Mortality from Motor Vehicle Crash Injuries in Eastern Taiwan-A 5-year Follow Up Study

東台灣機動車事故之死亡率－5年追蹤研究

李燕嗚(Yin-Ming Li) ； 胡勝川(Sheng-Chuan Hu) ； 傅振宗(Chen-Chung Fu)

《慈濟醫學雜誌》 18卷1期 (2006/02) Pp. 23-28

https://doi.org/10.6440/TZUCMJ.200602.0013

並列摘要

Objectives: To examine the five-year mortality of patients injured in motor vehicle accidents 5 years after presentation and associated factors. Materials and Methods: Patients injured in motor vehicle accidents and treated in the emergency room were recruited. For each subject, the attending nurse filled out a questionnaire on patient characteristics, injury coding, and use of helmets/seat belts and obtained a blood sample for alcohol testing with consent. We investigated the mortality of the subjects during the following five years and their risk factors for mortality. Results: Of the 518 subjects, 64 (12.4%) died from their injuries which was confirmed by chart review. The majority of deaths occurred in males (75%). Of these fatalities, 45.2% were aborigines, 64.1% were motorcyclists and 78.1% were car drivers. Helmets/seat belts were not used in 59.5% of fatal accidents. The crude mortality rates were 10.1% in subjects with negative blood alcohol; 8.4% in subjects with blood alcohol concentrations 100 mg/dL or lower and 16.2% in intoxicated subjects (blood alcohol concentration over 100 mg/dL). Alcohol intoxication had a high risk for mortality but was not statistically significant. A low coma score (Glasgow Coma Score ＜13) was the most significant factor predicting mortality. Non use of helmets or seat belts was the most significant factor associated with a low Glasgow Coma Score. Conclusions: Intoxicated subjects with injuries did have increased mortality but this was not statistically significant. Further research will be needed to substantiate this finding as well as to determine the long -term effects of alcohol on clinical outcome.

並列關鍵字

alcohol intoxication ； motor vehicle crashes ； mortality