Kosola Silja, Salminen Päivi, Kallio Pentti
School and Student Health Care, City of Helsinki, Finland; Department of Pediatric Surgery, Helsinki Children's Hospital, Helsinki University Central Hospital and University of Helsinki, Finland.
Department of Pediatric Surgery, Helsinki Children's Hospital, Helsinki University Central Hospital and University of Helsinki, Finland.
Injury. 2016 Jan;47(1):239-43. doi: 10.1016/j.injury.2015.10.074. Epub 2015 Nov 10.
In our previous study, the annual number of adolescents treated at Helsinki Children's Hospital and Töölö Trauma Centre for injuries from moped and scooter accidents increased five-fold between 2002 and 2007. In June 2011, the requirements for a moped/scooter license changed to include driver's education and a vehicle handling evaluation. The aim of this retrospective study was to assess the influence of legislative changes on moped and scooter related serious injuries in adolescents.
Data from 520 patients (age 15-16) treated for trauma from moped and scooter accidents at our institutions between January 2008 and December 2013 were included. Case numbers were compared with population data from national databases. Overall incidence, trauma mechanism, injury profile, and proportion of patients requiring hospital admission were calculated for time periods before and after the law amendment.
After the law change in 2011, the annual incidence of moped/scooter injuries among 15-year-olds in our area decreased from 0.8% in 2011 to 0.3% in 2013 (p<0.001), and estimated incidence of injuries per new moped/scooter license declined from 1.8% in 2011 to 1.0% in 2013 (p=0.001). Simultaneously, proportions of patients injured in collisions, diagnosed with multiple trauma or requiring in-patient care reduced.
A change in moped/scooter license requirements may have a causal relationship with both reduced number and severity of moped/scooter related injuries in adolescents.
在我们之前的研究中,2002年至2007年间,赫尔辛基儿童医院和图洛创伤中心因助力车和小型摩托车事故接受治疗的青少年人数增加了五倍。2011年6月,助力车/小型摩托车驾照的要求发生了变化,包括驾驶员教育和车辆操控评估。这项回顾性研究的目的是评估立法变化对青少年助力车和小型摩托车相关重伤的影响。
纳入了2008年1月至2013年12月期间在我们机构因助力车和小型摩托车事故接受创伤治疗的520名患者(年龄15 - 16岁)的数据。将病例数与国家数据库中的人口数据进行比较。计算法律修订前后时间段内的总体发病率、创伤机制、损伤情况以及需要住院治疗的患者比例。
2011年法律变更后,我们地区15岁青少年中助力车/小型摩托车受伤的年发病率从2011年的0.8%降至2013年的0.3%(p<0.001),每新增一张助力车/小型摩托车驾照的估计受伤发病率从2011年的1.8%降至2013年的1.0%(p = 0.001)。同时,在碰撞中受伤、被诊断为多发伤或需要住院治疗的患者比例有所降低。
助力车/小型摩托车驾照要求的变化可能与青少年助力车/小型摩托车相关损伤的数量和严重程度的降低存在因果关系。