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怀孕与来自机动车辆事故的更严重伤害有关

Ya-Hui Chang¹, Yu-Wen Chien², Chiung-Hsin Chang³

¹Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Surgery, Massachusetts General Hospital, Boston, MA, United States.

Journal of the Formosan Medical Association = Taiwan yi zhi

|December 21, 2023

概括

孕妇面临着因机动车辆事故 (MVCs) 造成严重伤害的风险更高. 对于那些骑摩托车的人来说,这种风险特别高,这凸显了怀孕期间需要采取安全预防措施的必要性.

科学领域:

创伤和伤害的预防和预防.
产科和妇科产科和妇科
公共卫生公共卫生

背景情况:

机动车事故 (MVCs) 对孕妇构成重大风险.
了解孕妇和非孕妇的受伤严重程度对于有针对性的安全干预至关重要.

研究的目的:

调查怀孕与MVC受伤严重程度之间的关联.
确定孕妇MVC受害者严重受伤的特定风险因素.

主要方法:

一项回顾性队列研究比较了23,559名怀孕妇女与94,236名参与MVC的匹配的非怀孕妇女.
使用基于医疗索赔数据的最大缩短伤害量表 (MAIS) 评估伤害严重程度.
用于计算调整的赔率比率 (aOR) 和95%置信区间 (CI) 的多项逻辑回归模型.

主要成果:

与非孕妇相比,孕妇的严重 (aOR = 1.79,95% CI = 1.54-2.08) 和轻微伤害 (aOR = 8.63,95% CI = 8.21-9.07) 的风险显著更高.
骑摩托车的孕妇面临严重伤害的风险大幅增加 (aOR = 4.25,95% CI = 3.58-5.04).
没有受伤的参与MVC的孕妇更有可能寻求诊所访问.

结论:

怀孕与机动车撞车造成严重伤害的风险增加有关,尤其是滑板车骑手.
建议包括避免滑板车使用,并在怀孕期间使用防护设备,以减轻MVC中受伤的严重程度.

关键词:

伤害严重程度伤害严重程度怀孕怀孕怀孕怀孕交通事故交通事故

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