Rowe B H, Therrien S A, Bretzlaff J A, Sahai V S, Nagarajan K V, Bota G W
Sudbury General Hospital Lead Trauma Program.
Can J Public Health. 1998 Jan-Feb;89(1):57-61. doi: 10.1007/BF03405797.
Serious snowmobile injuries are preventable and associated with late-night travel, alcohol use, and speed. We studied the effectiveness of a community-based policing (STOP) program in the prevention of serious injuries related to snowmobile trauma in Sudbury, Ontario. Volunteers were trained in police protocol and were appointed special constables to increase policing on snowmobile trails from 1993-95. Snowmobile admissions and deaths in Sudbury were examined; the pre- (1990-1992) and post- (1993-1995) STOP seasons were compared. In the pre-STOP period, 102 injuries, 87 admissions, and 15 deaths occurred compared to 57 injuries (p = 0.0004), 53 admissions (p = 0.00001) and 4 deaths (p = 0.13) in the post-STOP period. All other event and demographic features of the crashes remained similar. Significant economic savings were realized from this intervention; acute care costs savings exceeded $70,000/year and costs from death decreased by $5 million. An intervention involving enforcement on snowmobile trails can reduce the incidence of injuries from snowmobile-related trauma.
严重的雪地摩托伤害是可以预防的，且与深夜出行、饮酒和速度有关。我们研究了一项基于社区的治安（STOP）计划在安大略省萨德伯里预防与雪地摩托创伤相关的严重伤害方面的有效性。志愿者接受了警察程序培训，并被任命为特别警员，以加强1993年至1995年期间对雪地摩托赛道的治安管理。对萨德伯里的雪地摩托入院情况和死亡情况进行了检查；比较了STOP计划实施前（1990年至1992年）和实施后（1993年至1995年）的季节情况。在STOP计划实施前，发生了102起伤害、87例入院和15例死亡，而在STOP计划实施后，分别为57起伤害（p = 0.0004）、53例入院（p = 0.00001）和4例死亡（p = 0.13）。事故的所有其他事件和人口统计学特征保持相似。通过这种干预实现了显著的经济节约；急性护理成本节约超过每年7万美元，死亡成本降低了500万美元。一项涉及对雪地摩托赛道进行执法的干预措施可以降低与雪地摩托相关创伤造成的伤害发生率。
