Sokolosky M C, Prescott J E, Collins S L, Timberlake G A
Center for Rural Emergency Medicine, West Virginia University School of Medicine, Morgantown.
W V Med J. 1993 Aug;89(8):328-30.
Trauma remains a leading cause of death and disability in America, and motor vehicle crashes (MVC) are the most common cause of serious injury in West Virginia. In this study, we examined the role of seat belt use or non-use in the death, disability, and hospital charges of 500 patients admitted after MVC to a rural Level 1 trauma center in 1990. Eighty percent of the patients who required hospitalization did not use seat belts. The unbelted patients had a 34% higher injury severity score, a 97% increase in the need for extended care after discharge from the hospital, and a 186% increase in hospital charges compared to belted patients. Our study concluded that seat belt use among motor vehicle crash victims reduced their hospital costs, and improved their outcome as compared to those patients not wearing seatbelts.
创伤仍然是美国死亡和残疾的主要原因，而机动车碰撞事故（MVC）是西弗吉尼亚州严重受伤的最常见原因。在本研究中，我们调查了1990年因机动车碰撞事故后入住一家乡村一级创伤中心的500名患者中，使用或未使用安全带在死亡、残疾及住院费用方面所起的作用。需要住院治疗的患者中，80%未使用安全带。与使用安全带的患者相比，未系安全带的患者损伤严重程度评分高出34%，出院后需要延长护理的需求增加了97%，住院费用增加了186%。我们的研究得出结论，与未系安全带的患者相比，机动车碰撞事故受害者使用安全带降低了他们的住院费用，并改善了其预后。
