Analysis on epidemic characteristics and health burden of hospitalized injury cases during 2012-2016 in Minhang District of Shanghai / 复旦学报（医学版）

ABSTRACT

Objective To understand the characteristics and disease burden of the hospitalized injuries in hospitals of Minhang District of Shanghai,and to provide evidence-based analysis for policy making.Methods Hospitalized injury cases from 2012 to 2016 were collected from the online registry portal of general hospitals in Minhang area.The International Classification of Diseases (ICD-10) was referred in this study to discuss the characteristics and diseases burden of injury incidents.Results A total of 18 208 cases were collected including 61.83％ males and 38.17％ females.The females were 10 years older than males on average.There were differences among age groups46.84％of the injury occurred in 40-64 years old cases,28.95％ occurred in 15-39 years old and 23.64％ occurred in people above 65.Less damage occurred under 15 years old,just accounting for 0.57％.The first three injury causes in the list of all were falls (53.83％),transport accidents (13.30％) and accidents (11.86％).The average hospital stay was 10 days and medical expenses was 17 241.24 RMB.The hospital stay and medical expenses were longer and more expensive in female than in male.The top five reasons for medical expenses were accidents,falls,undetermined intent,transport accidents and machinery injury.According to the hospital discharge record,48.65％ of the patients recovered,42.50％ improved,6.17％ did not improve and 1.44％ died.Most injury cases caused by accidents were recovered,and the death rate of injury cases caused by transport accidents was the highest.Conclusions Middle-aged people were the key group for injury prevention strategy.Females were characterized by long-time hospitalization,high cost and better results,while males were characterized by the high incidents,high mortality and poor prognosis.The characteristics in age and types of injuries should be taken into account for injury prevention strategy.