Yadollahi Mahnaz, Jamali Babak
Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Chin J Traumatol. 2019 Aug;22(4):223-227. doi: 10.1016/j.cjtee.2018.08.007. Epub 2019 May 2.
After car accident, motorcycle accident ranks as the second leading cause of traffic fatality in Iran. This study aimed to compare the severity and clinical presentations between drivers and passengers under the same injury circumstance.
This study was conducted in the trauma center of Shiraz, Iran in 2017. Data on demographics, triage level, blood pressure, respiratory rate, Glasgow coma scale (GCS), injured body region, injury severity score (ISS), revised trauma score (RTS), and result of accident were compared between pairs of drivers and passengers. The agreement of any type of injury between drivers and passengers evaluated by Kappa test.
This study included 143 matched pairs of drivers and passengers. Most of the pairs (84.5%) did not use helmet and 77.2% of the riders do not have driving license. ISS was significantly higher in drivers than passengers. In the unmatched pairs, drivers and passengers showed no difference in sustaining injuries in the face, head & neck, chest and soft tissue, but drivers were found more likely to suffer from injuries in the abdomen, extremities, pelvis and spine than passengers. Once one part of the matched pair suffered injury in the head & neck, face, chest, abdomen, extremities and soft tissue & skin injury, the probability that the other part had an injury in the same region was 50%, 9%, 13%, 7%, 22% and 34% respectively. Kappa value for these body regions was 0.006, 0.009, -0.006, 0.068, 0.063 and 0.001, respectively, which was significant in abdomen and extremities.
Although drivers had higher level of injury severity and some different injury distributions, we recommend equal treatment to drivers and passengers. We also recommend related authorities to develop policies on helmet use, driving license and third-party insurance.
在伊朗，摩托车事故是仅次于车祸的第二大交通死亡原因。本研究旨在比较在相同受伤情况下，摩托车驾驶员和乘客的损伤严重程度及临床表现。
本研究于2017年在伊朗设拉子的创伤中心进行。比较了驾驶员和乘客在人口统计学、分诊级别、血压、呼吸频率、格拉斯哥昏迷量表（GCS）、受伤身体部位、损伤严重程度评分（ISS）、修订创伤评分（RTS）以及事故结果等方面的数据。采用Kappa检验评估驾驶员和乘客之间各类损伤的一致性。
本研究纳入了143对匹配的驾驶员和乘客。大多数配对（84.5%）未使用头盔，77.2%的骑手没有驾驶执照。驾驶员的ISS显著高于乘客。在不匹配的配对中，驾驶员和乘客在面部、头部和颈部、胸部及软组织受伤方面无差异，但驾驶员比乘客更易在腹部、四肢、骨盆和脊柱受伤。当匹配对中的一方在头部和颈部、面部、胸部、腹部、四肢以及软组织和皮肤受伤时，另一方在同一区域受伤的概率分别为50%、9%、13%、7%、22%和34%。这些身体部位的Kappa值分别为(0.006)、(0.009)、(-0.006)、(0.068)、(0.063)和(0.001)，其中腹部和四肢的差异具有统计学意义。
尽管驾驶员的损伤严重程度较高且损伤分布有所不同，但我们建议对驾驶员和乘客一视同仁。我们还建议相关部门制定关于头盔使用、驾驶执照和第三方保险的政策。
