SEAT-BELT EFFECTIVENESS AND COST OF NONCOMPLIANCE AMONG DRIVERS ADMITTED TO A TRAUMA CENTER

被引：36

作者：

KAPLAN, BH ^{[1
]}

COWLEY, RA ^{[1
]}

机构：

[1] MARYLAND INST EMERGENCY MED SERV SYST,BALTIMORE,MD

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1991年 / 9卷 / 01期

关键词：

SEAT-BELTS; TRAUMA; HOSPITAL COSTS;

D O I：

10.1016/0735-6757(91)90003-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Enactment of seatbelt legislation in Maryland presented the opportunity to compare seatbelt compliance among seriously injured drivers admitted to a Level I trauma cepter and to establish levels of severlty, length of stay, and hospital cost differences among the study population. Filty-five randomly selected drivers were examined from a total surgical population of 689. Seatbelt compllance rate was 41.8%, reffecting the rate in the community. Seatbelts reduced the total number of injuries by 34%, major injuries by 57%, and minor injuries by 20%. No deaths occurred among the belted group. The unbelted group had a mean Injury Severity Score two times as great at the belted group and were hospitalized 1.6 times longer at double the cost. Major injuries to the face, chest, and pelvic regions were prevented by the seatbelt. Among the belted group, severe injuries did occur to the head, neck, and abdominal regions. It is recommended that both airbags and automatic restraining devices be required for all drivers if the trauma occurring dally on highways is to be eliminated and acute hospital cost minimized. © 1991.

引用

页码：4 / 10

页数：7

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