二十年来在一级创伤中心住院的车祸伤员的人口统计和受伤趋势:来自国家创伤登记处的数据。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES Israel Journal of Health Policy Research Pub Date : 2024-05-29 DOI:10.1186/s13584-024-00613-z
Sharon Goldman, Irit Cohen-Manheim, Irina Radomislensky, Bella Savitsky, Moran Bodas
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引用次数: 0

摘要

背景:在过去的二十年中,汽车和医疗技术、道路基础设施、创伤系统以及人口结构的变化都发生了许多变化,这些变化可能会对伤害结果产生影响。本研究旨在探讨在一级创伤中心(TC)住院治疗的交通事故伤员(尤其是私家车乘员)的受伤趋势:方法:根据以色列国家创伤登记处的数据进行了一项回顾性队列研究。数据包括 1998 年 1 月 1 日至 2019 年 12 月 31 日期间因交通碰撞相关伤害而在所有六个一级创伤中心住院治疗的私家车乘员。对人口统计学、受伤和住院特征以及住院死亡率进行了分析。采用卡方检验(X2)、多变量逻辑回归模型和斯皮尔曼等级相关性分析受伤数据和趋势:在研究期间,21,173 名私家车乘客(14,078 名司机、4,527 名前排乘客和 2,568 名后排乘客)因交通事故住院。因车祸住院的女性比例从 1998 年的 37.7% 上升到 2019 年的 53.7%。老年驾驶员(65 岁以上)的住院率增加了两倍多,从 1998 年的 6.5% 增加到 2018 年的 15.7% 和 2019 年的 12.6%。虽然没有观察到严重脑外伤的增加,但在非犹太人口中观察到严重腹部和胸部损伤有统计学意义的显著增加,同时院内死亡率持续下降:这项研究提供了有关过去 20 年间汽车乘客受伤情况和人口趋势的有趣发现。在研究期间,私家车乘员的死亡率有所下降,但发现腹部和胸部严重受伤的人数有所增加。研究结果应用于设计和实施减少汽车乘客受伤和残疾的政策和干预措施。
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Demographic and injury trends for car crash casualties hospitalized in Level I Trauma centers over two decades: data from the National Trauma Registry.

Background: During the past two decades, there have been many changes in automotive and medical technologies, road infrastructure, trauma systems, and demographic changes which may have influenced injury outcomes. The aim of this study was to examine injury trends among traffic casualties, specifically private car occupants, hospitalized in Level I Trauma Centers (TC).

Methods: A retrospective cohort study was performed based on data from the Israel National Trauma Registry. The data included occupants of private cars hospitalized in all six Level I TC due to a traffic collision related injury between January 1, 1998 and December 31, 2019. Demographic, injury and hospitalization characteristics and in-hospital mortality were analyzed. Chi-squared (X2) test, multivariable logistic regression models and Spearman's rank correlation were used to analyze injury data and trends.

Results: During the study period, 21,173 private car occupants (14,078 drivers, 4,527 front passengers, and 2,568 rear passengers) were hospitalized due to a traffic crash. The percentage of females hospitalized due to a car crash increased from 37.7% in 1998 to 53.7% in 2019. Over a twofold increase in hospitalizations among older adult drivers (ages 65+) was observed, from 6.5% in 1998 to 15.7% in 2018 and 12.6% in 2019. While no increase was observed for severe traumatic brain injury, a statistically significant increase in severe abdominal and thoracic injuries was observed among the non-Jewish population along with a constant decrease in in-hospital mortality.

Conclusions: This study provides interesting findings regarding injury and demographic trends among car occupants during the past two decades. Mortality among private car occupant casualties decreased during the study period, however an increase in serious abdominal and thoracic injuries was identified. The results should be used to design and implement policies and interventions for reducing injury and disability among car occupants.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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