• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Annals of epidemiology >Risk factors associated with moderate and serious injuries attributable to the 1994 Northridge Earthquake, Los Angeles, California.
【24h】

Risk factors associated with moderate and serious injuries attributable to the 1994 Northridge Earthquake, Los Angeles, California.

机译：1994年加利福尼亚州洛杉矶北岭地震可引起中度和重度伤害的危险因素。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE: The purpose of this study was to use emergency department data to estimate levels of morbidity and risk factors due to earthquake-related mechanisms of injury subsequent to an urban night-time earthquake. METHODS: Data were abstracted from 4190 medical records for the month of January, 1994. Injuries attributable to the earthquake were identified through emergency department and medical records. These injuries were: (a) categorized by mechanism of injury; (b) assigned an injury severity score; and (c) linked to structural and geologic data. Proportional polytomous and dichotomous logistic regression were used to estimate risk of more severe injury associated with demographic characteristics, injury characteristics, structural characteristics, and geologic factors. RESULTS: More severe earthquake-related injuries (serious versus moderate and moderate versus minor) were statistically significantly associated with patient age (> or = 60 years old), upper extremities, falling, multi-family structures, pre-1960 housing, and the 50th percentile of Peak Ground Acceleration, after adjusting for all other available demographic, injury, structural, and geologic characteristics. CONCLUSIONS: The current recommendation of 'duck, cover, and hold' might not be optimal during a nighttime earthquake, particularly if individuals are in the padded environment of the bed. Actions such as reaching for or catching objects, bracing, or holding onto perceived stable objects may increase risk for more serious injury. Alternate responses include assuming a tucked position (as in airline crashes) or staying in bed for non-ambulating people. Structural damage and structure size were not associated with more serious injuries, but structure use and age were, leading the authors to suspect that unmeasured socioeconomic factors might impact risk factors. The importance of including population demographic characteristics in hazard modeling is emphasized.
机译：目的：本研究的目的是使用急诊科数据来估计城市夜间地震后与地震相关的伤害机制所致的发病率和危险因素。方法：从1994年1月的4190份病历中提取数据。通过急诊科和病历确定了地震造成的伤害。这些伤害是：（a）按伤害机理分类; （b）分配了伤害严重程度评分; （c）与结构和地质数据有关。比例多变量和二分逻辑回归用于估计与人口统计学特征，伤害特征，结构特征和地质因素相关的更严重伤害的风险。结果：与地震有关的严重伤害（严重，中度和中度与轻度）与患者年龄（>或= 60岁），上肢，跌倒，多户家庭结构，1960年前的住房以及在调整了所有其他可用的人口统计，伤害，结构和地质特征之后，达到峰值地面加速度的50％。结论：在夜间地震期间，当前“鸭，掩护和抱住”的建议可能不是最佳选择，尤其是当个人处于床的软垫环境中时。伸手或抓住物体，支撑或握住感知到的稳定物体之类的动作可能会增加造成更严重伤害的风险。替代的应对措施包括采取隐蔽的姿势（如在飞机失事中）或躺在床上，以防他人行事。结构损坏和结构尺寸与更严重的伤害无关，但结构的使用和年龄却与之相关，这使作者怀疑未测的社会经济因素可能会影响危险因素。强调了在灾害模型中纳入人口统计特征的重要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号