Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Formos Med Assoc. 2024 Aug;123(8):849-853. doi: 10.1016/j.jfma.2023.12.009. Epub 2023 Dec 21.
Whether pregnancy is associated with severe injuries from motor vehicle crashes (MVCs) remains unclear. This study aimed to investigate the potential relationship between pregnancy and severity of injuries from MVCs.
We identified a total of 23,559 pregnant women victims who encountered MVCs during pregnancy as well as 94,236 age- and calendar year-at MVC matched non-pregnant women victims that are also involved in MVCs. Injury severity was assessed using the Maximum Abbreviated Injury Scale (MAIS) based on the diagnosis of medical claims after MVCs. Multinomial logistic regression models were used to estimate the odds ratio and corresponding 95 % CI of injury severity levels associated with pregnancy.
Pregnant women had a significantly higher risk of both severe (adjusted odds ratio, aOR = 1.79, 95 % CI = 1.54-2.08) and mild injuries (aOR = 8.63, 95 % CI = 8.21-9.07) following MVCs as compared to non-pregnant women victims. Particularly, pregnant women who were riding scooters had an increased risk of severe injury (aOR = 4.25, 95 % CI = 3.58-5.04). In addition, pregnant women who experienced MVC but without any injury were more likely to visit a clinic than non-pregnant MVC victims.
Pregnant women victims, particularly those who were riding scooters involved in MVCs suffered from a higher risk of severe injury as compared to their non-pregnant counterparts. Our findings suggest that women should consider avoiding riding a scooter and must use restrictive devices during pregnancy, which would help reduce the severity of injuries sustained following an MVC.
妊娠是否与机动车碰撞（MVC）的严重伤害有关仍不清楚。本研究旨在探讨妊娠与 MVC 严重伤害之间的潜在关系。
我们共确定了 23559 名妊娠期间遭遇 MVC 的孕妇受害者和 94236 名年龄和日历年份匹配的非孕妇 MVC 受害者，这些受害者也都卷入了 MVC。使用基于 MVC 后医疗索赔诊断的简化最大损伤量表（MAIS）评估损伤严重程度。使用多项逻辑回归模型估计与妊娠相关的损伤严重程度水平的比值比（OR）和相应的 95%置信区间（CI）。
与非孕妇受害者相比，孕妇在遭遇 MVC 后发生严重（调整后的 OR=1.79，95%CI=1.54-2.08）和轻度损伤（OR=8.63，95%CI=8.21-9.07）的风险显著更高。特别是，骑摩托车的孕妇发生严重损伤的风险增加（OR=4.25，95%CI=3.58-5.04）。此外，遭遇 MVC 但无任何损伤的孕妇比非孕妇 MVC 受害者更有可能到诊所就诊。
与非孕妇相比，孕妇受害者，特别是骑摩托车的孕妇，在遭遇 MVC 时更有可能遭受严重伤害。我们的研究结果表明，女性应考虑避免骑摩托车，并在怀孕期间使用限制装置，这有助于减少 MVC 后受伤的严重程度。
