Giorgi Rossi Paolo, Farchi Sara, Chini Francesco, Camilloni Laura, Borgia Piero, Guasticchi Gabriella
Agency for Public Health, Lazio Region, Rome, Italy.
Ann Emerg Med. 2005 Aug;46(2):152-7. doi: 10.1016/j.annemergmed.2005.01.033.
Road crashes are the leading cause of death for young adults in industrialized countries. In most countries, the only data available are the police-based statistics, which report the number of deaths and injuries, without any information about severity or diagnosis. We describe the results of an emergency department (ED)--based integrated surveillance system of road-crash health consequences in the Lazio region (5.3 million inhabitants) for 2000.
We identified all ED visits in the emergency database and then linked them with hospital discharges and mortality registry. Deaths that occurred at the site of the crash were identified in the mortality registry. Cases are classified according to body region affected, nature of the injury, and severity.
We found 146,600 cases, for an overall incidence of 2,700 per 100,000 and a peak of 8,000 per 100,000 in 20- to 24-year-old men. There were 597 fatalities for men and 205 female fatalities, with an overall mortality of 15.9 per 100.000 and a hospitalization rate of 224 per 100,000.
Our surveillance system reported a 6-times-higher incidence of road-traffic injuries, with 139 more fatalities than the national statistics of the same year. The underreporting in police reports and the absence of diagnostic information reveal the need for health-based surveillance systems of road-traffic injuries.
在工业化国家，道路交通事故是年轻人死亡的主要原因。在大多数国家，仅有的可用数据是基于警方的统计数据，这些数据报告了死亡和受伤人数，而没有关于严重程度或诊断的任何信息。我们描述了2000年在拉齐奥地区（530万居民）基于急诊科的道路交通事故健康后果综合监测系统的结果。
我们在急诊数据库中识别出所有急诊就诊病例，然后将其与医院出院记录和死亡登记册相链接。在死亡登记册中识别出在事故现场发生的死亡病例。根据受影响的身体部位、损伤性质和严重程度对病例进行分类。
我们发现了146,600例病例，总体发病率为每10万人2,700例，在20至24岁男性中发病率最高，为每10万人8,000例。男性有597例死亡，女性有205例死亡，总体死亡率为每10万人15.9例，住院率为每10万人224例。
我们的监测系统报告的道路交通伤害发病率比同年的国家统计数据高6倍，死亡人数比国家统计数据多139人。警方报告中的漏报以及缺乏诊断信息表明需要建立基于健康的道路交通伤害监测系统。
