使用摩托车头盔可降低医院成本。
Hospital cost is reduced by motorcycle helmet use.
作者信息
Brandt Mary-Margaret, Ahrns Karla S, Corpron C A, Franklin Glen A, Wahl Wendy L
机构信息
Department of Surgery, Division of Trauma, Burn and Emergency Surgery, University of Michigan Health System, Ann Arbor 48109, USA.
出版信息
J Trauma. 2002 Sep;53(3):469-71. doi: 10.1097/00005373-200209000-00012.
BACKGROUND
The purpose of this study was to identify the impact of motorcycle helmet use on patient outcomes and cost of hospitalization, in a state with a mandatory helmet law.
METHODS
Patients admitted after motorcycle crashes from July 1996 to October 2000 were reviewed, including demographics, Injury Severity Score, length of stay, injuries, outcome, helmet use, hospital cost data, and insurance information. Statistical analysis was performed comparing helmeted to unhelmeted patients using analysis of variance, Student's test, and regression analysis.
RESULTS
We admitted 216 patients: 174 wore helmets and 42 did not. Injury Severity Score correlated with both length of stay and cost of hospitalization. Mortality was not significantly different in either group. Failure to wear a helmet significantly increased incidence of head injuries (Student's test, p < 0.02), but not other injuries. Helmet use decreased mean cost of hospitalization by more than $6,000 per patient.
CONCLUSION
Failure to wear a helmet adds to the financial burden created by motorcycle-related injuries. Therefore, individuals who do not wear helmets should pay higher insurance premiums.
背景
本研究旨在确定在一个实施强制头盔法的州，佩戴摩托车头盔对患者预后及住院费用的影响。
方法
回顾了1996年7月至2000年10月因摩托车事故入院的患者，包括人口统计学资料、损伤严重程度评分、住院时间、损伤情况、预后、头盔使用情况、医院费用数据及保险信息。采用方差分析、学生检验和回归分析对佩戴头盔与未佩戴头盔的患者进行统计学分析。
结果
共收治216例患者，其中174例佩戴头盔，42例未佩戴。损伤严重程度评分与住院时间和住院费用均相关。两组的死亡率无显著差异。未佩戴头盔显著增加了头部损伤的发生率（学生检验，p<0.02），但对其他损伤无影响。佩戴头盔使每位患者的平均住院费用降低了6000多美元。
结论
不佩戴头盔增加了与摩托车相关损伤造成的经济负担。因此，不佩戴头盔的个人应支付更高的保险费。
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