Töro Klára, Szilvia Fehér, György Dunay, Pauliukevicius Alvydas, Caplinskiene Marija, Raudys Romas, Lepik Delia, Tuusov Jana, Vali Marika
Department of Forensic and Insurance Medicine, Semmelweis University, 1091-Hungary, Budapest.
J Forensic Sci. 2011 May;56(3):617-20. doi: 10.1111/j.1556-4029.2010.01674.x. Epub 2011 Feb 25.
Motor vehicle accidental injuries are a frequent cause of death among young children and adolescents. The goal of this study was to compare patterns of injury between three capitals (Budapest, Vilnius, and Tallinn). Information on 190 fatal traffic accidents (69 pedestrians, 14 bicyclists, and 107 motor vehicle occupants) between 2002 and 2006 was collected from databases of medico-legal autopsies. The role of victims in accidents, the location of injuries, cause of death, survival period, and blood alcohol levels were evaluated. One-hundred and forty-one (74%) victims had a passive role in traffic as pedestrians, passengers in cars, or public transport. In victims who died at the scene, the rate of head injury was higher than in cases who received medical treatment (odds ratio = 2.58, CI = 1.2-5.55, p = 0.0127). These results underline the importance of postmortem studies to examine the pathomechanism of fatal traffic accidental injuries and to provide information for the prevention of road traffic accidents against children and adolescents.
机动车意外伤害是幼儿和青少年死亡的常见原因。本研究的目的是比较三个首都城市（布达佩斯、维尔纽斯和塔林）的伤害模式。从法医尸检数据库中收集了2002年至2006年期间190起致命交通事故（69名行人、14名骑自行车者和107名机动车乘客）的信息。评估了事故中受害者的角色、受伤部位、死亡原因、存活时间和血液酒精水平。141名（74%）受害者在交通中扮演被动角色，如行人、汽车乘客或公共交通乘客。在现场死亡的受害者中，头部受伤率高于接受治疗的受害者（优势比=2.58，可信区间=1.2-5.55，p=0.0127）。这些结果强调了尸检研究对于检查致命交通意外伤害的发病机制以及为预防儿童和青少年道路交通事故提供信息的重要性。
