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中国一家省级医院收治的电动自行车相关损伤:一项回顾性研究。

Electric bicycle-related injuries presenting to a provincial hospital in China: A retrospective study.

作者信息

Zhou Sheng Ang, Ho Andrew Fu Wah, Ong Marcus Eng Hock, Liu Nan, Pek Pin Pin, Wang Yi Qing, Jin Tao, Yan Guang Zhao, Han Nan Nan, Li Gang, Xu Li Ming, Cai Wen Wei

机构信息

Department of Emergency Medicine, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China SingHealth Emergency Medicine Residency Program, Singapore Health Services Department of Emergency Medicine, Singapore General Hospital Health Services and Systems Research Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore School of Medicine, Zhejiang University International Cooperation and Communication Office, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.

出版信息

Medicine (Baltimore). 2017 Jun;96(26):e7395. doi: 10.1097/MD.0000000000007395.

Abstract

The use of electric bicycles (EBs) in China is growing. In the present study, we aimed to characterize the pattern and outcomes of EB-related injuries presenting to a major general hospital in China.This was a retrospective review of EB-related injuries presenting to Zhejiang Provincial People's Hospital from 2008 to 2011. Cases were identified from medical records according to diagnosis codes. Data captured included demographics, injury characteristics, and outcomes.A total of 3156 cases were reviewed in the present study. There were 1460 cases of traffic accidents, of which 482 cases were EB-related (32.7%). In addition, most of EB-related cases (44.6%) belonged to the 41- to 60-year-old age group. Median injury severity score was 10. Moreover, 34.9% underwent surgery and 24.7% were admitted to intensive care unit. The median hospitalization cost was 14,269 USD. Fracture (56.5%) was the most frequently diagnosed injury type, and head was the most commonly injured body region (31.1%).EB-related injuries have become a major health concern, making up a sizeable proportion of injuries presenting to the emergency department. Therefore, it is necessary to establish injury prevention and strategies for EB road safety. Implementation of policy such as compulsory helmet use, as well as popularization of EB road safety education should be considered to improve the current situation of EB-related injuries in China.

摘要

在中国,电动自行车的使用正在增加。在本研究中,我们旨在描述在中国一家大型综合医院就诊的电动自行车相关损伤的模式及结果。

这是一项对2008年至2011年期间在浙江省人民医院就诊的电动自行车相关损伤的回顾性研究。根据诊断编码从病历中识别病例。收集的数据包括人口统计学信息、损伤特征和结果。

本研究共回顾了3156例病例。其中有1460例交通事故,其中482例与电动自行车有关(32.7%)。此外,大多数电动自行车相关病例(44.6%)属于41至60岁年龄组。损伤严重程度评分中位数为10。而且,34.9%的患者接受了手术,24.7%的患者被收入重症监护病房。住院费用中位数为14269美元。骨折(56.5%)是最常诊断出的损伤类型,头部是最常受伤的身体部位(31.1%)。

电动自行车相关损伤已成为一个主要的健康问题,在急诊科就诊的损伤中占相当大的比例。因此,有必要制定电动自行车道路安全的伤害预防措施和策略。应考虑实施强制使用头盔等政策,以及普及电动自行车道路安全教育,以改善中国电动自行车相关损伤的现状。

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