汽车碰撞后立即使用安全带和心脏骤停:全国观测研究
Yeongho Choi1,2,3, Jeong Ho Park2,3,4, Young Sun Ro2,3,4
1Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Bundang, South Korea.
Heliyon
|February 15, 2024
概括
在机动车辆碰撞 (MVC) 时佩戴安全带显著降低了立即心脏骤停的风险. 这种安全措施与严重创伤后的死亡率和严重残疾率降低有关.
科学领域:
- 创伤护理的护理人员.
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 机动车碰撞 (MVCs) 是创伤性心脏骤停的主要原因.
- 安全带对MVC中立即心脏骤停的保护作用仍在调查中.
研究的目的:
- 评估MVC患者使用安全带和立即心脏骤停之间的关联.
- 评估安全带对住院死亡率和严重残疾的影响.
主要方法:
- 在韩国 (2018-2019) 使用全国性基于EMS的严重创伤登记册进行的横截面观察研究.
- 包括成年患者,在EMS评估中从MVC中受到严重创伤.
- 分析了基于安全带使用的立即心脏骤停,住院死亡率和死亡/严重残疾的调整后几率比率 (AOR).
主要成果:
- 总共有8178名患者被分析; 77.2%的人使用安全带.
- "不使用安全带"组表现出更高的立即心脏骤停率 (9.4%对4.0%),死亡率 (12.4%对6.2%),以及死亡/严重残疾 (17.7%对9.9%).
- 不佩戴安全带与立即心脏骤停 (AOR:3.29) 的风险显著增加,住院死亡率 (AOR:2.72) 和死亡或严重残疾 (AOR:2.40) 相关.
结论:
- 在MVC期间使用安全带与立即心脏骤停的风险降低有关.
- 这些发现支持安全带在减轻机动车辆碰撞后严重后果方面的关键作用.
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