损伤是住院和急诊(ED)就诊的主要原因之一。COVID-19的限制确保了加拿大人的安全,但也对健康结果产生了负面影响,包括某些伤害的增加。国际上已经报道了这些趋势的差异,但是证据是分散的,需要更好地理解,以确定公共教育的机会并为未来的疫情做好准备。
进行了范围审查,以综合有关COVID-19限制对加拿大意外伤害的影响的证据,与其他国家相比。
■调查来自任何国家的COVID-19所有年龄段的意外伤害的研究,在2019年12月至2021年7月期间以英文出版,包括在内。排除故意伤害和/或先前的大流行。搜索了四个数据库(MEDLINE,Embase,WebofScience,SPORTDiscus),并进行了灰色文献检索。
■搜索产生了3041个结果,并选择189篇文献进行提取。灰色文献检索共纳入41例报告。最终研究包括来自以下国家的研究:欧洲(n=85);北美(n=44);亚洲(n=32);大洋洲(n=12);非洲(n=8);南美(n=4);和多国家(n=4)。大多数研究报告男性受伤/创伤的发生率较高,研究的平均年龄为46岁。最常见的伤害机制是:机动车碰撞(MVCs;n=134),跌倒(n=104),体育/娱乐(n=65),非机动车(n=31),和职业(n=24)。在家发生的伤害(例如,园艺,家装项目)增加,以及在学校发生的伤害,工作场所,公共空间减少。总的来说,职业伤害和运动/娱乐造成的伤害有所减少,行人相关,和粉碎/陷阱事件。在MVCs和烧伤中也看到了下降,然而,在大流行期间,这些原因造成的伤害严重程度有所增加。观察到中毒增加,非机动车碰撞,撕裂,溺水,蹦床受伤;和,异物摄入。
■这次审查的结果可以为干预措施和政策提供信息,以确定公共教育中的差距,促进家庭安全,并减少未来居家措施对加拿大人和全世界人口意外伤害的负面影响。
UNASSIGNED: Injuries are among the leading causes for hospitalizations and emergency department (ED) visits. COVID-19 restrictions ensured safety to Canadians, but also negatively impacted health outcomes, including increasing rates of certain injuries. These differences in trends have been reported internationally however the evidence is scattered and needs to be better understood to identify opportunities for public education and to prepare for future outbreaks.
UNASSIGNED: A scoping review was conducted to synthesize evidence regarding the impact of COVID-19 restrictions on unintentional injuries in Canada, compared to other countries.
UNASSIGNED: Studies investigating unintentional injuries among all ages during COVID-19 from any country, published in English between December 2019 and July 2021, were included. Intentional injuries and/or previous pandemics were excluded. Four databases were searched (MEDLINE, Embase, Web of Science, SPORTDiscus), and a gray literature search was also conducted.
UNASSIGNED: The search yielded 3,041 results, and 189 articles were selected for extraction. A total of 41 reports were included from the gray literature search. Final studies included research from: Europe (n = 85); North America (n = 44); Asia (n = 32); Oceania (n = 12); Africa (n = 8); South America (n = 4); and multi-country (n = 4). Most studies reported higher occurrence of injuries/trauma among males, and the average age across studies was 46 years. The following mechanisms of injury were reported on most frequently: motor vehicle collisions (MVCs; n = 134), falls (n = 104), sports/recreation (n = 65), non-motorized vehicle (n = 31), and occupational (n = 24). Injuries occurring at home (e.g., gardening, home improvement projects) increased, and injuries occurring at schools, workplaces, and public spaces decreased. Overall, decreases were observed in occupational injuries and those resulting from sport/recreation, pedestrian-related, and crush/trap incidents. Decreases were also seen in MVCs and burns, however the severity of injury from these causes increased during the pandemic period. Increases were observed in poisonings, non-motorized vehicle collisions, lacerations, drownings, trampoline injuries; and, foreign body ingestions.
UNASSIGNED: Findings from this review can inform interventions and policies to identify gaps in public education, promote safety within the home, and decrease the negative impact of future stay-at-home measures on unintentional injury among Canadians and populations worldwide.