Begg D J, Langley J D, Reeder A I
Injury Prevention Research Unit, University of Otago Medical School, Dunedin, New Zealand.
Accid Anal Prev. 1994 Apr;26(2):157-64. doi: 10.1016/0001-4575(94)90085-x.
Relative to car crashes motorcycle crashes have received relatively little attention by the research community. This is the first in a series of three papers describing the epidemiology of motorcycle crashes resulting in death and hospitalisation in New Zealand. This paper describes the methods used for the study, provides an overview of all crashes, and, in particular, compares traffic crashes with nontraffic crashes. The source of the fatality data was national mortality data files for the years 1978 to 1987 inclusive. The source of the hospitalisation data was a national morbidity file, which records all public hospital discharges in New Zealand. A total of 1,175 motorcyclist fatalities were identified for the period 1978-1987, resulting in a mortality rate of 3.6 per 100,000 persons per year. A total of 2,623 motorcycle crash victims were hospitalised in 1988 resulting in a hospitalisation rate of 80.4 per 100,000 persons per year. Males, especially those 15-24 years of age had very high mortality (26-27) and morbidity rates (464-462). Motor vehicle traffic crashes represented 96% of the fatalities and 85% of the hospitalisations. Drivers were the victims in 88% of fatalities and 86% of hospitalisations. For hospitalised victims the leading injuries were to the lower limb (43%) and head (24%). Whereas 29% of the traffic crashes were AIS-3 or higher the comparable figure for nontraffic crashes was 19%. There has been a significant linear increase in the fatality rate between 1978 and 1988 but no comparable trend in hospitalisations.(ABSTRACT TRUNCATED AT 250 WORDS)
相对于汽车撞车事故,摩托车撞车事故受到的研究关注相对较少。这是描述新西兰导致死亡和住院的摩托车撞车事故流行病学的三篇系列论文中的第一篇。本文描述了该研究使用的方法,概述了所有撞车事故,特别是将交通事故与非交通事故进行了比较。死亡数据的来源是1978年至1987年(含)的国家死亡率数据文件。住院数据的来源是一份国家发病率文件,该文件记录了新西兰所有公立医院的出院情况。1978年至1987年期间共确定了1175名摩托车手死亡,死亡率为每年每10万人3.6人。1988年共有2623名摩托车撞车事故受害者住院,住院率为每年每10万人80.4人。男性,尤其是15至24岁的男性,死亡率(26 - 27)和发病率(464 - 462)非常高。机动车交通事故占死亡人数的96%和住院人数的85%。在88%的死亡事故和86%的住院事故中,司机是受害者。对于住院受害者,主要受伤部位是下肢(43%)和头部(24%)。虽然29%的交通事故损伤严重度评分(AIS)为3级或更高,但非交通事故的这一可比数字为19%。1978年至1988年期间死亡率有显著的线性上升,但住院人数没有类似趋势。(摘要截选至250字)