with cardiovascular disease, though not with mortality. Conclusions A decline in eGFR over time is associated with higher risk for all-cause mortality and cardiovascular disease independent of initial eGFR and other known risk factors at baseline. Our data support the serial evaluation of change in kidney function as a better prognostic indicator than single eGFR assessments.


Assuntos
Doenças Cardiovasculares/mortalidade , Doenças Cardiovasculares/fisiopatologia , Nefropatias/mortalidade , Nefropatias/fisiopatologia , Rim/fisiopatologia , Idoso , Idoso de 80 Anos ou mais , Doenças Cardiovasculares/complicações , Causas de Morte , China , Feminino , Taxa de Filtração Glomerular , Humanos , Nefropatias/complicações , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Sistema de Registros
8.
Anticancer Res ; 37(8): 4671-4679, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28739770

RESUMO

BACKGROUND/AIM: Although the advent of Helicobacter pylori eradication and global societal changes are widely assumed to impact on gastric cancer (GC)-related mortality, there is remarkable little quantitative and qualitative insight into the nature of its effects. Here, we exploited a nationwide reporting system to investigate the epidemiological features of GC-related mortality in China between 2006 and 2013. PATIENTS AND METHODS: GC mortality data between 2006 and 2013 were obtained from the National Disease Surveillance System published by the China Center for Disease Control and Prevention (CDC). RESULTS: GC mortality increased by 8.2% (from 18.87/100,000 to 20.41/100,000), while GC mortality standardized by the age scale of the population in 2010 decreased by 17.8% (from 21.87/100,000 to 17.98/100,000). Standardized GC mortality in males (25.66/100,000 to 33.89/100,000) was higher compared to females (10.72/100,000 to 14.79/100,000), while standardized GC mortality in rural areas (19.17/100,000 to 26.46/100,000) was higher than in urban areas (15.48/100,000 to 20.04/100,000). Both crude and standardized rates in the 0- to 29-year-old group increased by 22.3% and 16.2%, respectively; while these rates declined in the 30- to 59-year-old group and over 60-year-old group. The proportion of GC deaths that accounts for all cancer deaths declined from 15.99% (2006) to 13.6% (2013); however, the proportion in the 0- to 29-year-old group revealed an increasing trend from 2006 (3.20%) to 2013 (3.87%). CONCLUSION: Our results reveal a remarkable increase in GC-related mortality in subjects under the age of 30 calling for further measures to prevent the increase in the incidence of GC in young patients.


Assuntos
Vigilância da População , Neoplasias Gástricas/mortalidade , Fatores Etários , China/epidemiologia , Feminino , Humanos , Incidência , Masculino , Sistema de Registros , Fatores de Risco , População Rural , Fatores Sexuais , População Urbana
9.
Health Qual Life Outcomes ; 15(1): 72, 2017 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-28410593

RESUMO

BACKGROUND: There is growing interest in health related quality of life (HRQoL) as an outcome measure in international trials. However, there might be differences in the conceptualization of HRQoL across different socio-cultural groups. The objectives of current study were: (I) to compare HRQoL, measured with the short form (SF)-36 of Dutch and Chinese traumatic brain injury (TBI) patients 1 year after injury and; (II) to assess whether differences in SF-36 profiles could be explained by cultural differences in HRQoL conceptualization. TBI patients are of particular interest because this is an important cause of diverse impairments and disabilities in functional, physical, emotional, cognitive, and social domains that may drastically reduce HRQoL. METHODS: A prospective cohort study on adult TBI patients in the Netherlands (RUBICS) and a retrospective cohort study in China were used to compare HRQoL 1 year post-injury. Differences on subscales were assessed with the Mann-Whitney U-test. The internal consistency, interscale correlations, item-internal consistency and item-discriminate validity of Dutch and Chinese SF-36 profiles were examined. Confirmatory factor analysis was performed to assess whether Dutch and Chinese data fitted the SF-36 two factor-model (physical and mental construct). RESULTS: Four hundred forty seven Dutch and 173 Chinese TBI patients were included. Dutch patients obtained significantly higher scores on role limitations due to emotional problems (p < .001) and general health (p < .001), while Chinese patients obtained significantly higher scores on physical functioning (p < .001) and bodily pain (p = .001). Scores on these subscales were not explained by cultural differences in conceptualization, since item- and scale statistics were all sufficient. However, differences among Dutch and Chinese patients were found in the conceptualization of the domains vitality, mental health and social functioning. CONCLUSIONS: One year after TBI, Dutch and Chinese patients reported a different pattern of HRQoL. Further, there might be cultural differences in the conceptualization of some of the SF-36 subscales, which has implications for outcome evaluation in multi-national trials.


Assuntos
Lesões Encefálicas Traumáticas/psicologia , Características Culturais , Pessoas com Deficiência/psicologia , Qualidade de Vida/psicologia , Adulto , Idoso , Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos , Lesões Encefálicas Traumáticas/epidemiologia , China/epidemiologia , Pessoas com Deficiência/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Estudos Retrospectivos , Fatores Socioeconômicos , Inquéritos e Questionários
10.
Zhonghua Liu Xing Bing Xue Za Zhi ; 37(4): 527-30, 2016 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-27087219

RESUMO

OBJECTIVE: To understand the epidemiological characteristics of head injuries in children. METHODS: Data was derived from the Chinese National Injury Surveillance System (NISS) in 2014. Method on descriptive analysis was applied to depict general information, injuries events and clinical characteristics of head injuries among children under 18 years of age. RESULTS: A total number of 47 690 cases with child head injuries in 2014 were collected, including 32 542 males and 15 148 females. 43.47% of them were under 1-4 years of age. In October, 06:00 PM appeared the peak time for the injuries to happen. The three leading causes responsible for child head injuries were falls (69.57%), hit by blunt force (14.23%) or road traffic (11.01%). Main locations responsible for the head injuries to happen were:at home (44.98%), at public places (19.65%) or on roads/streets (15.81%). Recreation activates (77.88%), driving (7.32%), sports (5.72%) were the three major activities causing the injuries to take place. Majority of the cases happened unintentionally (95.35%), with bruise (71.69%) or mild injuries (85.27%) and went back home after treatment (90.25%). CONCLUSIONS: In 2014, child head injuries were seen more in males than in females and mostly occured at home. The leading causes for head injuries would include falls, hit by blunt stuff or road traffic .


Assuntos
Acidentes por Quedas , Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos , Traumatismos Craniocerebrais/epidemiologia , Vigilância da População , Ferimentos e Lesões/epidemiologia , Acidentes por Quedas/estatística & dados numéricos , Acidentes de Trânsito/estatística & dados numéricos , Condução de Veículo , Criança , China/epidemiologia , Meio Ambiente , Feminino , Humanos , Masculino , Recreação , Esportes , Transportes
11.
Zhonghua Liu Xing Bing Xue Za Zhi ; 37(1): 5-9, 2016 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-26822635

RESUMO

OBJECTIVE: To understand the incidence of violence injury and its prevention in China, and provide reference for the prevention and control of violence injury. METHODS: The violence injury data in China were collected from national death surveillance data set (2006-2013) and national injury surveillance system (2013) for the descriptive epidemiological analysis on the incidence of violence injury and related death. The laws and policies about violence injury prevention, related data collection capacity and violence injury prevention programs in China were described. RESULTS: The violence injury mortality declined by 46.3% during 2006-2013 from 1.21/100000 to 0.65/100000. The incidence of violence injury death in males peaked in age group 30-34 years (1.42/100000), and it was low in age group<15 years. Three peaks of violence injury death were found in females, i.e. 0.84/100000 in infants, 0.72/100000 in age group 30-34 years and 1.18/100000 in age group≥85 years. The laws and policies about violence injury prevention were imperfect, and the data about violence injury were limited. Most prevention programs were limited in scale and duration. CONCLUSIONS: The crude and standardized violence injury mortality declined in China during 2006-2013. It is necessary to conduct gender specific prevention strategies and improve the related law and policy development, data collection and prevention service.


Assuntos
Violência/prevenção & controle , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , China , Coleta de Dados , Feminino , Humanos , Incidência , Lactente , Masculino , Pessoa de Meia-Idade , Ferimentos e Lesões/prevenção & controle , Adulto Jovem
12.
Zhonghua Liu Xing Bing Xue Za Zhi ; 37(1): 16-23, 2016 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-26822637

RESUMO

OBJECTIVE: To understand the epidemiological characteristics of product harm cases in 32 hospitals in 11 areas in China from 2012 to 2014 and provide the basic data to support for product-specific survey, product harm early warning and the assessment of product safety. METHODS: The descriptive epidemiologic analysis was conducted by using the surveillance data of product harm collected from 32 hospitals in 11 areas in China during 2012-2014. RESULTS: A total of 208 784 product harm cases were reported in the 32 hospitals during 2012-2014, accounting for 19.50% of total harm cases during the same period. A total of 222 401 cases (times) of product harm were reported. For all the product harms, the top five products causing harms were transportation equipment except motor vehicle (36.55%), motor vehicle (21.50%), other products (20.84%), furniture (7.21%) and food, medicine and related products (5.18%). Both the case number and times of product harm were higher in males than in females. Males aged 25-44 years might be at greater risk for product harm. Most product harms, i.e. bruise, were caused by blunt force on heads. CONCLUSIONS: The epidemiologic characteristics of product harm varied with products. It is necessary to take targeted intervention measures to prevent product harm.


Assuntos
Qualidade de Produtos para o Consumidor , Monitoramento Epidemiológico , China , Feminino , Hospitais , Humanos , Masculino , Inquéritos e Questionários
13.
Zhonghua Liu Xing Bing Xue Za Zhi ; 37(1): 24-8, 2016 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-26822638

RESUMO

OBJECTIVE: To understand the epidemiologic characteristics of fall in people aged ≥60 years in China and provide evidence for the development of prevention and control measures of fall in old population. METHODS: Data of fall in people aged ≥60 years in China in 2014 were collected from National Injury Surveillance System (NISS) for the descriptive epidemiologic analysis. RESULTS: A total of 41,073 fall cases were reported in people aged ≥60 years in 2014, accounting for 52.81% of total unintentional injuries in this population. The fall to unintentional injury ratio was higher in older age group. The gender ratio of fall cases was 0.77 and the proportion of females increased with age. Fall mainly occurred during 8:00-11:59 in the morning (33.31%). The top three places where fall might occur were home (55.66%), public residential places (20.52%) and roads (11.64%). Recreational activity (68.94%) and housework/study (16.14%) were the major causes for fall. The common injury sites were low limbs (29.28%), head (24.40%) and body (20.04%), while the common injuries caused by fall were bruise (45.76%) and fractures (29.52%), spain/strain (13.28%). The fall injuries were mainly mild (64.20%), while more moderate and serious fall injuries occurred in older age group. CONCLUSION: Fall is the major cause of injury in old population in China, and the proportion of fall in unintentional injury in this population increased with age, indicating that the prevention of fall in old population should be strengthened.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , China , Meio Ambiente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recreação , Características de Residência
14.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(3): 259-64, 2015 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-25975405

RESUMO

OBJECTIVE: To describe the distribution characteristics of outpatient/emergency cases of non-motor road traffic injuries in China from 2006-2013. METHODS: Cases of non-motor road traffic injuries were descriptively analyzed based on their data at the sentinel hospitals of the Chinese National Injury Surveillance System (NISS) from 2006 to 2013. RESULTS: The proportion of non-motor road traffic injuries among the total road traffic injuries of the year from 2006 to 2011 was relatively stable, and the proportion in 2013 was higher than 2012 (χ² = 508.138, P < 0.001). In the non-motor road traffic injuries cases in 2013, male cases were higher than females (χ² = 41.018, P < 0.001), mostly found in 15 to 64 years old age groups. In urban areas, the proportion of non-motor road traffic injuries cases (52.11%) was higher than rural areas (47.89%) (χ² = 88.427, P < 0.001). Most injuries were found in lower limbs (29.08%) and head (24.82%). Injuries were mainly bruises (73.54%) and fractures (10.72%). The severities of injuries were mainly mitigated injury (80.49%), and most injuries ended with home return following treatment (82.34%). CONCLUSION: The proportion of non-motor road traffic injuries among total road traffic injuries of the year as found from NISS remained stable from 2006 to 2011, with a slight rise in 2012-2013. Most of the non-motor road traffic injuries were suffered by young and middle aged men. Interventions should be made based on gender and age differences of non-motor road traffic injuries cases.


Assuntos
Acidentes de Trânsito , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , China/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(4): 354-9, 2015 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-25975549

RESUMO

OBJECTIVE: To understand the trend and characteristics of sports and recreation related injuries reported from National Injury Surveillance System (NISS) to provide basis for corresponding prevention strategies and decision-making. METHODS: Descriptive analysis was applied to display the overall trend, general information, injury event and clinical characteristics of sports and recreation related injuries from 2009 to 2013. RESULTS: The proportion of sports and recreation related injuries among all injuries increased from 2009 to 2013, with an annual increase exceeding 45% (46.21%, 47.32%, 48.14%, 52.00%, 53.65%, respectively). Sports and recreation related injuries mainly involved males, with 15-29 age groups, particularly in summer and autumn. Sports and recreation related injuries mostly occurred at home, with annual rates of proportion as 33.07%, 34.16%, 32.98%, 34.57 and 36.22%, mostly caused by falls (41.19%, 41.64%, 44.70%, 47.41%, 47.96%). Contusion and abrasion were the leading types of injuries (43.49%, 44.56%, 45.14%, 45.02%, 45.62%) with the serious leading types as fracture, concussion/cerebral contusion or laceration, and sharp force injury/bite/open wounds. Head was the part mainly involved (31.30%, 32.48%, 31.89%, 30.88%, 29.44%) in injuries. Most sports and recreation related injuries were minor and most of the patients headed home after treatment. CONCLUSION: Sports and recreation related injury appeared a growing public health problem in China. Children and the elderly should be the target groups for intervention. Falls prevention in sports and the use of protection gears should be the focus countermeasures for prevention.


Assuntos
Traumatismos em Atletas/epidemiologia , Vigilância da População , Recreação , Ferimentos e Lesões/epidemiologia , Adolescente , Adulto , Lesões Encefálicas/epidemiologia , China/epidemiologia , Feminino , Humanos , Masculino , Adulto Jovem
16.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(4): 360-3, 2015 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-25975550

RESUMO

OBJECTIVE: To understand the epidemiological characteristics of head injuries through data from the Chinese National Injury Surveillance System (NISS). METHODS: Descriptive analysis was applied to display the overall trend of head injuries in 2013 in NISS and to depict general information, events and clinical characteristics of head injuries with SPSS 19.0 software. RESULTS: In 2013, 195 189 cases of head injuries were collected, males were twice higher than females, with 25.19% of them under 30-44 years of age. The three leading causes responsible for head injuries were falls (42.17%), blunt force injuries (27.46%) and road traffic injury (23.33%). Main locations causing head injuries were in road/street (31.41%), at home (25.02%) and public places (17.17%). Recreation activates (54.22%), driving (19.73%), paid work (12.95%) were the three major activities when injuries took place. Majority of the cases belonged to unintentional (86.79%) with bruise injuries (65.18%). Those mild injuries (78.87%) were treated and discharged (82.02%). CONCLUSION: In 2013, head injuries were seen more in males than in females, mostly involved in labor force population on head injuries. The leading causes for head injuries were falls, blunt injuries and road traffic.


Assuntos
Traumatismos Craniocerebrais/epidemiologia , Vigilância da População , Acidentes por Quedas/estatística & dados numéricos , Acidentes de Trânsito/estatística & dados numéricos , Adulto , Condução de Veículo , China/epidemiologia , Emprego , Meio Ambiente , Feminino , Humanos , Masculino , Software , Ferimentos não Penetrantes/epidemiologia
17.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(1): 3-6, 2015 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-25876855

RESUMO

OBJECTIVE: To understand the characteristics of victims under violence that were enrolled from clinic and emergency room of the hospitals, to provide basis for the development of violence prevention strategies. METHODS: Data from the National Injury Surveillance Program between 2006 and 2013 were used to analyze: 1) trend of violence proportion in injuries, 2) socio-demographic characteristics of the cases, 3)basic and clinic information on related violence. RESULTS: The proportion of victims of violence decreased during the past 8 years. The number of violence related cases in 2013 was 50 333, including 36 049 males and 14 284 females. Most cases had educational levels as junior (41.2%) or senior high schools (27.3%). 24.0% of the violence occurred between 22:00 PM and 02:59 AM. The proportions of domestic violence were 30.2% in the 0-4 age group and 28.5% in the 65- age group, both were higher than in the other age groups. CONCLUSION: Interventions on violence including children abuse and elderly abuse should be paid attention to.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Violência/estatística & dados numéricos , Adolescente , Adulto , Idoso , Criança , China/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vigilância da População , Transtornos Relacionados ao Uso de Substâncias
18.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(1): 7-11, 2015 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-25876856

RESUMO

OBJECTIVE: To understand the trend and current characteristics of children engaged in road traffic injury. Data was from the Nation Injury Surveillance System (NISS) and the results of the study would provide basis for corresponding intervention strategies and decision-making. METHODS: Descriptive analysis was applied to display the trend of child road traffic injury from 2006 and 2013 and also to depict the general information, injuries event and clinical characteristics of child road traffic injuries in 2013. RESULTS: The number of child road traffic injuries increased from 2006 to 2013 and ranking the second cause of child unintentional injuries during these years. However, the proportion of child road traffic injuries among child unintentional injuries decreased in the same period. In 2013, sex ratio appeared as 1.82, with 17- year-old age group accounting for 10.86% . Injuries caused by motor traffic vehicles accounted for 66.44% , with July/August, weekends and 17-18 PM as the peak period or time. Transportation related injuries accounted for 65.42% , with 73.53% as bruise. 33.81% of the injury involved in the head but 76.42% of injuries were minor, while 74.86% went home after the treatment. CONCLUSION: Child road traffic injury should not be ignored. Age and sex differences should be taken into account when carrying out education programs on child road traffic safety. Male students at senior high school or preschool were target groups when carrying out child road traffic injury intervention programs.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Acidentes de Trânsito/prevenção & controle , Adolescente , Criança , China/epidemiologia , Humanos , Masculino , Veículos Automotores , Instituições Acadêmicas , Caracteres Sexuais , Estudantes , Transportes , Ferimentos e Lesões/prevenção & controle
19.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(1): 12-6, 2015 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-25876857

RESUMO

OBJECTIVE: To analyze the trend and distribution of Falls, using the data from National Injury Surveillance System (NISS), 2008-2013, to provide basic information for Fall prevention. METHODS: Data of Falls was descriptively analyzed from the Chinese NISS from 2008 to 2013. RESULTS: In total, 1 223 905 cases of Falls were analyzed, that accounted for 32.94% of all the injury cases, with the gender ratio as 1.57. Both the number and the proportion of the cases showed an increasing trend. Labor population (15-64 years-old) accounted for 66.63% of the total 271 502 cases of Falls in 2013. Cases aged 0-4, 5-14 and over 65 accounted for 55.53%, 52.93% and 56.59% among all the types of injuries in each of their age group. Gender ratio appeared to be 1.54 but more females cases were seen with the increase of age. The peak hours that injuries took place were 10:00-10:59 AM (10.04% of total) and 14:00-20:59 PM (43.56% of total). The top three places that injuries took place were home (33.03%), public residents (22.79%) and on the roads (15.49%). Recreation activates (65.38%), paid jobs (13.01%) and housework (7.52%) were the three major ways causing the Falls to take place. The most common parts of body that injuries involved were head (30.41%), low limbs (27.43%) and upper limbs (21.93%), with bruise (54.60%), sprain/strain (16.87%), fractures (15.48%) most commonly seen. 77.76% of the cases were minor but the proportion of moderate and serious injuries increased along with the increase of age. CONCLUSION: Fall was the main type of injury in this country, showing an increasing trend of proportion among all the types of injuries. Though labor-related Falls accounted for the biggest proportion, prevention programs targeting the elderly and children should also be prioritized.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Acidentes por Quedas/prevenção & controle , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade
20.
Zhonghua Liu Xing Bing Xue Za Zhi ; 36(1): 17-9, 2015 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-25876858

RESUMO

OBJECTIVE: To understand the characteristics of self-inflicted injury/suicide cases that were seen from the clinic or the emergency rooms, to provide basis for suicide prevention strategies development. METHODS: Data from the National Injury Surveillance System, from 2006 to 2013 were used to analyze the trend of self-inflicted injury/suicide proportion in injuries as well as the socio-demographic characteristics of the cases with related basic and clinic information related to self-inflicted injury/suicide. RESULTS: The proportion of self-inflicted injury/suicide cases decreased during the past 8 years. 58.6% of the self-inflicted injury/suicide cases were females in 2013 and 42.1% received junior secondary school education. Self-inflicted injury/suicide were mostly taken place at home (76.2% ). Poisoning (56.1% ) and sharp injury were the major ways causing self-inflicted injury or suicide. CONCLUSION: Interventions on self-inflicted injury/suicide should be strengthened including control programs on pesticide/psychotropic drugs. Prevention on future attempts and suicide should include the full use during the in-hospital time of those suicide attempters.


Assuntos
Tentativa de Suicídio/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Grupo com Ancestrais do Continente Asiático , China/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Humanos , Comportamento Autodestrutivo
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA