Ringgren Kristian Bundgaard, Mills Elisabeth Helen Anna, Christensen Erika Frischknecht, Mortensen Rikke Nørmark, Torp-Pedersen Christian, Kragholm Kristian Hay
Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
Center for Prehospital and Emergency Research, Department of Clinical Medicine Aalborg University and Clinic of Internal and Emergency Medicine Aalborg University Hospital, Aalborg, Denmark.
BMC Emerg Med. 2020 Nov 12;20(1):90. doi: 10.1186/s12873-020-00382-3.
INTRODUCTION/BACKGROUND: Traffic accidents constitute a common reason for injury. Little is known about long-term outcomes for patients following a traffic accident. Therefore, in this present paper, we examine 1-day, 30-day and 1-year mortality, and return to work (RTW) during a 1-year period.
Patients (between 18 and 65 years of age) who had an ambulance dispatched to them following a traffic accident and who were employed prior to the accident were identified from the Electronic Prehospital Emergency Patient (amPHI™) database in the North Denmark Region (catchment population ≈600,000) during 2006-2014. Outcomes of 1- and 30- and 365-day mortality and 1-year return to work (RTW), with mortality as competing risk. We stratified by intensive care unit (ICU) admission; and the anatomical region of injury (head/neck, thorax, abdomen, extremities and multiple injuries) is reported.
Of 6072 patients in our study population, 59 (1%) died within 1 day and 76 (1.3%) within 30 days; 88 (1.5%) were dead within a year. Thirty-day mortality was 1.7% for the 290 patients admitted to the ICU, and 1.2% for the remaining 5782 patients. Within the study population, RTW rate was 92.7% (N = 5984). RTW was 84.8% among 290 ICU-admitted patients versus 93.1% for the remaining 5782 patients. RTW rate was 94.6% for the 1793 patients discharged with a diagnosis of head/neck injury. Of 671 patients with a discharge diagnosis for the thoracic region, 92.6% returned to work. Of 402 patients with abdominal injury diagnoses, 90.8% returned to work. Of 1603 patients discharged with a diagnosis of extremity injury, the RTW rate was 93.6%. Of 192 patients with a discharge diagnosis of injury in multiple regions, 91.7% returned to work.
Overall, mortality rates were low and RTW rates high in patients who had an ambulance dispatched due to a traffic accident. Those admitted to the ICU had the lowest RTW rate, yet still around 80% returned to work.
引言/背景：交通事故是造成伤害的常见原因。对于交通事故患者的长期预后了解甚少。因此，在本文中，我们研究了1天、30天和1年的死亡率，以及1年内的重返工作岗位（RTW）情况。
从丹麦北部地区（服务人口约60万）的电子院前急救患者（amPHI™）数据库中识别出在2006年至2014年期间因交通事故呼叫救护车且事故发生前有工作的患者（年龄在18至65岁之间）。以死亡率作为竞争风险，研究1天、30天和365天的死亡率以及1年的重返工作岗位情况。我们按重症监护病房（ICU）收治情况进行分层；并报告损伤的解剖区域（头/颈、胸部、腹部、四肢和多处损伤）。
在我们的研究人群中，6072例患者中有59例（1%）在1天内死亡，76例（1.3%）在30天内死亡；88例（1.5%）在1年内死亡。290例入住ICU的患者30天死亡率为1.7%，其余5782例患者为1.2%。在研究人群中，重返工作岗位率为92.7%（N = 5984）。290例入住ICU的患者中重返工作岗位率为84.8%，其余5782例患者为93.1%。1793例出院诊断为头/颈损伤的患者重返工作岗位率为94.6%。671例出院诊断为胸部损伤的患者中，92.6%重返工作岗位。402例腹部损伤诊断患者中，90.8%重返工作岗位。1603例出院诊断为四肢损伤的患者，重返工作岗位率为93.6%。192例出院诊断为多处损伤的患者中，91.7%重返工作岗位。
总体而言，因交通事故呼叫救护车的患者死亡率低，重返工作岗位率高。入住ICU的患者重返工作岗位率最低，但仍有大约80%的患者重返工作岗位。
