Abstract:
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.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Mahue-Giangreco M,Mack W,Seligson H,Bourque LBdoi
10.1016/s1047-2797(01)00220-4keywords:
subject
Has Abstractpub_date
2001-07-01 00:00:00pages
347-57issue
5eissn
1047-2797issn
1873-2585pii
S1047-2797(01)00220-4journal_volume
11pub_type
杂志文章,多中心研究abstract:PURPOSE:This study examines the importance of clinical risk factors for predicting self-ratings of general health status, with and without controls for a broad range of self-reported indicators of physical and psychological well-being. METHODS:Ordered probit models, estimated on 928 respondents aged 54 years and older...
journal_title:Annals of epidemiology
pub_type: 杂志文章
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abstract::Some of the readjustment problems of Vietnam veterans have been attributed to posttraumatic stress disorder (PTSD). This case-control study compared demographic and military characteristics of 374 Vietnam veterans who had PTSD with 373 healthy Vietnam veterans. Veterans were chosen from the Agent Orange Registry, a De...
journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
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journal_title:Annals of epidemiology
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更新日期:2016-12-01 00:00:00
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更新日期:2002-01-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2015-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s1047-2797(01)00224-1
更新日期:2001-08-01 00:00:00
abstract::The evidence that treatment of hypertension prevents stroke is incontrovertible. Several observations, however, suggest that improvements in the prevalence of antihypertensive treatment cannot explain all of the recent decline in stroke mortality. Changes in nutritional patterns may explain some of the observed declin...
journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:1993-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2015-05-01 00:00:00
abstract:PURPOSE:Racial/ethnic disparities in severe maternal morbidity (SMM) are substantial, but little is known about whether these disparities are changing over time or the role of maternal and obstetric factors. METHODS:We examined disparities in SMM prevalence and trends using linked birth certificate and delivery discha...
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doi:10.1016/j.annepidem.2019.02.007
更新日期:2019-05-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
abstract::PURPOSE: The most recent atlas of cancer mortality in the United States revealed elevated prostate cancer mortality rates among white males in the northwest, Rocky Mountain, northcentral, and southeast areas, as well as New England, especially during the 1970-94 period. We wanted to test whether this observed geograph...
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更新日期:2000-10-01 00:00:00
abstract:PURPOSE:This study examined how race-ethnicity, nativity, and education interact to influence disparities in cardiovascular (CV) health, a new concept defined by the American Heart Association. We assessed whether race-ethnicity and nativity disparities in CV health vary by education and whether the foreign-born differ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2013.04.012
更新日期:2013-07-01 00:00:00
abstract:PURPOSE:The purpose of the study was to examine the risk of severe maternal morbidity (SMM)-a composite of serious, potentially life-threatening conditions related to childbirth-among subgroups of nulliparous women with Asian and Pacific Islander race/ethnicity. METHODS:This study used linked hospital discharge and vi...
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更新日期:2020-12-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/1047-2797(92)90099-c
更新日期:1992-07-01 00:00:00
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更新日期:2017-01-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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