Sant'Anna Flávia Lopes, Andrade Selma Maffei de, Sant'Anna Flávio Henrique Muzzi, Liberatti Christiane Lopes Barrancos
Rev Saude Publica. 2013 Jun;47(3):607-15. doi: 10.1590/s0034-8910.2013047004375.
To compare the characteristics of motorcycle accidents and victims attended by pre-hospital care services.
A cross-sectional study was carried out using data on pre-hospital care of motorcyclists who had been injured in traffic accidents in Londrina, PR, Southeastern Brazil, in 2010, whose results were compared with those of a similar study conducted in 1998. Paramedic assistance registration forms were used as source of data. The fleets of motorcycles and the population of both years were used for estimating risks of accidents occurring. The Chi-square test was used to compare the profiles of accidents and victims.
In 1998 and in 2010, respectively, 1,576 and 3,968 motorcyclists were seen (increase of 151.8%). The rate of injured motorcyclists per 1,000 inhabitants rose from 396.4 to 783.1, and that of the victims per 1,000 motorcycles from 53.1 to 61.1. Changes (p < 0.05) in the profile of accidents were observed, with higher proportions of falls from motorcycles, accidents between motorcyclists and occurrence during mornings, and a reduction of those at weekends. Regarding the victims, higher proportions of women, drivers, and those aged 35 years or over were observed. There was a decrease in the relative frequency of positive breathalyser results and an increase in the prevalence of helmet use. A lower proportion of victims were classified with moderate/severe coma and trauma scores and sent to hospitals. The immediate fatality rate dropped from 1.2% to 0.6%.
Changes in the profiles of accidents and victims were observed in the period. Despite an absolute and relative increase in the number of victims of motorcycle accidents, a proportionally lower severity of these accidents was observed.
比较院前护理服务所处理的摩托车事故及受害者的特征。
采用横断面研究,利用2010年巴西东南部巴拉那州隆德里纳市交通事故中受伤的摩托车手的院前护理数据,将结果与1998年进行的类似研究结果进行比较。以护理人员协助登记表作为数据来源。用这两年的摩托车数量和人口数量来估算事故发生风险。采用卡方检验比较事故和受害者的特征。
1998年和2010年分别有1576名和3968名摩托车手接受诊治(增长了151.8%)。每1000名居民中受伤摩托车手的比例从396.4升至783.1,每1000辆摩托车的受害者比例从53.1升至61.1。观察到事故特征发生了变化(p<0.05),从摩托车上跌落、摩托车手之间发生事故以及上午发生事故的比例更高,而周末发生的事故比例有所下降。在受害者方面,女性、驾驶员以及35岁及以上者的比例更高。呼气酒精含量测定结果呈阳性的相对频率有所下降,头盔使用率有所上升。被归类为中度/重度昏迷和创伤评分并送往医院的受害者比例较低。即时死亡率从1.2%降至0.6%。
在此期间观察到事故和受害者特征发生了变化。尽管摩托车事故受害者的数量在绝对和相对上都有所增加,但这些事故的严重程度相对较低。