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哥伦比亚布卡拉曼加市道路交通事故相关医疗费用的影响因素。

Factors related to healthcare costs of road traffic accidents in Bucaramanga, Colombia.

机构信息

Universidad de Santander. Facultad de Ciencias Medicas y de la Salud. Instituto Masira, Grupo Everest. Bucaramanga, Colombia.

Universidad de Santander. Facultad de Ciencias Medicas y de la Salud. Instituto Masira, Grupo de Salud Pública. Bucaramanga, Colombia.

出版信息

Rev Saude Publica. 2022 Jun 13;56:47. doi: 10.11606/s1518-8787.2022056003299. eCollection 2022.

Abstract

OBJECTIVE

To determine the factors related to overall healthcare costs of road traffic accidents in Bucaramanga, Colombia.

METHODS

A descriptive cross-sectional study was conducted through the analysis of road traffic accident records that took place in 2019 in Bucaramanga, Colombia. Cost quartiles in dollars were compared using Pearson's chi-squared and Fisher's exact tests. Odds ratios were also calculated in logistic regression.

RESULTS

3,150 road accidents were reported in 2019 involving 7,038 people, of which 812 had information related to healthcare costs in health care institutions. The median cost was 56.59 USD (RI = 29.35-140.15), average cost of 290.11 USD ± 731.22 (95%CI: 239.74-340.48). A higher possibility to be in the 4th quartile was found when persons were under 18 years of age (OR = 4.88; 95%CI: 1.30-18.32) or 46-60 years (OR = 3.66; 95%CI: 1.01-13.30), the type of vehicle involved is motorcycle (OR = 2.79; 95%CI: 1.25-6.24), bicycle (OR = 7.66; 95%CI: 2.70-21.68), having a head injury (OR = 4.50; 95%CI: 2.61-7.76) and hypothetical drunk driving (OR = 12.44; 95%CI: 2.01-76.87).

CONCLUSIONS

Relevant factors in healthcare costs were riding a motorcycle or bicycle, having a head injury, being under 18 years of age or 46 to 60 years of age and hypothetical drunk driving. It is important to implement prevention measures based on identified factors to reduce road accident rate and therefore, its socioeconomic costs.

摘要

目的

确定哥伦比亚布卡拉曼加道路交通伤害总医疗成本的相关因素。

方法

通过分析 2019 年哥伦比亚布卡拉曼加发生的道路交通伤害记录,进行描述性横断面研究。使用 Pearson 卡方检验和 Fisher 确切检验比较美元成本四分位数。还在逻辑回归中计算了优势比。

结果

2019 年报告了 3150 起道路事故,涉及 7038 人,其中 812 人有在医疗机构的医疗费用信息。中位数费用为 56.59 美元(RI=29.35-140.15),平均费用为 290.11 美元±731.22(95%CI:239.74-340.48)。发现以下因素与第 4 四分位数的可能性更高相关:年龄在 18 岁以下(OR=4.88;95%CI:1.30-18.32)或 46-60 岁(OR=3.66;95%CI:1.01-13.30),所涉及的车辆类型为摩托车(OR=2.79;95%CI:1.25-6.24)、自行车(OR=7.66;95%CI:2.70-21.68)、头部受伤(OR=4.50;95%CI:2.61-7.76)和假设的醉酒驾驶(OR=12.44;95%CI:2.01-76.87)。

结论

医疗成本的相关因素包括骑摩托车或自行车、头部受伤、18 岁以下或 46-60 岁以及假设的醉酒驾驶。根据确定的因素实施预防措施以降低道路交通事故发生率并降低其社会经济成本非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3918/9165636/530600410586/1518-8787-rsp-56-47-gf01.jpg

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