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休闲船艇驾驶者一氧化碳中毒的流行病学及特征

The epidemiology and characteristics of carbon monoxide poisoning among recreational boaters.

作者信息

LaSala G, McKeever R, Okaneku J, Jacobs D, Vearrier D

机构信息

Division of Medical Toxicology, Department of Emergency Medicine, Drexel University College of Medicine , Philadelphia, PA , USA.

出版信息

Clin Toxicol (Phila). 2015 Feb;53(2):127-30. doi: 10.3109/15563650.2014.996571. Epub 2015 Jan 8.

DOI:10.3109/15563650.2014.996571
PMID:25567686
Abstract

INTRODUCTION

Carbon monoxide (CO) poisoning has been reported in the setting of recreational boating however, previous research addressing the epidemiology of carbon monoxide-related injury and death in recreational boaters has been limited.

MATERIALS AND METHODS

The United States Coast Guard (USCG) Recreational Boating Statistics annual reports for the 10-year period 2002 - 2011 were analyzed to determine the epidemiology and characteristics of carbon monoxide poisoning among recreational boaters in the United States. Regression analysis was performed to determine statistical significance for trend.

RESULTS

The mean number of accidents, injuries and deaths per year due to CO exposure on recreational watercrafts was 14.5 (95% CI 12.1-16.9), 30.9 (95% CI 22.4-39.4) and 6.7 (95% CI 4.5-9.0) respectively. Cabin motorboats accounted for 49 accidents, 123 injuries and 29 deaths. California had 24 carbon monoxide- related accidents over the 10-year study period. Regression analysis showed no overall linear trend in the number of carbon monoxide-related boating accidents, injuries, or deaths as an absolute number or as a percent of all boating accidents, injuries or deaths over the study period. Discussion. The majority of carbon monoxide-related boating accidents, injuries and deaths occurred with cabin motorboats. The state with the largest number of carbon monoxide-related accidents over the 10-year study period was California.

CONCLUSIONS

Carbon monoxide-related accidents involving recreational boating constitute an important and under recognized cause of injury and death in the United States.

摘要

引言

已有报道称在休闲划船活动中发生了一氧化碳(CO)中毒事件,然而,此前针对休闲划船者中与一氧化碳相关的伤害和死亡流行病学的研究一直有限。

材料与方法

分析了美国海岸警卫队(USCG)2002年至2011年这10年期间的休闲划船统计年度报告,以确定美国休闲划船者中一氧化碳中毒的流行病学情况和特征。进行回归分析以确定趋势的统计学意义。

结果

每年因休闲船只一氧化碳暴露导致的事故、受伤和死亡的平均数量分别为14.5起(95%置信区间12.1 - 16.9)、30.9人(95%置信区间22.4 - 39.4)和6.7人(95%置信区间4.5 - 9.0)。舱内摩托艇导致了49起事故、123人受伤和29人死亡。在为期10年的研究期间,加利福尼亚州发生了24起与一氧化碳相关的事故。回归分析表明,在研究期间,与一氧化碳相关的划船事故、受伤或死亡数量,无论是绝对数量还是占所有划船事故、受伤或死亡的百分比,均无总体线性趋势。讨论。大多数与一氧化碳相关的划船事故、受伤和死亡发生在舱内摩托艇上。在为期10年的研究期间,与一氧化碳相关事故数量最多的州是加利福尼亚州。

结论

涉及休闲划船的与一氧化碳相关的事故是美国一个重要但未得到充分认识的伤害和死亡原因。

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