Enhancing trauma registries by integrating traffic records and geospatial analysis to improve bicyclist safety

نویسندگان

چکیده

BACKGROUND Trauma registries are used to identify modifiable injury risk factors for trauma prevention efforts. However, these may miss useful of bicycle-automobile collisions, such as vehicle speeds, driver intoxication, street conditions, and neighborhood characteristics. We hypothesize that (GIS) analysis registry data matched with a traffic accident database could injuries better inform METHODS The US Level I center was retrospectively bicycle-motor collision admissions from January 1, 2010, December 31, 2018. Data collected included demographics, vitals, severity scores, toxicology, helmet use, mortality.Matching the Statewide Integrated Traffic Records System done provide collision, victim GIS information. mapping collisions census tract including poverty level scoring. Incident hot spot statistically significant incident clusters using Getis Ord Gi* statistic. RESULTS Of 25,535 admissions, 531 (2.1%) were bicyclists struck by automobiles, 425 (80.0%) System. Younger age (odds ratio [OR], 1.026; 95% confidence interval [CI], 1.013-1.040, p < 0.001), higher percentage (OR, 0.976; CI, 0.959-0.993, = 0.007), high school or less education 0.60; 95 0.381-0.968; 0.036) predictive not wearing helmet. Higher 1.019; 1.004-1.034; 0.012) but educational toxicology positive-bicyclists in automobile collisions. Geographic information systems identified spots catchment area toxicology-positive lack use. CONCLUSION Combining records identifies additional bicyclist injury. centers should champion efforts prospectively link public their registries. LEVEL OF EVIDENCE Prognostic Epidemiological, III.

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ژورنال

عنوان ژورنال: The journal of trauma and acute care surgery

سال: 2021

ISSN: ['2163-0763', '2163-0755']

DOI: https://doi.org/10.1097/ta.0000000000003075