Oklahoma State Department of Health, Centers for Disease Control and Prevention, OSELS/SEPDPO/PMR, 1600 Clifton Road, Mailstop E-92, Atlanta, Georgia 30333, USA.
J Safety Res. 2011 Feb;42(1):27-32. doi: 10.1016/j.jsr.2010.11.004. Epub 2011 Jan 15.
A January 2007 ice storm occurred in Oklahoma, causing power outages and hazardous travel conditions. The objective of this investigation was to describe the nature of winter storm-related injuries among Oklahoma residents, to determine populations at risk, and to inform prevention-planning personnel.
Winter storm-related injuries were a temporarily reportable condition; all acute-care hospitals and the state medical examiner logged storm-related injuries and deaths during January 12-30, 2007. Medical records were retrospectively abstracted. Risk of injury was described by demographic group, injury type, and mechanism.
Among 6,047 persons experiencing winter storm-related injuries, 74% were injured in falls, 13% in motor-vehicle collisions (MVCs), 8% while sledding, 1% by unintentional carbon monoxide poisoning, 1% in cleanup activities, and 3% by other mechanisms. Median age of injured persons was 39years. Persons aged ≥ 40 years were 1.4 times more likely to experience falls as the cause of injury than those aged < 40 years, and falls were twice as likely as other mechanisms to cause fractures among persons aged ≥ 40 years. Injured persons aged < 40 years were 2.2 times more likely to experience MVC-related injuries, and 19 times more likely to experience sledding-related injuries than persons aged ≥ 40 years.
Younger persons were more likely injured in MVCs and sledding incidents, whereas older persons were more likely to experience falls and fractures.
Prevention messages for winter storm-related injuries should target winter-driving safety tips to younger adults and precautions regarding falls to older adults.
2007 年 1 月,俄克拉荷马州发生了一场冰暴,导致停电和危险的旅行条件。这项调查的目的是描述俄克拉荷马州居民与冬季风暴相关的伤害的性质,确定有风险的人群,并为预防规划人员提供信息。
冬季风暴相关伤害是一种临时报告的情况;所有急症医院和州法医都在 2007 年 1 月 12 日至 30 日期间记录了与风暴有关的伤害和死亡事件。回顾性地提取了医疗记录。按人口统计学群体、伤害类型和机制描述受伤风险。
在 6047 名经历冬季风暴相关伤害的人中,74%是跌倒受伤,13%是机动车碰撞(MVC)受伤,8%是滑雪受伤,1%是意外一氧化碳中毒,1%是清理活动受伤,3%是其他机制受伤。受伤者的中位年龄为 39 岁。年龄≥40 岁的人因跌倒受伤的可能性是年龄<40 岁的人的 1.4 倍,年龄≥40 岁的人因跌倒受伤而骨折的可能性是其他机制的两倍。年龄<40 岁的受伤者发生 MVC 相关伤害的可能性是年龄≥40 岁的人的 2.2 倍,发生滑雪相关伤害的可能性是年龄≥40 岁的人的 19 倍。
年轻人更容易发生 MVC 和滑雪事故受伤,而老年人更容易跌倒和骨折。
针对冬季风暴相关伤害的预防信息应针对年轻成年人提供冬季驾驶安全提示,针对老年人提供防止跌倒的预防措施。