{"title":"澳大利亚维多利亚州涉及住院治疗的道路伤害的封锁后负担:基于全州人口的时间序列分析","authors":"Andy Lim MBA, FACEM, GAICD","doi":"10.1111/1742-6723.14422","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Ever since COVID-19, short-term changes in transport injury patterns have been observed. The aim is to examine both the initial and the enduring impact of government lockdown and the pandemic on road injuries requiring hospitalisation and road fatalities.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Time series analysis of Transport Accident Commission (TAC) claims involving hospitalisation and fatalities in Victoria, Australia, from July 2016 to May 2023, including lockdown (March 2020 to October 2020) and post-lockdown (November 2020 onwards).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 46 450 TAC claims were included. Average claims during the pre-pandemic period were 652/month. Lockdown restrictions were associated with a statistically significant fall in monthly claims (−255, 95% confidence interval [CI] = −315 to −194, <i>P</i> < 0.01). This was consistent across road users, days of the week, hours of the day, injury severity, sex and central <i>versus</i> rural locations. The post-lockdown period had a statistically significant reduction in monthly claims to 76% (95% CI = 67–84) of pre-pandemic levels (−158, 95% CI = −213 to −102, <i>P</i> <0.01). This was consistent across all subgroups except bicyclist injuries, which remained constant (−8, 95% CI = −16 to 0, <i>P</i> = 0.05). There was a significant upward trend in the fatality-to-claim ratio post-lockdown (0.001, 95% CI = 0–0.001, <i>P</i> <0.01).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Road injury requiring hospitalisation decreased significantly during governmental lockdown and has returned to three-quarters of pre-pandemic levels (except bicyclist injuries that have remained constant), but there is an increasingly disproportionate number of fatalities. This represents a new baseline of injury burden for EDs and hospitals that manage trauma patients.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.14422","citationCount":"0","resultStr":"{\"title\":\"Post-lockdown burden of road injury involving hospitalisation in Victoria, Australia: A statewide, population-based time series analysis\",\"authors\":\"Andy Lim MBA, FACEM, GAICD\",\"doi\":\"10.1111/1742-6723.14422\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>Ever since COVID-19, short-term changes in transport injury patterns have been observed. The aim is to examine both the initial and the enduring impact of government lockdown and the pandemic on road injuries requiring hospitalisation and road fatalities.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Time series analysis of Transport Accident Commission (TAC) claims involving hospitalisation and fatalities in Victoria, Australia, from July 2016 to May 2023, including lockdown (March 2020 to October 2020) and post-lockdown (November 2020 onwards).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 46 450 TAC claims were included. Average claims during the pre-pandemic period were 652/month. Lockdown restrictions were associated with a statistically significant fall in monthly claims (−255, 95% confidence interval [CI] = −315 to −194, <i>P</i> < 0.01). This was consistent across road users, days of the week, hours of the day, injury severity, sex and central <i>versus</i> rural locations. The post-lockdown period had a statistically significant reduction in monthly claims to 76% (95% CI = 67–84) of pre-pandemic levels (−158, 95% CI = −213 to −102, <i>P</i> <0.01). This was consistent across all subgroups except bicyclist injuries, which remained constant (−8, 95% CI = −16 to 0, <i>P</i> = 0.05). There was a significant upward trend in the fatality-to-claim ratio post-lockdown (0.001, 95% CI = 0–0.001, <i>P</i> <0.01).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Road injury requiring hospitalisation decreased significantly during governmental lockdown and has returned to three-quarters of pre-pandemic levels (except bicyclist injuries that have remained constant), but there is an increasingly disproportionate number of fatalities. 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引用次数: 0
摘要
目的自 COVID-19 以来,人们一直在观察交通伤害模式的短期变化。方法对澳大利亚维多利亚州 2016 年 7 月至 2023 年 5 月期间涉及住院和死亡的交通事故委员会(TAC)索赔进行时间序列分析,包括封锁期(2020 年 3 月至 2020 年 10 月)和封锁后(2020 年 11 月起)。大流行前的平均报销次数为 652 次/月。封锁限制与每月索赔数量的显著下降(-255,95% 置信区间 [CI] = -315 至 -194, P <0.01)有关。这一点在不同的道路使用者、一周中的不同日子、一天中的不同时段、受伤严重程度、性别以及中心地区与农村地区之间都是一致的。在封锁后,每月索赔额在统计意义上显著下降至疫情流行前水平的 76% (95% CI = 67-84) (-158, 95% CI = -213 to -102, P <0.01)。除骑自行车者受伤情况保持不变(-8,95% CI = -16 至 0,P = 0.05)外,所有分组的情况都是如此。结论在政府封锁期间,需要住院治疗的道路伤害明显减少,目前已恢复到大流行前四分之三的水平(除骑自行车者的伤害保持不变外),但死亡人数越来越不成比例。这为急诊室和管理创伤病人的医院带来了新的伤害负担基线。
Post-lockdown burden of road injury involving hospitalisation in Victoria, Australia: A statewide, population-based time series analysis
Objectives
Ever since COVID-19, short-term changes in transport injury patterns have been observed. The aim is to examine both the initial and the enduring impact of government lockdown and the pandemic on road injuries requiring hospitalisation and road fatalities.
Methods
Time series analysis of Transport Accident Commission (TAC) claims involving hospitalisation and fatalities in Victoria, Australia, from July 2016 to May 2023, including lockdown (March 2020 to October 2020) and post-lockdown (November 2020 onwards).
Results
A total of 46 450 TAC claims were included. Average claims during the pre-pandemic period were 652/month. Lockdown restrictions were associated with a statistically significant fall in monthly claims (−255, 95% confidence interval [CI] = −315 to −194, P < 0.01). This was consistent across road users, days of the week, hours of the day, injury severity, sex and central versus rural locations. The post-lockdown period had a statistically significant reduction in monthly claims to 76% (95% CI = 67–84) of pre-pandemic levels (−158, 95% CI = −213 to −102, P <0.01). This was consistent across all subgroups except bicyclist injuries, which remained constant (−8, 95% CI = −16 to 0, P = 0.05). There was a significant upward trend in the fatality-to-claim ratio post-lockdown (0.001, 95% CI = 0–0.001, P <0.01).
Conclusion
Road injury requiring hospitalisation decreased significantly during governmental lockdown and has returned to three-quarters of pre-pandemic levels (except bicyclist injuries that have remained constant), but there is an increasingly disproportionate number of fatalities. This represents a new baseline of injury burden for EDs and hospitals that manage trauma patients.
期刊介绍:
Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine.
Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.