德国老年人道路使用者受伤现状：医学与技术事故分析

The current status of road user injuries among the elderly in Germany: a medical and technical accident analysis.

作者信息

Richter Martinus, Pape Hans-Christoph, Otte Dietmar, Krettek Christian

机构信息

Trauma Department, Hannover Medical School, Hannover, Germany.

出版信息

J Trauma. 2005 Mar;58(3):591-5. doi: 10.1097/00005373-200503000-00024.

DOI:10.1097/00005373-200503000-00024

PMID:15761356

Abstract

BACKGROUND

The incidence and treatment of injuries involving the elderly road user are of increasing importance for all fields of trauma care to ensure the best possible outcomes.

METHODS

Traffic accident reports were analyzed through technical and medical investigation for the involvement of elderly citizens.

RESULTS

In 12,309 documented traffic accidents between 1985 and 1998, 1,843 elderly citizens (65 years and older) were involved, 1,260 of which were reported to have been injured. The mean Injury Severity Score among the injured elderly citizens was 7.3. Of the injured elderly road users, 39.5% were car occupants, 27.4% were bicyclists, 29.6% were pedestrians, 1.8% were truck occupants, and 1.7% were motorcyclists. Of the elderly road users in cars, 53% were not injured, in contrast to only 1.1% of the bicyclists and 0.8% of the pedestrians. Serious or severe injuries (Maximum Abbreviated Injury Scale, >/=2] occurred for 36.5% of the injured elderly road users as car occupants (unrestrained, 58%; restrained, 34%), 57.4% as bicyclists, and 65.4% as pedestrians

CONCLUSION

A high rate of motor injuries is associated with vehicle accidents and increased levels of severity among the elderly population. This finding is especially evident for elder pedestrians and bicyclists. Also of note, the elderly even appear to be at risk for sustaining an increased level of injury severity when they are restrained or belt protected.

摘要

背景

涉及老年道路使用者的伤害发生率及治疗，对于创伤护理的各个领域愈发重要，以确保获得尽可能好的治疗效果。

方法

通过技术和医学调查分析交通事故报告，以确定老年公民的参与情况。

结果

在1985年至1998年记录的12309起交通事故中，有1843名老年公民（65岁及以上）参与其中，其中1260人报告受伤。受伤老年公民的平均损伤严重程度评分为7.3。在受伤的老年道路使用者中，39.5%是汽车乘客，27.4%是骑自行车的人，29.6%是行人，1.8%是卡车乘客，1.7%是摩托车手。乘坐汽车的老年道路使用者中，53%未受伤，相比之下，骑自行车的人中只有1.1%未受伤，行人中只有0.8%未受伤。严重或重度损伤（最高简略损伤量表，≥2）在36.5%的乘坐汽车的受伤老年道路使用者中出现（未系安全带的占58%；系安全带的占34%），在57.4%的骑自行车的受伤老年道路使用者中出现，在65.4%的受伤老年行人中出现。