基于佛罗伦萨大都市区医学和工程数据的高级事故研究系统。

Advanced accident research system based on a medical and engineering data in the metropolitan area of Florence.

机构信息

Department of Mechanics and Industrial Technology, University of Florence, and Anesthesia and Intensive Care Unit of Emergency Department, Careggi Teaching Hospital, Florence, Italy.

出版信息

BMC Emerg Med. 2013 Mar 14;13:3. doi: 10.1186/1471-227X-13-3.

DOI:10.1186/1471-227X-13-3

PMID:23496830

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3606293/

Abstract

BACKGROUND

In the metropolitan area of Florence, 62% of major traumas involve powered two wheeler rider and pillion passengers, 10% cyclists, and 7% pedestrians. The urban and extra-urban areas are the most dangerous for the vulnerable road user. In-depth investigations are needed for assessing detailed information on road accidents. This type of study has been very limited in time frame in Italy, and completely absent in the Tuscan region.Consequently a study called "In-depth Study of road Accident in FlorencE" (In-SAFE) has been initiated.

METHODS

A network between the Department of Mechanics and Industrial Technologies (University of Florence) and the Intensive Care Unit of the Emergency Department (Careggi Teaching Hospital, Florence) was created with the aim of collecting information about the road accidents. The data collected includes: on-scene data, data coming from examination of the vehicles, kinematics and dynamic crash data, injuries, treatment, and injury mechanisms. Each injury is codified thorough the AIS score, localized by a three-dimensional human body model based on computer tomography slices, and the main scores are calculated. We then associate each injury with its cause and crash technical parameters. Finally, all the information is collected in the In-SAFE database.

RESULTS

Patient mean age at the time of the accident was 34.6 years, and 80% were males. The ISS mean is 24.2 (SD 8.7) and the NISS mean is 33.6 (SD 10.5). The main road accident configurations are the "car-to-PTW" (25%) and "pedestrian run over" (17,9%). For the former, the main collision configuration is "head-on crash" (57%). Cyclists and PTW riders-and-pillions-passengers suffer serious injuries (AIS3+) mainly to the head and the thorax. The head (56.4%) and the lower extremities (12.7%) are the most frequently injured pedestrian body regions.

CONCLUSIONS

The aim of the project is to create an in-depth road accident study with special focus on the correlation between technical parameters and injuries. An in-depth investigation team was setup and is currently active in the metropolitan area of Florence.Twenty-eight serious road accidents involving twenty-nine ICU patients are studied. PTW users, cyclist and pedestrians are the most frequently involved in metropolitan accidents.

摘要

背景

在佛罗伦萨大都市区，62%的重大创伤涉及电动两轮车骑手和后座乘客，10%的自行车骑手，7%的行人。城市和城市以外地区对弱势道路使用者来说最危险。需要深入调查，以评估道路事故的详细信息。这种类型的研究在意大利的时间框架内非常有限，在托斯卡纳地区完全不存在。因此，发起了一项名为“佛罗伦萨深入道路事故研究”（In-SAFE）的研究。

方法

力学与工业技术系（佛罗伦萨大学）与急救部重症监护室（佛罗伦萨 Careggi 教学医院）之间建立了一个网络，旨在收集道路事故信息。收集的数据包括：现场数据、车辆检查数据、运动学和动态碰撞数据、损伤、治疗和损伤机制。每个损伤都通过 AIS 评分进行编码，根据计算机断层扫描切片的三维人体模型进行定位，并计算主要评分。然后，我们将每个损伤与其原因和碰撞技术参数相关联。最后，所有信息都收集在 In-SAFE 数据库中。

结果

事故发生时患者的平均年龄为 34.6 岁，80%为男性。ISS 平均值为 24.2（标准差 8.7），NISS 平均值为 33.6（标准差 10.5）。主要的道路事故配置是“汽车与 PTW”（25%）和“行人被碾压”（17.9%）。对于前者，主要的碰撞配置是“正面碰撞”（57%）。骑自行车的人和骑电动两轮车的人和后座乘客遭受严重损伤（AIS3+），主要是头部和胸部。头部（56.4%）和下肢（12.7%）是行人身体最常受伤的部位。