Rankin Kelsey A, Zaki Theodore, Ou Derek, Kim Chang-Yeon, Averbukh Leon, Maisano Julianna R, Leslie Michael P, Wiznia Daniel H
Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT 06510, USA.
SICOT J. 2021;7:29. doi: 10.1051/sicotj/2021027. Epub 2021 Apr 30.
The purpose of this study was to characterize and compare risk behaviors between motorcyclists and motor vehicle drivers who were involved in accidents and required hospitalization. The study focused on patients who were recently involved in motorcycle collisions (MCCs) and motor vehicle collisions (MVCs).
We identified 63 patients involved in MCCs and 39 patients involved in MVCs who were admitted to our level-1 trauma center from April 2014 to September 2015. These 102 patients completed a questionnaire designed to evaluate risky driving behaviors. Pearson's chi-squared tests and unpaired two-tailed t-tests were used to evaluate categorical and normally distributed continuous variables, respectively. Multivariable linear regression was used to analyze predictors of risk behavior. Significance was set at p < 0.05.
When compared to patients involved in an MCC, patients involved in MVCs were more likely to be female (p = 0.007), drive more frequently (p < 0.001), and never perceive the risk of an accident (p = 0.036). MVC patients were more likely to have admitted to substance use on the day of the accident (p = 0.030), historically drive under the influence of drugs (p = 0.031), drive while tired (p < 0.001), drive while text messaging (p < 0.001), and speed while overtaking vehicles (p = 0.011). Overall, MVC patients engaged in more risk behaviors (3.3 ± 1.3 vs. 2.0 ± 1.5; p < 0.001) and were more likely to engage in multiple risk behaviors (p < 0.001). MVCs were associated with increased risk behavior, even after controlling for protective behaviors, driving history, and demographics (p = 0.045).
Within our cohort of trauma patients at our institution, motor vehicle drivers were more likely than motorcyclists to engage in any one risk behavior and engage in a higher number of risk behaviors. In addition, motor vehicle drivers perceived their risk of a potential accident as lower than riding a motorcycle. Education initiatives should focus on motor vehicle driver safety interventions that reduce risk behaviors.
本研究旨在描述和比较发生事故并需要住院治疗的摩托车骑手与机动车驾驶员之间的风险行为。该研究聚焦于近期发生摩托车碰撞事故（MCC）和机动车碰撞事故（MVC）的患者。
我们确定了2014年4月至2015年9月间入住我院一级创伤中心的63例摩托车碰撞事故患者和39例机动车碰撞事故患者。这102例患者完成了一份旨在评估危险驾驶行为的问卷。分别使用Pearson卡方检验和非配对双尾t检验来评估分类变量和正态分布的连续变量。采用多变量线性回归分析风险行为的预测因素。显著性设定为p < 0.05。
与摩托车碰撞事故患者相比，机动车碰撞事故患者更可能为女性（p = 0.007），驾驶更频繁（p < 0.001），且从未意识到事故风险（p = 0.036）。机动车碰撞事故患者更可能承认在事故当天使用过药物（p = 0.030），既往有药物影响下驾驶的情况（p = 0.031），疲劳驾驶（p < 0.001），边开车边发短信（p < 0.001），以及超车时超速（p = 0.011）。总体而言，机动车碰撞事故患者从事的风险行为更多（3.3 ± 1.3对2.0 ± 1.5；p < 0.001），且更可能从事多种风险行为（p < 0.001）。即使在控制了保护行为、驾驶历史和人口统计学因素后，机动车碰撞事故仍与风险行为增加相关（p = 0.045）。
在我们机构的创伤患者队列中，机动车驾驶员比摩托车骑手更可能从事任何一种风险行为，且从事的风险行为数量更多。此外，机动车驾驶员认为他们发生潜在事故的风险低于骑摩托车。教育举措应侧重于减少风险行为的机动车驾驶员安全干预措施。
