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- Hellström, Magnus, et al.
(författare)
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A population-based 220,014- injury event cohort 1993-2014 Umeå, Sweden
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Injury kills more people than AIDS, malaria, and tuberculosis—together. In rich countries fall injuries dominate quantitatively, while other mechanisms as traffic and occupational injuries decrease. This is a descriptive macro-perspective of the entire injury as a data repository and reference to further more comprehensive studies, e.g., socio-demography, comorbidity, drugs and trauma recidivism.A population-based registration of patients admitted to an emergency department was done 1993-2014.Of the 220,014 injury events, 43% were fall injuries, 12% transportation injuries; assault 4%; 18% were hospitalized; 0.2% were fatal. Young men and old women were at the highest risk for injury. There were 23% fractures in the entire material, increasing to 40% in senescence, whereof 40% hip fractures. With age, fracture locations changed from distal to proximal, and from upper to lower extremity. Fall injuries accounted for 80% of all trauma-related hospital days, mostly old people. The spatial distribution of the population is heavily skewed, spanning from urban core areas to rural peripheries.This is a description of a population-based injury panorama to further studies linking cause, mechanism and type of injury to available medical, sociologic and economic information. Age and sex affected the type, soft tissue injury/fracture and anatomic location, i.e., proximal/distal and upper/lower extremity. At the beginning and end of life, endogenic risk factors are more dominant than in adulthood where exogenic factors dominate. It therefore seems reasonable to believe that it should be possible to substantially prevent injuries by using multipronged analyses to design specific interventions. Injuries are not accidents.
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