The association of driver age with traffic injury severity in Wisconsin.
The association of driver age with traffic injury severity in Wisconsin.
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DOI：
10.1080/15389580902973635
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发表时间：
2009-08
影响因子：
2
通讯作者：
Hargarten SW
中科院分区：
文献类型：
--
作者：
Hanrahan RB;Layde PM;Zhu S;Guse CE;Hargarten SW
量化司机的年龄与在机动车碰撞中受伤、死亡和经历不同严重程度伤害的风险之间的关系。威斯康星州碰撞结果数据评估系统(CODES)2002-2004年的数据被用来研究602,964名涉及机动车碰撞的轿车或卡车司机。使用Logistic回归模型计算各年龄组的优势比(OR)或相对风险比(RRR)及其95%可信区间，这些比值比(OR)或相对风险比(RRR)与伤害、死亡和伤害严重程度的结局有关。Logistic回归模型控制了性别、饮酒、城乡位置、安全带使用、弹射、安全气囊部署、车辆类型和高速公路等级。年龄的增加与涉及机动车撞车的司机死亡或遭受严重伤害的风险密切相关，85岁及以上的司机死亡或遭受重伤的风险最大。与25-44岁的司机相比，85岁及以上的司机患以下疾病的风险最高：中度伤害(ISS=9-15)(RRR=5.44，95%CI：3.97-7.47)、重度伤害(ISS=16-74)(RRR=4.32，95%CI：2.73-6.84)和死亡率(OR=10.93，95%CI：7.76-15.38)。相比之下，85岁及以上的司机患轻伤的风险没有增加(ISS=1-8)(OR=0.94，95%CI：0.84-1.05)。发生机动车撞车事故的年龄最大的司机重伤和死亡的风险最高。鉴于年龄最大的司机人数不断增加，以及他们在严重创伤中的不良后果，可以预期，最年长的司机将发生实质性的发病率。应继续制定、评估和实施减少老年司机风险的循证措施。
To quantify the association of driver’s age with the risk of being injured, dying, and experiencing injuries of different severity when involved in a motor vehicle crash. Data from the Wisconsin Crash Outcome Data Evaluation System (CODES) from 2002–2004 was used to study 602,964 drivers of a car or truck who were involved in a motor vehicle crash. Odds ratios (OR) or relative risk ratios (RRR) and their 95% confidence intervals were calculated for age groups, in relation to the outcomes of injury, fatality, and injury severity using logistic regression models which controlled for sex, alcohol use, urban/rural location, seatbelt use, ejection, airbag deployment, vehicle type, and highway class. Increasing age was strongly associated the risk of dying or experiencing severe injuries for drivers involved in motor vehicle crashes with the greatest risk in drivers 85 years and older. Compared to drivers aged 25–44, drivers 85 years and older had the highest risks for: moderate injury (ISS=9–15) (RRR=5.44, 95% CI: 3.97–7.47), severe injury (ISS=16–74) (RRR=4.32, 95% CI: 2.73–6.84), and fatality (OR=10.93, 95% CI: 7.76–15.38). In contrast, drivers 85 years and older had no increase in risk for minor injury (ISS=1–8) (OR =0.94, 95% CI: 0.84 – 1.05). The oldest drivers involved in motor vehicle crashes had the highest risk for severe injury and fatality. In light of the increasing number of the oldest drivers and their poor outcomes from severe trauma, substantial morbidity can be expected to occur in the oldest drivers. Evidence-based measures to reduce the risks to older drivers should continue to be developed, evaluated, and implemented.