一项队列研究表明，多种状况会增加卡车司机中可预防撞车事故的风险。
Multiple Conditions Increase Preventable Crash Risks Among Truck Drivers in a Cohort Study.
作者信息
Thiese Matthew S, Hanowski Richard J, Kales Stefanos N, Porter Richard J, Moffitt Gary, Hu Nan, Hegmann Kurt T
机构信息
Rocky Mountain Center for Occupational & Environment Health, Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Drs Thiese, Hegmann); Center for Truck and Bus Safety, Virginia Tech Transportation Institute, Blacksburg, Virginia (Dr Hanowski); Department of Environmental Health, Harvard TH Chan School of Public Health, Boston, Massachusetts, Occupational Medicine, Cambridge Health Alliance/Harvard Medical School, Cambridge, Massachusetts (Dr Kales); Department of Civil & Environmental Engineering, College of Engineering, University of Utah, Salt Lake City, Utah (Dr Porter); Arkansas Occupational Health Clinic, Springdale, Arkansas (Dr Moffitt); and Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Dr Hu).
出版信息
J Occup Environ Med. 2017 Feb;59(2):205-211. doi: 10.1097/JOM.0000000000000937.
OBJECTIVE
This study aims to quantify the crash risk for truck drivers with multiple comorbid medical conditions, after adjusting for confounders.
METHODS
This retrospective cohort of 38,184 drivers evaluated concomitant medical conditions and subsequent crash data between January 1, 2005, and October 31, 2012. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were calculated for any cause and preventable crashes of varying severity.
RESULTS
Drivers with three or more medical conditions had a significantly increased risk of preventable Department of Transportation (DOT) reportable crashes (HR = 2.53, 95% CI = 1.65 to 3.88) and preventable crashes with injuries (HR = 2.23, 95% CI = 1.09 to 5.31) after adjustment for covariates. Similarly, adjusted HRs were 2.55 (95% CI = 1.37 to 4.73) for any cause DOT-reportable crashes and 3.21 (95% CI = 1.18 to 8.75) for any cause crashes with injuries.
CONCLUSIONS
Having three concomitant medical conditions may be a statistically significant risk factor for preventable and any cause DOT-reportable crashes and crashes with injuries.
目的
本研究旨在在对混杂因素进行校正后，量化患有多种合并症的卡车司机的撞车风险。
方法
这项对38184名司机的回顾性队列研究评估了2005年1月1日至2012年10月31日期间的伴随医疗状况和随后的撞车数据。计算了不同严重程度的任何原因和可预防撞车事故的风险比（HRs）和95%置信区间（95% CIs）。
结果
在对协变量进行校正后，患有三种或更多种疾病的司机发生可预防的运输部（DOT）报告撞车事故（HR = 2.53，95% CI = 1.65至3.88）和有人员受伤的可预防撞车事故（HR = 2.23，95% CI = 1.09至5.31）的风险显著增加。同样，任何原因的DOT报告撞车事故的校正HR为2.55（95% CI = 1.37至4.73），任何原因的有人员受伤撞车事故的校正HR为3.21（95% CI = 1.18至8.75）。
结论
患有三种合并症可能是可预防的、任何原因的DOT报告撞车事故以及有人员受伤撞车事故的一个具有统计学意义的风险因素。
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