中国北京老年人院外道路交通伤害：来自北京急救中心 2004-2010 年的数据。

Prehospital road traffic injuries among the elderly in Beijing, China: data from the Beijing Emergency Medical Center, 2004-2010.

机构信息

Department of Orthopaedics and Traumatology, Peking University People's Hospital, Beijing 100044, China; Peking University Traffic Medicine Center, Beijing 100191, China.

出版信息

Chin Med J (Engl). 2013;126(15):2859-65.

PMID:23924456

Abstract

BACKGROUND

Road traffic injuries (RTIs) are a worldwide issue associated with increasing development and motorization. However, statistical studies do not include any analyses of Beijing's geriatric population. Using data from the Beijing Emergency Medical Center, we present the main characteristics of traffic injuries involving the elderly in Beijing. We also provide objective information for those concerned with the safety of traffic systems and the prevention of traffic injuries.

METHODS

In a longitudinal, retrospective study, data were collected on 1706 victims aged 65 years and older who sustained traffic injuries in Beijing between 2004 and 2010. Personal information, time of injury event, emergency care response time, road user type, striking vehicle type, injury site, and severity of injury were analyzed using χ(2) tests and Logistic regression analysis.

RESULTS

The annual rate of traffic injuries was 21.80 per 100 000 elderly people in Beijing, and the morbidity rate decreased from 2004 to 2010 (P < 0.001). The mean age was (72.92 ± 5.67) years, and 911 (53.40%) of the victims were male. The majority of victims sustained head and lower limb injuries and were classified as being of medium severity. Traffic collisions occurred most frequently in the daytime excluding rush hours; these collisions included being hit by a car (85.64%) and pedestrian victim injuries (79.19%). Our statistical analysis found three factors for injury severity: abdominal injuries (P < 0.001), number of injury sites (P = 0.027), and head injuries (P = 0.034). The decline in traffic injuries is due to a decrease in victims aged 65-74 years and pedestrians; the severity of RTIs also decreased.

CONCLUSIONS

This study highlights the declining trend in traffic injuries among older adults in Beijing. However, traffic injuries remain a serious public health problem for the elderly and effective measures are required to reduce their incidence.

摘要

背景

道路交通伤害（RTIs）是一个全球性问题，与不断发展和机动化有关。然而，统计研究并不包括对北京老年人群体的任何分析。本研究使用北京急救中心的数据，介绍了北京老年人交通伤害的主要特征。我们还为关注交通系统安全和预防交通伤害的人员提供了客观信息。

方法

采用回顾性纵向研究方法，收集了 2004 年至 2010 年期间在北京发生的 1706 名 65 岁及以上老年人交通伤害的病例资料。采用卡方检验和 Logistic 回归分析对个人信息、受伤时间、急救反应时间、道路使用者类型、肇事车辆类型、受伤部位和损伤严重程度进行分析。

结果

北京市老年人每年交通伤害发病率为 21.80/10 万，发病率呈逐年下降趋势（P<0.001）。平均年龄为（72.92±5.67）岁，911 例（53.40%）为男性。大多数患者为头部和下肢损伤，损伤严重程度为中度。白天（非高峰时段）交通碰撞最为常见，其中包括被车撞击（85.64%）和行人受伤（79.19%）。统计分析发现损伤严重程度的三个因素：腹部损伤（P<0.001）、损伤部位数量（P=0.027）和头部损伤（P=0.034）。交通伤害的下降归因于 65-74 岁受害者和行人的减少，以及交通伤害严重程度的降低。