Association of Rideshare Use With Alcohol-Associated Motor Vehicle Crash Trauma.
Association of Rideshare Use With Alcohol-Associated Motor Vehicle Crash Trauma.
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DOI：
10.1001/jamasurg.2021.2227
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发表时间：
2021-08-01
期刊：
影响因子：
16.9
通讯作者：
Kitagawa RS
中科院分区：
文献类型：
--
作者：
Conner CR;Ray HM;McCormack RM;Dickey JS;Parker SL;Zhang X;Vera RM;Harvin JA;Kitagawa RS
通过减少受损驾驶，共乘服务是否与机动车伤害率的变化有关？这项多中心队列研究获得了德克萨斯州休斯敦两个主要创伤中心的医院数据；德克萨斯州哈里斯县地区检察官办公室对驾驶障碍的定罪；以及休斯敦共乘服务使用优步和谷歌的数据。共乘汽车的数量与机动车相关创伤的发生率呈显著负相关，这在30岁以下的年轻人中最为明显；驾驶障碍定罪的显著减少与共乘服务的引入有关。通过使用拼车来避免受损的驾驶，年轻人可能有助于减少机动车创伤。这项多中心队列研究试图通过比较优步推出前后的创伤和定罪，确定德克萨斯州休斯敦拼车使用、机动车碰撞创伤和受损驾驶定罪之间是否存在关联。汽车碰撞(MVC)是一个重要的公共卫生问题。最近的趋势表明，引入拼车服务降低了MVC的发生率。然而，将拼车数量、驾驶障碍定罪和非致命性MVC创伤联系起来的详细分析仍然没有定论。以确定在德克萨斯州休斯敦，拼车使用与MVC创伤和驾车受损定罪之间是否存在关联。这项多中心队列研究是在2007年1月至2019年11月期间进行的，数据来自赫尔曼纪念医院-德克萨斯医疗中心和本陶布综合医院内的红公爵创伤研究所。优步和谷歌的拼车数据涵盖了从2014年2月(优步部署到休斯顿之日)到2018年12月在德克萨斯州休斯顿进行的出行。损害驾驶定罪包括德克萨斯州哈里斯县地区检察官办公室在2007年1月至2018年12月期间提出的所有起诉书。在研究人群中，在两个中心评估的所有MVC创伤的成年人(16岁的个人，损伤机制被归类为“机动车碰撞”)都包括在内。只有在最终法律结果是定罪的情况下，受损驾驶事件才包括在内。主要研究结果是每小时MVC创伤和每日受损驾驶定罪的发生率比率。共分析了23例 491MVC创伤(涉及平均年龄37.9[17.8]岁的患者和14例 603名男性[62.1%])，93例 742次受损驾驶定罪，以及超过2400万次优步乘车。在2014年2月引入Uber后，MVC创伤在创伤高峰期(周五和周六晚上)减少了23.8%(从每小时0.26[SD]的平均[0.04]降至0.21[0.06])。在优步部署后，MVC损伤的发生率比率为每1000次索引乘车0.33(95%CI，0.17-0.67)(P = .002)。此外，在2014年1月至2019年12月期间，共乘汽车的使用与因地理位置相关的受损驾驶定罪显著减少有关(发生率比，0.76[95%CI，0.730.78]；P <； .001)。在这项研究中，在休斯敦大都市区引入拼车服务与显著减少MVC创伤和损害驾驶定罪有关。增加搭便车的使用可能是减少受损驾驶和降低MVC创伤发生率的有效手段。
By decreasing impaired driving, are rideshare services associated with changes in motor vehicle trauma rates? This multicenter cohort study obtained hospital data at both major trauma centers in Houston, Texas; convictions for impaired driving from the Harris County, Texas, District Attorney’s office; and rideshare use data from Uber and Google for Houston. Rideshare volume had a significant negative correlation with the incidence of motor vehicle–associated trauma, and this was most evident in those younger than 30 years; a significant decrease in convictions for impaired driving was associated with the introduction of rideshare services. By using rideshares to avoid impaired driving, young people may aid in decreasing motor vehicle trauma. This multicenter cohort study seeks to determine if there was an association between rideshare use, motor vehicle crash traumas, and impaired driving convictions in Houston, Texas, by comparing traumas and convictions before and after the introduction of Uber. Motor vehicle crashes (MVCs) are an important public health concern. Recent trends suggest that introducing rideshare services has decreased the incidence of MVCs. However, detailed analyses linking rideshare volume, convictions for impaired driving, and nonfatal MVC traumas remain inconclusive. To determine if there is an association between rideshare use and MVC traumas and convictions for impaired driving in Houston, Texas. This multicenter cohort study was conducted between January 2007 and November 2019 with hospital data from the Red Duke Trauma Institute within the Memorial Hermann Hospital–Texas Medical Center and Ben Taub General Hospital. Rideshare data from Uber and Google covered trips taken within Houston, Texas, from February 2014 (the date of deployment of Uber to Houston) to December 2018. Impaired driving convictions included all indictments made by the Harris County, Texas, District Attorney’s office from January 2007 to December 2018. All adults with MVC traumas evaluated at both centers in the study population (individuals >16 years with a mechanism of injury classified under “motor vehicle collision”) were included. Impaired driving incidents were included only if the final legal outcome was conviction. The primary study outcomes were the incident rate ratios for hourly MVC traumas and daily impaired driving convictions. A total of 23 491 MVC traumas (involving patients with a mean [SD] age of 37.9 [17.8] years and 14 603 male individuals [62.1%]), 93 742 impaired driving convictions, and more than 24 million Uber rides were analyzed. Following the introduction of Uber in February 2014, MVC traumas decreased by 23.8% (from a mean [SD] of 0.26 [0.04] to 0.21 [0.06] trauma incidents per hour) during peak trauma periods (Friday and Saturday nights). The incident rate ratio of MVC traumas following Uber deployment was 0.33 (95% CI, 0.17-0.67) per 1000 indexed rides (P = .002). Furthermore, rideshare use was associated with a significant, geographically linked reduction in impaired driving convictions between January 2014 to December 2019 (incidence rate ratio, 0.76 [95% CI, 0.73-0.78]; P < .001). In this study, introducing rideshare services in the Houston metropolitan area was associated with significant reductions in MVC traumas and impaired driving convictions. Increased use of rideshares may be an effective means of reducing impaired driving and decreasing rate of MVC traumas.
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影响因子：
1.9
作者：
Dills, Angela K.;Mulholland, Sean E.
通讯作者：
Mulholland, Sean E.
影响因子：
5
作者：
Morrison, Christopher N.;Jacoby, Sara F.;Wiebe, Douglas J.
通讯作者：
Wiebe, Douglas J.
影响因子：
6.3
作者：
Hall, Jonathan D.;Palsson, Craig;Price, Joseph
通讯作者：
Price, Joseph
DOI：
10.1016/s0140-6736(18)32335-3
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 DALYs and HALE Collaborators
通讯作者：
GBD 2017 DALYs and HALE Collaborators
影响因子：
6.3
作者：
Huang, Jonathan Yinhao;Majid, Farhan;Daku, Mark
通讯作者：
Daku, Mark