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[Traffic accidents: a health problem in primary care].

作者信息

Blanquer J J, Rapa M, Melchor A, Jiménez T, Adam A, Mulet M J

机构信息

Hospital de Alcoy, Alicante.

出版信息

Aten Primaria. 1993 Sep 15;12(4):212-4.

PMID:8374020
Abstract

OBJECTIVE

To discover the prevalence and most relevant epidemiological characteristics of the victims of traffic accidents which occur in our health area.

SETTING

Hospital Casualty department (HC), Health area 19, Alcoy.

PATIENTS

This was an observational, crossover study, based on the collection of data from all those patients who had been brought into the HC for attention because of a traffic accident and who were attended between October 1, 1990 and September 31, 1991.

MEASUREMENTS AND MAIN RESULTS

During the study period a total of 1,111 traffic accident victims were attended. Their average age was 26.62 (SD +/- 15.95), with 69.6% being men and 30.2% women. 60.7% of the victims were attended on non-working days or the eve of a non-working day. 44.5% of those involved in accidents were in four-wheeled vehicles; 40% on two-wheeled vehicles and 11.1% of the victims were pedestrians. Injuries were light in 73.3% of cases; moderate in 15.9% and in the other 8.8% serious, grave or critical. 43.7% of the total had the accident in an urban area and 40.9% on the open road.

CONCLUSIONS

The high prevalence of victims of accidents (8.3 per 1000 inhabitants) observed in our health area can be explained by the type of study. It is vital to obtain valid information of the real importance of this health problem. The primary care doctor must take preventive action concerning traffic accidents: a) through full studies of traffic accident levels among primary care centre users; b) primary preventive action, through the spreading of information on norms of safety; and c) secondary and tertiary prevention, by means of effective and efficacious outpatient emergency measures, as well as a thorough rehabilitation of accident victims.

摘要

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