Hattori Shinobu, Hitosugi Masahito, Moriguchi Shingo, Baba Mineko, Takaso Marin, Nakamura Mami, Tsujimura Seiji, Miyata Yasuhito
Department of Legal Medicine, Shiga University of Medical Science, Tsukinowa, Seta, Otsu, Shiga 520-2192, Japan.
Center for Integrated Medical Research, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Healthcare (Basel). 2021 Mar 3;9(3):273. doi: 10.3390/healthcare9030273.
To examine the factors that influence substantial injuries for pregnant women and negative fetal outcomes in motor vehicle collisions (MVCs), a retrospective analysis using the National Automotive Sampling System/Crashworthiness Data System was performed in Shiga University of Medical Science. We analyzed data from 736 pregnant women who, between 2001 and 2015, had injuries that were an abbreviated injury scale (AIS) score of one or more. The mean age was 25.9 ± 6.4 years and the mean gestational age was 26.2 ± 8.2 weeks. Additionally, 568 pregnant women had mild injuries and 168 had moderate to severe injuries. Logistic regression analysis revealed that seatbelt use (odds ratio (OR), 0.30), airbag deployment (OR, 2.00), and changes in velocity (21-40 km/h: OR, 3.03; 41-60 km/h: OR, 13.47; ≥61 km/h: OR, 44.56) were identified as independent predictors of having a moderate to severe injury. The positive and negative outcome groups included 231 and 12 pregnant women, respectively. Injury severity in pregnant women was identified as an independent predictor of a negative outcome (OR, 2.79). Avoiding moderate to severe maternal injuries is a high priority for saving the fetus, and education on appropriate seatbelt use and limiting vehicle speed for pregnant women is required.
为了研究影响机动车碰撞（MVC）中孕妇严重损伤和胎儿不良结局的因素，滋贺医科大学利用国家汽车抽样系统/碰撞安全性数据系统进行了一项回顾性分析。我们分析了2001年至2015年间736名孕妇的数据，这些孕妇的损伤程度采用简略损伤量表（AIS）评分为1分或更高。平均年龄为25.9±6.4岁，平均孕周为26.2±8.2周。此外，568名孕妇受轻伤，168名孕妇受中度至重度损伤。逻辑回归分析显示，使用安全带（优势比（OR），0.30）、安全气囊展开（OR，2.00）以及速度变化（21 - 40 km/h：OR，3.03；41 - 60 km/h：OR，13.47；≥61 km/h：OR，44.56）被确定为中度至重度损伤的独立预测因素。阳性和阴性结局组分别包括231名和12名孕妇。孕妇的损伤严重程度被确定为阴性结局的独立预测因素（OR，2.79）。避免孕妇发生中度至重度损伤是挽救胎儿的重中之重，需要对孕妇进行正确使用安全带和限制车速的教育。
