Pan Ren-Hao, Chang Nien-Tzu, Chu Dachen, Hsu Kuo-Fang, Hsu Yuan-Nian, Hsu Jin-Chyr, Tseng Lin-Yu, Yang Nan-Ping
Department of Emergency Medicine, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Orthopedic Surgery, Taoyuan General Hospital, Ministry of Health & Welfare, Taoyuan 33004, Taiwan ; Department of Computer Science and Engineering, National Chung Hsing University, Taichung 40227, Taiwan.
Department of Nursing, College of Medicine, National Taiwan University, Taipei 10617, Taiwan ; Institute of Public Health, National Yang-Ming University, Taipei 11221, Taiwan.
ScientificWorldJournal. 2014 Feb 5;2014:637872. doi: 10.1155/2014/637872. eCollection 2014.
To investigate the major injury patterns associated with traffic accidents and evaluate the risk factors of the main injury, a survey of Taiwan's national insurance admission data between 2002 and 2011 was performed. The incidence of traffic-accidents-related hospitalization was between 9.17% and 11.54% and the average mortality rate of the inpatients admitted due to traffic accidents was 0.68%. Of all inpatients due to road traffic accidents in Taiwan, orthopedic fractures were the most common injuries that accounted for 29.36% of them. There were a total of 391,197 cases of three orthopedic fracture groups that were divided into (1) fracture of upper limb, (2) fracture of lower limb, and (3) fracture of spine and trunk. An increase in national medical cost used for inpatients with orthopedic fractures was noted and ranged from US$ 45.6 million to US$ 86 million annually. These orthopedic fracture patterns were frequently associated with other injuries especially head injuries (ranged from 14% to 26%). A significant relation to male gender, older age, low income, and admission to high-level hospital to the observed fracture patterns was observed.
为调查与交通事故相关的主要损伤模式，并评估主要损伤的风险因素，我们对2002年至2011年台湾地区国民保险住院数据进行了一项调查。与交通事故相关的住院发生率在9.17%至11.54%之间，因交通事故入院的患者平均死亡率为0.68%。在台湾所有因道路交通事故入院的患者中，骨科骨折是最常见的损伤，占所有损伤的29.36%。共有391,197例三种骨科骨折类型的病例，分为（1）上肢骨折、（2）下肢骨折和（3）脊柱及躯干骨折。用于骨科骨折住院患者的国家医疗费用有所增加，每年从4560万美元到8600万美元不等。这些骨科骨折模式常与其他损伤相关，尤其是头部损伤（范围从14%到26%）。观察到男性、年龄较大、低收入以及入住高级别医院与观察到的骨折模式之间存在显著关联。
