瑞典一座中等规模城市及其周边与车辆相关的伤害——骑自行车者受伤给医疗部门带来了最沉重的负担。

Vehicle-related injuries in and around a medium sized Swedish City - bicyclist injuries caused the heaviest burden on the medical sector.

作者信息

Björnstig Johanna, Bylund Per-Olof, Björnstig Ulf

机构信息

Department of Surgery, Umeå University, SE 90187, Umeå, Sweden.

出版信息

Inj Epidemiol. 2017 Dec;4(1):4. doi: 10.1186/s40621-016-0101-8. Epub 2017 Jan 23.

DOI:10.1186/s40621-016-0101-8

PMID:28116658

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5258650/

Abstract

BACKGROUND

A data acquisition from the medical sector may give one important view of the burden on the society caused by vehicle related injuries. The official police-reported statistics may only reflect a part of all vehicle-related injured seeking medical attention. The aim is to provide a comprehensive picture of the burden of vehicle related injuries on the medical sector (2013), and to compare with official police-reported statistics and the development year 2000-2013.

METHODS

The data set includes 1085 injured from the Injury Data Base at Umeå University Hospital's catchment area with 148,500 inhabitants in 2013.

RESULTS

Bicyclists were the most frequently injured (54%). One-third had non-minor (MAIS2+) injuries, and bicyclists accounted for 58% of the 1071 hospital bed days for all vehicle-related injuries. Car occupants represented 23% of all injured, and only 9% had MAIS2+ injuries. They accounted for 17% of the hospital bed days. Motorized two wheel vehicle riders represented 11% of the injured and 39% had MAIS2+ injuries and they occupied 11% of the hospital bed days. Of the 1085 medically treated persons, 767 were injured in public traffic areas, and, therefore, should be included in the official police statistics; however, only a third (232) of them were reported by the police. The annual injury rate had not changed during 2000-2013 for bicyclists, motor-cycle riders, pedestrians or snowmobile riders. However, for passenger car occupants a decrease was observed after 2008, and for mopedists the injury rate was halved after 2009 when a licensing regulation was introduced.

CONCLUSION

The Swedish traffic injury reducing strategy Vision Zero, may have contributed to the reduction of injured car occupants and moped riders. The official police-reported statistics was a biased data source for vehicle related injuries and the total number medically treated was in total five times higher. Bicyclists caused the heaviest burden on the medical sector; consequently, they need to be prioritized in future safety work, as recently declared in the Government plan Vision Zero 2.0.

摘要

背景

从医疗部门获取的数据可以提供有关车辆相关伤害给社会造成负担的一个重要视角。警方官方报告的统计数据可能仅反映了所有寻求医疗救治的车辆相关伤者中的一部分。目的是全面呈现2013年车辆相关伤害给医疗部门带来的负担，并与警方官方报告的统计数据以及2000 - 2013年的发展情况进行比较。

方法

数据集包括于默奥大学医院服务区域内1085名伤者，该区域2013年有148,500名居民。

结果

骑自行车者受伤最为频繁（占54%）。三分之一的伤者有非轻伤（简明损伤定级标准2级及以上[MAIS2+]），且骑自行车者占所有车辆相关伤害1071个住院日的58%。汽车乘客占所有伤者的23%，仅有9%有MAIS2+损伤。他们占住院日的17%。两轮机动车骑行者占伤者的11%，39%有MAIS2+损伤，他们占住院日的11%。在1085名接受治疗的人员中，767人在公共交通区域受伤，因此应纳入警方官方统计；然而，警方仅报告了其中三分之一（232人）。2000 - 2013年期间，骑自行车者、摩托车骑行者、行人或雪地摩托骑行者的年受伤率没有变化。但是，对于乘用车乘客，2008年后观察到受伤率下降，对于助力车骑行者，2009年引入许可规定后受伤率减半。