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2019, vol. 5, br. 12, str. 161-165
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EuReCa_Srbija Trauma registar - mesto nastanka povrede, četvoromesečna analiza
EuReCa _Serbia Trauma registry: Scene of accident, four-month analysis
aDZ Novi Sad
bDZ Subotica
cZHMP Novi Sad
Sažetak
Cilj rada je analiza epidemiološkog podatka mesta nastanka traume i utvrđivanje da li postoje razlike među polovima kada se posmatra mesto zadesa na kojem dolazi do povređivanja. METODOLOGIJA RADA: EuReCa trauma - program Srbija je prospektivna, observaciona studija pokrenuta od strane Resuscitacionog Saveta Srbije (RSS), koja obuhvata podatake prikupljene u EuReCa_Srbija Trauma registar (ESTR) iz 10 centara u Srbiji. Registar sakuplja podatke o svim pacijentima koji su imali povrede, na terenu i ambulanti, koje je zbrinula hitna medicinske pomoći (HMP). Statistička analiza je vršena u SPSS programu, rađena je test razlika među proporcijama. REZULTATI: Ispitivanje sadrži podatke HMP koje zabrinjavaju ukupnu populaciju od 757.000 stanovnika. U vremenskom periodu koje je obuhvaćeno istraživanjem evidentirano je 3396 povreda. Distribucija po polu ukazuje da je više povreda zadobilo muškaraca 1994/3993 (59%). Najčešća mesta nastanka traume su prebivalište 1863/3396 (55%), ulica 947/3396 (28%), radno mesto 260/3396 (8%). Test razlike među proporacijama ukazuje da statistički značajno više žena doživi traumu u prebivalištu. Muškarci se statistički značajno više povređuju na ulici, javnoj ustanovi, radnom mestu. Incidenca povreda u kućnim uslovima se kreće u intervalu od 5/100.000 stanovnika do 1350/100.000. Prva pomoć kod povređenih u kućnim uslovima je pružena od strane očevidaca 23 puta (1%). ZAKLJUČAK: Analiza podataka o mestu nastupanja traume, ukazuje da se žene češće povređuju u kućnim uslovima, a muškarci van prebivališta. Neophodno je zajedničko dejstvo zdravstvenih i drugih institucija koje bi preventivnim delovanjem uticale da se povrede, svedu na minimum a zdravstveno-prosvetnim radom unaprede mere pružanja prve pomoći od strane očevidaca.
Abstract
AIM: Analysis of epidemiological data of the site, where the trauma has occurred, collected by the EMS personel. METHODOLOGY: The EuReCa trauma - program Srbija is a prospective observation analysis, where this study was initiated by the Serbian Resuscitation Council (SerRC) and includes data collected from 10 centres in Republic of Serbia. This online Trauma register (EuReCa_Srbija Trauma registar) is collected data from all patients treated by Emergency Medical Service (EMS) in filed or in the Emergency Room (ER). Statistical analysis was conducted by SPSS program, including test-difference in proportions. THE RESULTS: The observed and analysed data collected by the EMS covers the populations of 757.000 inhabitants. In the period of four months 3396 injuries were recorded. Gender distribution informs us that males were injured more often 1994/3993 (59%). The most common locations of injuries was at the place of residence 1863/3396 (55%), at the streets 947/3396 (28%), at workplaces 260/3396 (8%). At the place of residence, the test-difference in proportions indicates that trauma-injuries are statistically more significant in females. In other hand, males are more injured on the streets, at public institutions, workplaces, sport fields and agricultural lands. The incidence of trauma at the place of residence varies from region to region: from 5/100.000 inhabitants up to 1350/100.000. A bystander first aid has been provided 23 times (1%) at the place of residence. CONCLUSION: Analysis of epidemiological data of the scene of accident pointed out that females are more injured in residential environment, while males have more trauma accident in other environment. A mutual collaboration of healthcare and other institutions is necessary and have crucial importance. Their joint preventive actions would have significant influence in trauma accidents breakdown. Healthcare and education work should contribute in improving the first aid skills and prompt bystander-assistance.
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