背景:本研究系统回顾了2000年至2020年中国老年人群的伤害死亡及其原因,以预防或减少伤害和死亡的发生。
方法:CNKI,VIP,万芳,MEDLINE,Embase,SinoMed,检索2000年1月至2020年12月中国60岁以上老年人伤害死亡的流行病学特征。随机效应荟萃分析对池损伤死亡率和确定发表偏倚,使用AHRQ偏倚风险工具评估研究质量。
结果:(1)共纳入41项研究,共187488名受试者,覆盖1.25亿老年人。合并损伤死亡率为135.58/105[95CI:(113.36至162.14)/105],在老年人总死亡原因中排名第二。(2)亚组分析显示,男性损伤死亡(146.00/105)明显高于女性(127.90/105),总体伤害死亡率随年龄呈指数增长(R2=0.957),尤其是80岁以上人群;空间分布表明,中部地区的伤害死亡率高于东部和西部,农村高于城市;死亡时间分布表明,进入老龄化社会后(2000-2020年)明显高于以前(1990-2000年)。(3)有12种以上的伤害死亡类型,前三名正在下降,交通事故,和自杀。
结论:中国老年人伤害死亡率处于世界较高水平,男性比女性多,尤其是80岁以后。存在区域差异。伤害死亡的主要类型是坠落,交通,和自杀。十四五期间,意外伤害和死亡,发布了针对老化和无障碍环境的整改清单。
■系统评价在PROSPERO注册,协议号为CRD42022359992。
This study systematically reviewed injury death and causes in the elderly population in
China from 2000 to 2020, to prevent or reduce the occurrence of injuries and death.
The CNKI, VIP, Wan Fang, MEDLINE, Embase, SinoMed, and Web of Science databases were searched to collect epidemiological characteristics of injury death among elderly over 60 years old in
China from January 2000 to December 2020. Random effects meta-analysis was performed to pool injury mortality rate and identify publication bias, with study quality assessed using the AHRQ risk of bias tool.
(1) A total of 41 studies with 187 488 subjects were included, covering 125 million elderly. The pooled injury mortality rate was 135.58/105 [95%CI: (113.36 to 162.14)/105], ranking second in the total death cause of the elderly. (2)Subgroup analysis showed that male injury death (146.00/105) was significantly higher than that of females (127.90/105), and overall injury mortality increased exponentially with age (R2 = 0.957), especially in those over 80 years old; the spatial distribution shows that the injury death rate in the central region is higher than that in the east and west and that in the countryside is higher than that in the city; the distribution of death time shows that after entering an aging society (2000-2020) is significantly higher than before (1990-2000). (3) There are more than 12 types of injury death, and the top three are falling, traffic accidents, and suicide.
China\'s elderly injury death rate is at a high level in the world, with more males than females, especially after the age of 80. There are regional differences. The main types of injury death are falling, traffic, and suicide. During the 14th Five-Year Plan period, for accidental injuries and death, a rectification list for aging and barrier-free environments was issued.
The systematic review was registered in PROSPERO under protocol number CRD42022359992.