道路交通事故相关脊柱损伤的趋势：罚分制实施后的时代。
Trends in RTA related spinal injuries: the post penalty points era.
作者信息
Butler J S, Burke J P, Healy D G, Stephens M M, McManus F, McCormack D, O'Byrne J M, Poynton A R
机构信息
National Spinal Injuries Unit, Dept of Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin.
出版信息
Ir J Med Sci. 2006 Jan-Mar;175(1):20-3. doi: 10.1007/BF03168994.
BACKGROUND
On October 31st 2002 a system of cumulative penalty points for road traffic offences was introduced. Early evidence suggested a reduction in road traffic accident (RTA) related morbidity.
AIMS
To evaluate the persistence of the initial reduction in RTA related spinal injuries following penalty points introduction.
METHODS
Retrospective review of all acute spinal trauma admissions to the NSIU between November 1st 1998 and October 31st 2004 (n = 966). Patient demographics and injury aetiology were assessed. Follow-up questionnaires evaluated RTA circumstances.
RESULTS
RTA related spinal injuries accounted for 39.3% of NSIU admissions. These injuries were significantly more common in males aged 16-24, drivers (70.8%), on routine journeys (77.5%) and rural roads (48.8%). The highest proportion of accidents occurred during weekends (64.3% from Fri-Sun) and from midnight to 6am (29.3%).
CONCLUSIONS
The initial reduction in RTA related spinal injuries has not been sustained. Young male drivers are the greatest at risk group.
背景
2002年10月31日引入了道路交通违法行为累积记分制度。早期证据表明与道路交通事故（RTA）相关的发病率有所降低。
目的
评估引入记分制度后，与RTA相关的脊柱损伤最初的减少趋势是否持续存在。
方法
回顾性分析1998年11月1日至2004年10月31日期间入住神经外科重症监护病房（NSIU）的所有急性脊柱创伤患者（n = 966）。评估患者的人口统计学特征和损伤病因。通过随访问卷评估RTA情况。
结果
与RTA相关的脊柱损伤占NSIU入院患者的39.3%。这些损伤在16 - 24岁的男性、驾驶员（70.8%）、日常出行（77.5%）和乡村道路（48.8%）上更为常见。事故发生率最高的时间段是周末（周五至周日占64.3%）以及午夜至凌晨6点（29.3%）。
结论
与RTA相关的脊柱损伤最初的减少趋势并未持续。年轻男性驾驶员是风险最高的群体。
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