在翻转乘客的椎和脊髓损伤
Loay Al-Salehi1, Shannon G Kroeker2, Jason R Kerrigan3
1Orthopedic and Injury Biomechanics Group, School of Biomedical Engineering, Departments of Orthopaedics and Mechanical Engineering, University of British Columbia, Vancouver, BC, Canada.
Injury epidemiology
|July 3, 2024
概括
翻车事故显著增加了椎脊椎损伤的风险,包括脊椎和脊髓损伤. 具体的翻转安全措施至关重要,以防止这些严重的结果.
科学领域:
- 创伤研究研究创伤研究
- 生物力学 生物力学
- 公共卫生 公共卫生
背景情况:
- 翻车事故在北美构成重大公共卫生风险.
- 椎损伤是翻转中最常见的脊椎损伤.
- 过去的研究主要集中在风险因素上,而不是特定的伤害类型.
研究的目的:
- 为了检查不同的椎脊椎损伤类型 (脊椎和/或带损伤) 与翻转中乘客因素的变化.
- 为了比较翻转和非翻转中的椎损伤.
主要方法:
- 使用了来自国家汽车采样系统-防撞数据系统 (NASS-CDS) 和撞车调查采样系统 (CISS) 的数据.
- 计算相对风险,以评估乘客特征与椎损伤之间的关联.
- 分析了2005-2015年 (NASS-CDS) 和2017-2022年 (CISS) 的损害数据.
主要成果:
- 翻的椎损伤的可能性是翻倒的3.4-5.2倍,而不是没有翻倒的.
- 脊椎损伤发生在91.5%的椎脊椎损伤中,而脊髓损伤发生在11.3%中.
- 在翻车中椎损伤的可能性增加,在更现代的车队中持续存在 (6.25-6.36倍更有可能).
结论:
- 调查结果突出显示,目前仍需要针对翻车的安全反制措施.
- 预防椎骨折的对策可能会预防大多数椎脊髓损伤.
- 阐明了翻转中椎损伤的频率,严重程度和特征.
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