安全带使用对老年人损伤模式、处置情况及住院费用的影响。

The effect of seatbelt use on injury patterns, disposition, and hospital charges for elders.

作者信息

Coley Andrew, Partridge Robert, Kaylor Cynthia, Shapiro Marc

机构信息

Department of Emergency Medicine, Injury Prevention Center, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA.

出版信息

Acad Emerg Med. 2002 Dec;9(12):1411-6. doi: 10.1111/j.1553-2712.2002.tb01611.x.

DOI:10.1111/j.1553-2712.2002.tb01611.x

PMID:12460846

Abstract

OBJECTIVE

To study the relationships between seatbelt use and injury patterns, hospital charges, morbidity, and mortality in elder motor vehicle crash victims.

METHODS

A retrospective review of individuals at least 65 years old presenting to an urban emergency department (ED) after a motor vehicle crash.

RESULTS

Over a two-year period, 339 patients had documentation of seatbelt use or non-use at the time of the crash. Of these, 241 (71%) patients had been wearing a seatbelt and 98 (29%) had not. Elders not using seatbelts were more likely to require hospitalization (29% unbelted vs. 17% belted) and had a higher mortality rate. Injury patterns were different in the two groups. Emergency department charges were significantly different between belted and unbelted elders ($351 vs. $451, p = 0.01) and head computed tomography (CT) utilization was higher in the unbelted group (25.6% vs 12.7%, p = 0.005).

CONCLUSIONS

Improved seatbelt compliance in elders can reduce injuries, hospitalization rates, ED charges, and mortality resulting from motor vehicle crashes.

摘要

目的

研究老年机动车碰撞受害者使用安全带与损伤模式、住院费用、发病率和死亡率之间的关系。

方法

对至少65岁的机动车碰撞后前往城市急诊科（ED）就诊的患者进行回顾性研究。

结果

在两年期间，339例患者有碰撞时使用或未使用安全带的记录。其中，241例（71%）患者系了安全带，98例（29%）未系安全带。未使用安全带的老年人更有可能需要住院治疗（未系安全带者为29%，系安全带者为17%），且死亡率更高。两组的损伤模式不同。系安全带和未系安全带的老年人在急诊科的费用有显著差异（351美元对451美元，p = 0.01），未系安全带组的头部计算机断层扫描（CT）使用率更高（25.6%对12.7%，p = 0.005）。