Department of Surgery, General Hospital of Rethymnon, Greece
Department of Anesthesiology, General Hospital of Rethymnon, Greece
Rural Remote Health. 2021 Aug;21(3):6529. doi: 10.22605/RRH6529. Epub 2021 Aug 2.
Despite the significant progress that has been made during the last decade, Greece still faces the effects of road traffic accidents (RTAs) to a great extent every year. This study represents an epidemiological approach to road traffic injuries (RTIs) presenting to a secondary hospital in a geographical area with very low-quality road network; it aims to indicate possible preventive measures and actions.
The present study was conducted in Rethymnon General Hospital between January 2018 and February 2020. Data from all trauma patients who presented to the emergency department (ED) after RTAs were retrospectively collected from patient medical records. The severity of injury sustained by road traffic victims was graded using the Injury Severity Score (ISS).
During the study period, 1582 trauma patients presented to the ED after RTAs. There were 1079 men and 503 women and the median age was 30 years. In total, 818 motorcycle-related injuries (51.7%), 497 automobile-related injuries (31.4%), 165 bicycle-related injuries (10.4%) and 102 pedestrian injuries (6.4%) were documented. Of the 1582 trauma patients, 58.2% (921) presented with injuries to the extremities, 35.3% (554) presented with thoracic injuries, 34.4% (541) presented with head injuries, 30% (475) presented with spinal column injuries, 17.4% (271) presented with facial injuries, 12.9% (203) presented with abdominal injuries and 10.3% (162) presented with pelvic injuries. A significant increase in the number of incidents was noticed during the tourist season. Median ISS was 2 (IQR=4). 53.7% of patients who were transferred to the hospital by ambulance had an ISS≤4. In 41 cases, transportation to a tertiary hospital was necessary, six patients had emergency operations and 13 others died in the ED. The median length of hospital stay was 3 (IQR=6) days.
Actions that could possibly mitigate the burden of RTIs in the district of Rethymnon include upgrading the level of law enforcement, implementing educational strategies and information campaigns against inappropriate ambulance use, encouraging facilities to develop trauma registries and ensuring adequate hospital staffing.
尽管在过去十年中取得了重大进展，但希腊每年仍在很大程度上受到道路交通事故（RTA）的影响。本研究采用流行病学方法研究了在一个道路网络质量非常低的地区的二级医院就诊的道路交通伤害（RTI），旨在指出可能的预防措施和行动。
本研究于 2018 年 1 月至 2020 年 2 月在雷西姆农总医院进行。从患者病历中回顾性收集所有因 RTA 到急诊科就诊的创伤患者的数据。使用损伤严重程度评分（ISS）对道路交通受害者的损伤严重程度进行分级。
在研究期间，1582 名创伤患者因 RTA 到急诊科就诊。其中 1079 名男性和 503 名女性，中位年龄为 30 岁。共记录了 818 例与摩托车相关的损伤（51.7%）、497 例与汽车相关的损伤（31.4%）、165 例与自行车相关的损伤（10.4%）和 102 例与行人相关的损伤（6.4%）。在 1582 名创伤患者中，58.2%（921 例）的四肢受伤，35.3%（554 例）的胸部受伤，34.4%（541 例）的头部受伤，30%（475 例）的脊柱受伤，17.4%（271 例）的面部受伤，12.9%（203 例）的腹部受伤，10.3%（162 例）的骨盆受伤。在旅游季节，事故数量明显增加。中位 ISS 为 2（IQR=4）。由救护车转院的患者中，ISS≤4 的比例为 53.7%。有 41 例需要转往三级医院，6 例患者进行了紧急手术，13 例患者在急诊科死亡。住院中位数为 3（IQR=6）天。
雷西姆农地区可能减轻 RTI 负担的措施包括提高执法水平、实施针对不当使用救护车的教育策略和宣传活动、鼓励设施建立创伤登记处以及确保医院人员配备充足。
