Koh Soonho, Hitosugi Masahito, Moriguchi Shingo, Baba Mineko, Tsujimura Seiji, Takeda Arisa, Takaso Marin, Nakamura Mami
Department of Legal Medicine, Shiga University of Medical Science, Otsu 520-2192, Japan.
Center for Integrated Medical Research, Keio University School of Medicine, 35 Shinanomachi, Tokyo 160-8582, Japan.
Healthcare (Basel). 2021 Oct 21;9(11):1414. doi: 10.3390/healthcare9111414.
We compared the independent predictive factors for moderate and severe injuries, along with characteristics and outcomes of motor vehicle collisions, between pregnant and non-pregnant women. Using 2001-2015 records from the National Automotive Sampling System/Crashworthiness Data System, we selected 736 pregnant women and 21,874 non-pregnant women having any anatomical injuries. Pregnant women showed less severe collisions, fewer fatalities, and less severe injuries in most body regions than non-pregnant women. In pregnant women, the rate of sustaining abbreviated injury scale (AIS) scores 2+ injuries was higher for the abdomen only. For non-pregnant women, rear seat position, airbag deployment, multiple collisions, rollover, force from the left, and higher collision velocity had a positive influence on the likelihood of AIS 2+ injuries, and seatbelt use and force from the rear had a negative influence. There is a need for further development of passive safety technologies for restraint and active safety features to slow down vehicles and mitigate collisions. The influencing factors identified may be improved by safety education. Therefore, simple and effective interventions by health professionals are required that are tailored to pregnant women.
我们比较了孕妇和非孕妇中中度及重度损伤的独立预测因素，以及机动车碰撞的特征和后果。利用2001年至2015年国家汽车抽样系统/碰撞安全性数据系统的记录，我们选取了736名有任何解剖学损伤的孕妇和21874名非孕妇。与非孕妇相比，孕妇发生的碰撞严重程度较低，死亡人数较少，且大多数身体部位的损伤较轻。在孕妇中，仅腹部的简明损伤定级标准（AIS）评分为2+级损伤的发生率较高。对于非孕妇来说，后排座位位置、安全气囊展开、多次碰撞、翻车、来自左侧的力以及较高的碰撞速度对AIS 2+级损伤发生的可能性有积极影响，而使用安全带和来自后方的力则有消极影响。需要进一步开发用于约束的被动安全技术和用于使车辆减速及减轻碰撞的主动安全功能。所确定的影响因素可通过安全教育加以改善。因此，需要健康专业人员针对孕妇进行简单有效的干预。
