Markogiannakis H, Sanidas E, Messaris E, Koutentakis D, Alpantaki K, Kafetzakis A, Tsiftsis D
Department of Surgical Oncology, Herakleion Medical School, University of Crete, Greece.
Emerg Med J. 2006 Jan;23(1):27-31. doi: 10.1136/emj.2004.022392.
Vehicle accidents in Greece are among the leading causes of death and the primary one in young people. The mechanism of injury influences the patterns of injury in victims of vehicle accidents.
Identification and analysis of injury profiles of motor-vehicle trauma patients in a Greek level I trauma centre, by road-user category.
The trauma registry data of Herakleion University Hospital of adult trauma patients admitted to the hospital after a vehicle accident between 1997 and 2000 were retrospectively examined. Patients were grouped based on the mechanism of injury into three road-user categories: car occupants, motorcyclists, and pedestrians.
Of 730 consecutive patients, 444 were motorcyclists (60.8%), 209 were car occupants (28.7%), and 77 were pedestrians (10.5%). Young men constituted the majority of injured motorcyclists whereas older patients (p = 0.0001) and women (p = 0.0001) represented a substantial proportion of the injured pedestrians. With regard to the spectrum of injuries in the groups, craniocerebral injuries were significantly more frequent in motorcyclists and pedestrians (p = 0.0001); abdominal (p = 0.009) and spinal cord trauma (p = 0.007) in car occupants; and pelvic injuries (p = 0.0001) in pedestrians. Although the car occupants had the highest Injury Severity Score (ISS) (p = 0.04), the pedestrians had the poorest outcome with substantially higher mortality (p = 0.007) than the other two groups.
The results reveal a clear association between different road-user categories and age and sex incidence patterns, as well as outcomes and injury profiles. Recognition of these features would be useful in designing effective prevention strategies and in comprehensive prehospital and inhospital treatment of motor-vehicle trauma patients.
在希腊，交通事故是主要死因之一，且是年轻人死亡的首要原因。损伤机制会影响交通事故受害者的损伤模式。
按道路使用者类别，识别并分析希腊一家一级创伤中心机动车创伤患者的损伤情况。
回顾性研究伊拉克利翁大学医院1997年至2000年收治的成年机动车事故创伤患者的创伤登记数据。患者根据损伤机制分为三类道路使用者：汽车乘客、摩托车手和行人。
在730例连续患者中，444例为摩托车手（60.8%），209例为汽车乘客（28.7%），77例为行人（10.5%）。受伤的摩托车手中年轻人占大多数，而老年患者（p = 0.0001）和女性（p = 0.0001）在受伤行人中占相当大的比例。关于各群体的损伤谱，摩托车手和行人的颅脑损伤明显更常见（p = 0.0001）；汽车乘客的腹部损伤（p = 0.009）和脊髓损伤（p = 0.007）；行人的骨盆损伤（p = 0.0001）。尽管汽车乘客的损伤严重程度评分（ISS）最高（p = 0.04），但行人的预后最差，死亡率显著高于其他两组（p = 0.007）。
结果显示不同道路使用者类别与年龄、性别发生率模式以及预后和损伤情况之间存在明显关联。认识到这些特征将有助于设计有效的预防策略以及对机动车创伤患者进行全面的院前和院内治疗。
