Farrell T M, Sutton J E, Clark D E, Horner W R, Morris K I, Finison K S, Menchen G E, Cohn K H
Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Arch Surg. 1996 Apr;131(4):377-81. doi: 10.1001/archsurg.1996.01430160035005.
To analyze the epidemiology and epizootiology of moose-motor vehicle collisions (MMVC) and outcomes in severely injured patients to identify variables that might be modified to reduce the impact of this mutually deleterious interspecies interaction.
Wildlife and Traffic Safety databases permitted retrospective, population-based assessment of MMVC epidemiology. A case series compiled from hospital trauma registries characterized morbidity and mortality from MMVC.
New Hampshire and Maine area.
All victims of MMVC (1980 through 1991) were included in population-based analyses. Twenty-three patients hospitalized at three rural trauma centers (January 1990 through June 1994) were included in the case series.
Location, time of day and seasonal occurrence of MMVC were determined. Injury patterns and Injury Severity Scores were analyzed in 23 representative patients. Maine's 1991 traffic and medical data were linked, and factors predictive of injury from MMVC were identified using multivariate logistics.
Most MMVC occur from April through October after dark. Of 23 subjects, 70% sustained head and/or face injuries and 26%, cervical spine injuries. Mortality was 9%. Mean Injury Severity Score was 15.7 (SD=9.0). Safety belt use, rear seat location, and light truck occupancy were associated with reduced injury (p<.05).
Moose-motor vehicle collisions are increasing in rural regions. Prevention programs should emphasize defensive driving and seat belt use, especially during high-risk periods. Injury patterns in MMVC suggest a need for automobile design modifications that better protect the passenger compartment form direct impact.
分析驼鹿与机动车碰撞事故（MMVC）的流行病学和动物流行病学情况以及重伤患者的结局，以确定可能加以改变的变量，从而减少这种对双方都有害的物种间相互作用所造成的影响。
野生动物和交通安全数据库允许对MMVC流行病学进行基于人群的回顾性评估。从医院创伤登记处汇编的病例系列描述了MMVC的发病率和死亡率。
新罕布什尔州和缅因州地区。
所有MMVC受害者（1980年至1991年）均纳入基于人群的分析。23名在三个农村创伤中心住院的患者（1990年1月至1994年6月）纳入病例系列。
确定MMVC的发生地点、时间和季节。分析了23名代表性患者的损伤模式和损伤严重程度评分。将缅因州1991年的交通和医疗数据相联系，并使用多变量逻辑回归确定MMVC损伤的预测因素。
大多数MMVC发生在4月至10月天黑之后。23名受试者中，70%头部和/或面部受伤，26%颈椎受伤。死亡率为9%。平均损伤严重程度评分为15.7（标准差=9.0）。使用安全带、坐在后排座位以及乘坐轻型卡车与受伤减轻相关（p<0.05）。
农村地区驼鹿与机动车碰撞事故正在增加。预防计划应强调防御性驾驶和使用安全带，尤其是在高危时期。MMVC的损伤模式表明需要对汽车设计进行改进，以更好地保护乘客舱免受直接撞击。
