Sick leave and disability pension among passenger car occupants injured in urban traffic

Sick leave and disability pension among passenger car occupants injured in urban traffic
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DOI:
10.1097/00007632-199805010-00012
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发表时间:
1998-05-01
期刊:
影响因子:
3
通讯作者:
Björnstig, U
Björnstig, U
中科院分区:
医学2区
文献类型:
--
作者:
Bylund, PO;Björnstig, U

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研究设计.瑞典城市地区车祸中受伤的乘用车乘员的随访队列研究。分析车祸中的伤害、伤害事件和伤害的长期后果。背景资料摘要。车祸的后果通常用受伤人数、受伤严重程度或住院天数来描述。某些类型的车祸伤害可能导致长期病假和残疾养恤金。这些结果的社会经济意义的增加并不总是通过分析常用的变量来表示。对255名16-64岁在城市交通中因车祸受伤的乘用车乘员的病假时间和伤残抚恤金领取情况进行了分析。颈椎劳损是最常见的损伤类型(55%; 141次损伤),这些损伤占损伤事件后2.5年内所有病假的82%。18例中有16例颈椎受伤,导致长期病假或依赖残疾养恤金。最常见的伤害机制是追尾碰撞(39%)。在受伤事件发生后的2.5年内,这种类型的事故导致64%的病假天数。18名长期休病假或领取伤残抚恤金的受伤者中有12人曾乘坐过从后面被撞的汽车。在描述不同类型车祸和受伤的后果时,必须包括病假和残疾养恤金形式的长期后果。
Study Design. A follow-up cohort study of passenger car occupants injured in car crashes in an urban area in Sweden.Objectives. To analyze the injuries, injury events, and long-term consequences of injuries in car crashes.Summary of background Data. The consequences of car crashes usually are described in terms of the number of people injured, the severity of injuries, or the number of inpatient days. Certain types of crash injuries can results in long-term sick leave and granting of disability pension. The increased socioeconomic significance of these outcomes is not always indicated by analysis of commonly used variables.Methods. Two hundred fifty-five passenger car occupants aged 16-64 years who were injured in car crashes in urban traffic were analyzed in terms of length of sick leave and receipt of disability pension.Results. Strain of the cervical spine was the most common type of injury (55%; 141 injuries), and these injuries accounted for 82% of all sick leave taken within 2.5 years after the injury event. Injury to the cervical spine in 16 of 18 cases resulted in long-term sick leave or dependence on disability pension. The most common injury mechanism was rear-end collisions (39%). This type of crash resulted in 64% of all sick-leave days within 2.5 years after the injury event. Twelve out of 18 injured people on long-term sick leave or receiving disability pension had been in cars struck from behind.Conclusions. It is important to include long-term consequences in the form of sick leave and disability pension when describing the consequences of different types of car crashes and injuries.