Ishii Wataru, Hitosugi Masahito, Baba Mineko, Kandori Kenji, Arai Yusuke
Kyoto Daini Red Cross Hospital, Critical Care Center, Emergency of Medicine, Haruobi, Kamazamarutamachi, Kamigyo, Kyoto 602-8026, Japan.
Department of Legal Medicine, Shiga University of Medical Science, Tsukinowa, Seta, Otsu, Shiga 520-2192, Japan.
Healthcare (Basel). 2021 Oct 24;9(11):1431. doi: 10.3390/healthcare9111431.
Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that influence death and serious injury in child motor vehicle passengers to establish effective preventive measures. To identify these factors, we performed a retrospective study using a nationwide medical database. The data of child motor vehicle passengers younger than 15 years ( = 1084) were obtained from the Japanese Trauma Data Bank, registered from 2004 to 2019. Physiological variables, outcomes, and injury severity were compared between fatal and non-fatal patients and between those with and without severe injuries. Multivariate logistic regression analysis was performed to determine factors affecting fatality and severe injury. The Glasgow Coma Scale score (odds ratio (OR): 1.964), body temperature (OR: 2.578), and the Abbreviated Injury Scale score of the head (OR: 0.287) were identified as independent predictors of a non-fatal outcome. Systolic blood pressure (OR: 1.012), the Glasgow Coma Scale score (OR: 0.705), and Focused Assessment with Sonography for Trauma positivity (OR: 3.236) were identified as independent predictors of having severe injury. Decreasing the severity of head injury is the highest priority for child motor vehicle passengers to prevent fatality and severe injury.
在日本，由于机动车乘客的受伤率一直在上升，保护儿童免受机动车碰撞伤害是一项高度优先的任务。本研究旨在探讨影响儿童机动车乘客死亡和重伤的因素，以制定有效的预防措施。为了确定这些因素，我们使用全国性医疗数据库进行了一项回顾性研究。15岁以下儿童机动车乘客（n = 1084）的数据来自日本创伤数据库，该数据库于2004年至2019年进行登记。比较了致命和非致命患者之间以及有重伤和无重伤患者之间的生理变量、结局和损伤严重程度。进行多变量逻辑回归分析以确定影响死亡和重伤的因素。格拉斯哥昏迷量表评分（比值比（OR）：1.964）、体温（OR：2.578）和头部简明损伤量表评分（OR：0.287）被确定为非致命结局的独立预测因素。收缩压（OR：1.012）、格拉斯哥昏迷量表评分（OR：0.705）和创伤超声重点评估阳性（OR：3.236）被确定为有重伤的独立预测因素。降低头部损伤的严重程度是预防儿童机动车乘客死亡和重伤的最高优先事项。
