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一级创伤中心收治的摩托车所致道路交通事故损伤谱:一项前瞻性观察性研究。

The spectrum of injuries from motorcycle induced road traffic accidents from level one trauma center: A prospective observational study.

作者信息

Ali Danish, Shahid Muhammad Hasaan, Khokhar Muhammad Imran, Alam Muhammad Azhar, Kaiser Adeel, Malik Awais Amjad, Afzal M Farooq

机构信息

Surgical Unit-1, Lahore General Hospital, Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S37-S41.

Abstract

OBJECTIVE

To observe the role of motorcycles in causing Road Traffic Accidents and assess the demographics of the drivers, the injury patterns and their outcomes.

METHODS

This prospective observational study was conducted at the Surgical Unit 1, Lahore General Hospital, Lahore for a period of 6 months from November 2017 to May 2018. All patients presenting in ER with RTA secondary to motorcycle trauma were included in the study. Data of patients including demographic and medical data, helmet use, spectrum of injuries, specific injury diagnosis, and final disposition of patients was analyzed. The distribution and associations of both victim- and crash-related variables such as crash mechanism, types of involved vehicles, types of injuries, and demographic characteristics were investigated. Data were analyzed by SPSS v23.

RESULTS

A total of 835 patients were included in this study with 685 (82%) being male (mean age 28.38 ± 13.89 years) and775 (92.7%) were motorcycle users. The majority of road traffic crashes, traffic accident's mechanism were motorcycle-vehicle accident 579 (69.3%), followed by collision with slow moving carts and bicycles 104 (12.5%). Inner city main roads were the site for 563 (67.4%) accidents. Only 168 (2.2%) patients were wearing helmets at the time of trauma.

CONCLUSIONS

Motorcycle traffic morbidities and mortalities remain to be a major public health issue in Lahore as well as all over Pakistan. There is an urgent need for an efficacious interventional programs to decline the burden of motorcycle related morbidity and mortalities.

摘要

目的

观察摩托车在道路交通事故中的作用,并评估驾驶员的人口统计学特征、损伤模式及其后果。

方法

这项前瞻性观察性研究于2017年11月至2018年5月在拉合尔拉合尔总医院外科第一病房进行,为期6个月。所有因摩托车创伤继发道路交通事故而在急诊室就诊的患者均纳入研究。分析患者的数据,包括人口统计学和医学数据、头盔使用情况、损伤范围、具体损伤诊断以及患者的最终处置情况。调查受害者和碰撞相关变量的分布及关联,如碰撞机制、涉事车辆类型、损伤类型和人口统计学特征。数据采用SPSS v23进行分析。

结果

本研究共纳入835例患者,其中685例(82%)为男性(平均年龄28.38±13.89岁),775例(92.7%)为摩托车使用者。大多数道路交通事故的碰撞机制是摩托车与车辆事故,共579例(69.3%),其次是与慢速行驶的手推车和自行车碰撞,共104例(12.5%)。市内主要道路发生了563例(67.4%)事故。创伤发生时仅168例(2.2%)患者佩戴了头盔。

结论

在拉合尔以及整个巴基斯坦,摩托车交通事故的发病率和死亡率仍然是一个主要的公共卫生问题。迫切需要有效的干预项目来减轻与摩托车相关的发病率和死亡率负担。

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