与滑板车相关的创伤中使用物质的国家患病率和相关结果
Hannah Benharash1, Nam Yong Cho1, Troy Coaston1
1Center for Advanced Surgical & Interventional Technology (CASIT), David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
The American surgeon
|April 18, 2025
概括
在电动滑板车受伤患者中,药物使用显著增加,导致创伤性脑损伤的风险更高,医疗保健成本增加. 预防策略对于应对这些上升趋势至关重要.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
背景情况:
- 电动滑板车越来越受欢迎,但与滑板车相关的伤害 (SRI) 和相关的医疗保健成本正在上升.
- 尽管有证据表明有害影响,但物质使用 (SU) 在SRI结果中的作用仍未得到充分研究.
研究的目的:
- 调查SRI住院患者中物质使用的时间趋势.
- 评估物质使用与住院结果之间的关联,包括创伤性脑损伤 (TBI),死亡率,住院时间,住院费用和出院安排.
主要方法:
- 使用2016-2021年全国住院患者样本进行的回顾性队列研究.
- 确定了18-64岁的SRI患者,按年龄组分层.
- 分析了物质使用 (酒精,阿片类药物,大麻,可卡因) 和其与使用多变量回归结果的关联.
主要成果:
- 从2016年到2021年,SRI住院患者的数量显著增加.
- 24.8%的SRI患者有物质使用,与TBI和外科手术后并发症的几率更高有关.
- 药物使用平均增加了4600美元的住院费用,并与更高的资源利用率有关.
结论:
- 在SRI住院患者中,物质使用的患病率正在上升,与TBI风险增加和医疗保健资源利用率相关.
- 公共卫生干预措施,包括推广使用头盔,药物使用预防计划和基础设施改进至关重要.
- 解决这些因素可以减轻风险,减少创伤护理系统的负担.
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