Hsieh Ching-Hua, Hsu Shiun-Yuan, Hsieh Hsiao-Yun, Chen Yi-Chun
Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Biomed J. 2017 Apr;40(2):113-120. doi: 10.1016/j.bj.2016.10.005. Epub 2017 May 4.
Female patients present with unique physiological and behavioral characteristics compared to male patients. The aim of this study was to investigate and compare the injury patterns, injury characteristics, and mortality of male and female patients hospitalized for treatment of motorcycle accident-related trauma in a level I trauma center.
Retrospective analysis of motorcycle-related injuries from the Trauma Registry System was performed to identify and compare 4028 male and 2919 female patients hospitalized for treatment between January 1, 2009 and December 31, 2013.
The female patients were younger, less often drunken, more often wore helmets, were transported by emergency medical services, and arrived at the emergency department between 7 a.m. and 5 p.m. compared to male patients. Analysis of Abbreviated Injury Scale scores revealed that female patients sustained significantly higher rates of injuries to the extremities, but lower rates of injuries to the head/neck, face, and thorax than male patients did. Female patients had a significant lower Injury Severity Score (ISS) and adjusted odds ratio of in-hospital mortality (AOR 0.83, 95% CI: 0.83-0.86) after adjustment by ISS. However, the logistic regression analysis of propensity score-matched patients with adjusted confounders including helmet-wearing status and alcohol intoxication revealed that the gender did not significantly influence mortality (OR 0.82, 95% CI 0.47-1.43; p = 0.475), implying the an associated risky behaviors may attribute to the difference of odds of mortality between the male and female patients. In addition, a significantly fewer female patients were admitted to the intensive care unit (ICU), and female patients had a significantly shorter hospital and ICU length of stay.
Female motorcycle riders have different injury characteristics, lower ISS and in-hospital mortality, and present with a bodily injury pattern that differs from that of male motorcycle riders.
Epidemiologic study, level III.
与男性患者相比，女性患者具有独特的生理和行为特征。本研究的目的是调查和比较在一级创伤中心因摩托车事故相关创伤住院治疗的男性和女性患者的损伤模式、损伤特征及死亡率。
对创伤登记系统中与摩托车相关的损伤进行回顾性分析，以识别和比较2009年1月1日至2013年12月31日期间住院治疗的4028例男性患者和2919例女性患者。
与男性患者相比，女性患者年龄更小，醉酒情况更少，更常佩戴头盔，由紧急医疗服务机构转运，且在上午7点至下午5点之间到达急诊科。对简明损伤定级评分的分析显示，女性患者四肢损伤发生率显著高于男性患者，但头部/颈部、面部和胸部损伤发生率低于男性患者。经损伤严重度评分调整后，女性患者的损伤严重度评分显著更低，院内死亡率的调整比值比（AOR 0.83，95%CI：0.83 - 0.86）也更低。然而，对倾向得分匹配且调整了包括头盔佩戴状况和酒精中毒等混杂因素的患者进行逻辑回归分析显示，性别对死亡率无显著影响（OR 0.82，95%CI 0.47 - 1.43；p = 0.475），这意味着相关的危险行为可能是男性和女性患者死亡率差异的原因。此外，入住重症监护病房（ICU）的女性患者明显更少，且女性患者的住院时间和ICU住院时间显著更短。
女性摩托车骑手具有不同的损伤特征、更低的损伤严重度评分和院内死亡率，其身体损伤模式与男性摩托车骑手不同。
流行病学研究，三级。
