驾驶时昏迷和随后发生机动车辆撞车的风险
John A Staples1, Shannon Erdelyi2, Ketki Merchant3
1Department of Medicine, University of British Columbia, Vancouver, Canada; Centre for Clinical Epidemiology & Evaluation (C2E2), Vancouver, Canada.
Annals of emergency medicine
|November 9, 2023
概括
与昏迷相关的车祸的司机在未来不会面临更高的车祸风险. 然而,那些没有经过记录的驾驶建议的人在昏迷后显示出碰撞风险增加.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 交通安全 交通安全
背景情况:
- 驾驶时昏 (昏) 构成了发生机动车辆撞车事故的重大风险.
- 经过先前昏迷相关撞车的驾驶员的长期撞车风险尚未得到充分证实.
研究的目的:
- 为了确定以前与昏迷相关的机发生的个体是否有随后机的风险增加.
- 为了调查与撞车相关的昏睡和未来的驾驶事故之间的联系.
主要方法:
- 一项基于人口的回顾性观察性研究使用加拿大不列颠哥伦比亚省 (2010-2015) 的数据进行.
- 诊断出昏和崩的患者从急诊室的访问中确定.
- 在驾驶员与碰撞相关的昏迷和单独昏迷的对照人群之间进行了无事故生存的比较.
主要成果:
- 在访问后的一年里,21%的驾驶员患有与撞车相关的昏睡,9%的对照驾驶员经历了随后的撞车.
- 与撞车相关的昏迷与随后撞车的风险增加没有显著联系 (aHR 1.38).
- 撞车相关昏迷的司机更有可能有记录的驾驶建议 (PR 31.0);然而,没有记录的建议的司机有更高的随后撞车风险 (aHR 1.88).
结论:
- 与昏迷相关的机发生后,随后发生机的总体风险与仅仅昏迷后的风险相似.
- 医生的驾驶建议对于减轻昏迷患者撞车风险至关重要.
- 对驾驶限制和对昏迷患者的建议进行进一步研究是有必要的.
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