Department of Epidemiology and Preventive Medicine, Monash University National Trauma Research Institute Emergency Department, Alfred Hospital, Melbourne, Victoria, Australia.
Emerg Med Australas. 2010 Oct;22(5):470-6. doi: 10.1111/j.1742-6723.2010.01337.x.
To describe and compare the incidence and profile of on- and off-road motorcycle-related major trauma (including death) cases across a statewide population.
A review of prospectively collected data on adult, motorcycle-related major trauma cases from 2001 to 2008 was conducted. Major trauma survivors were identified from the population-based Victorian State Trauma Registry, and deaths were extracted from the National Coroners Information System. Poisson regression was used to test for increasing incidence using two measures of exposure: population of Victoria aged ≥ 16 years, and registered motorcycles.
There were 1157 major trauma survivors and 344 deaths with motorcycle-related injuries over the study period. There was no change in the incidence of motorcycle-related major trauma (both survivors plus deaths) (Incident Rate ratio [IRR]= 1.14, 95% confidence interval [CI] 0.94-1.37) over the study period. Similarly, there was no change over time in the incidence of on-road motorcycle-related injury (survivors plus deaths) per 100,000 population (IRR = 1.03, 95% CI 0.84-1.27). However, the incidence of off-road motorcycle-related injury (survivors plus deaths) increased over the study period (IRR = 1.69, 95% CI 1.10-2.60). Among survivors and deaths, 882 (76%) and 301 (87.5%) cases, respectively, occurred on road.
Off-road motorcycle-related major trauma has increased and this has not been targeted in injury prevention campaigns in Australia. The incidence of on-road motorcycle-related death in adults has decreased. Preventive strategies to address on-road injuries have been enforced and these are expected to lead to further reduction of on-road motorcycle crashes in the future.
描述并比较全州范围内与摩托车相关的重大创伤（包括死亡）案例的发生率和特征。
对 2001 年至 2008 年期间成年、与摩托车相关的重大创伤病例进行前瞻性数据回顾。主要创伤幸存者从基于人群的维多利亚州创伤登记处确定，死亡从国家验尸官信息系统中提取。使用泊松回归测试了两种暴露测量方法的发生率增加情况：维多利亚州 16 岁以上的人口和注册摩托车。
在研究期间，有 1157 名主要创伤幸存者和 344 名因摩托车相关损伤而死亡。摩托车相关重大创伤的发生率（幸存者加死亡人数）没有变化（发生率比 [IRR]=1.14，95%置信区间 [CI]0.94-1.37）。同样，在研究期间，每 100,000 人口中与道路相关的摩托车相关损伤（幸存者加死亡人数）的发生率没有随时间变化（IRR=1.03，95%CI0.84-1.27）。然而，与道路无关的摩托车相关损伤（幸存者加死亡人数）的发生率在研究期间增加（IRR=1.69，95%CI1.10-2.60）。在幸存者和死亡者中，分别有 882 例（76%）和 301 例（87.5%）发生在道路上。
与道路无关的摩托车相关重大创伤有所增加，但这并没有成为澳大利亚伤害预防活动的目标。成人与道路相关的摩托车死亡的发生率已经下降。针对道路伤害的预防策略已经得到执行，预计这将导致未来道路上的摩托车事故进一步减少。
