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[影响汽车碰撞中乘客死亡率因素的单因素及多因素分析]

[Uni- and multivariate analysis of factors influencing car crash mortality of passengers].

作者信息

Rohrer S, Koch R, Hannawald L, Zwipp H

机构信息

Klinik und Poliklinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität, Fetscherstrasse 74, 01307, Dresden.

出版信息

Unfallchirurg. 2008 Jan;111(1):12-8. doi: 10.1007/s00113-007-1381-9.

Abstract

BACKGROUND

While the number of fatal accidents decreases every year, there is still need for improvement and action to prevent these deaths. The basis for this purpose has to be an analysis about the factors influencing the car crash mortality.

PATIENTS AND METHODS

This multivariate analysis is based on 2,609 cases collected by the accident research units in Dresden and Hanover during the years 1999-2003. This paper presents a multivariate model containing ten different variables which detects 93% of these cases properly as"survived" or"dead."

RESULTS

The variable"energy equivalent speed" (EES) has the most important effect on car crash mortality. Values greater than 60 km/h lead to a 248-fold higher mortality risk. The mortality is not related to gender, but rather to the value of EES. Younger persons (18-25 years) have no significantly higher risk for death, but for persons older than 60 years the risk was threefold higher.

CONCLUSION

Univariate assessments may be falsified by bias; this effect can be uncovered by multivariate models.

摘要

背景

虽然致命事故的数量每年都在减少,但仍有必要采取改进措施以防止此类死亡事件的发生。实现这一目标的基础必须是对影响车祸死亡率的因素进行分析。

患者与方法

这项多变量分析基于德累斯顿和汉诺威的事故研究单位在1999年至2003年期间收集的2609例病例。本文提出了一个包含十个不同变量的多变量模型,该模型能正确地将其中93%的病例判定为“存活”或“死亡”。

结果

“能量等效速度”(EES)变量对车祸死亡率的影响最为显著。速度大于60公里/小时会使死亡风险提高248倍。死亡率与性别无关,而是与EES值有关。年轻人(18至25岁)的死亡风险并未显著升高,但60岁以上人群的死亡风险则高出三倍。

结论

单变量评估可能会因偏差而得出错误结果;多变量模型可以揭示这种影响。

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