北卡罗来纳州与摩托车碰撞相关的创伤性脑损伤急诊就诊及住院情况。

Motorcycle crash-related emergency department visits and hospitalizations for traumatic brain injury in North Carolina.

作者信息

Harmon Katherine J, Marshall Stephen W, Proescholdbell Scott K, Naumann Rebecca B, Waller Anna E

机构信息

Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina-Chapel Hill, Chapel Hill, North Carolina (Ms Harmon, Ms Naumann, and Dr Marshall); Injury and Violence Prevention Branch, North Carolina Division of Public Health, Raleigh, North Carolina (Mr Proescholdbell); Department of Emergency Medicine, UNC School of Medicine, The University of North Carolina-Chapel Hill, Chapel Hill, North Carolina (Dr Waller).

出版信息

J Head Trauma Rehabil. 2015 May-Jun;30(3):175-84. doi: 10.1097/HTR.0000000000000096.

DOI:10.1097/HTR.0000000000000096

PMID:25955704

Abstract

OBJECTIVE

To examine statewide emergency department (ED) visit data for motorcycle crash morbidity and healthcare utilization due to traumatic brain injuries (TBIs) and non-TBIs.

SETTING

North Carolina ED data (2010-2012) and hospital discharge data (2009-2011).

POPULATION

Statewide ED visits and hospitalizations due to injuries from traffic-related motorcycle crashes stratified by TBI status.

DESIGN

Descriptive study.

MAIN MEASURES

Descriptive statistics include age, sex, mode of transport, disposition, expected source of payment, hospital length of stay, and hospital charges.

RESULTS

Over the study period, there were 18 780 ED visits and 3737 hospitalizations due to motorcycle crashes. Twelve percent of ED visits for motorcycle crashes and 26% of hospitalizations for motorcycle crashes had a diagnosis of TBI. Motorcycle crash-related hospitalizations with a TBI diagnosis had median hospital charges that were nearly $9000 greater than hospitalizations without a TBI diagnosis.

CONCLUSIONS

Emergency department visits and hospitalizations due to motorcycle crashes with a TBI diagnosis consumed more healthcare resources than motorcycle crash-related ED visits and hospitalizations without a TBI diagnosis. Increased awareness of motorcyclists by other road users and increased use of motorcycle helmets are 2 strategies to mitigate the incidence and severity of motorcycle crash injuries, including TBIs.

摘要