内因性疾患による交通外傷の検討

DOI 被引用文献6件 参考文献9件

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  • Assessment of Illness As a Cause of Motor Vehicle Accidents

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[Objective] Traffic accidents caused by drivers' illness have been studied mainly based on autopsy or postmortem findings. The aim was to clarify the incidence, diagnosis and outcome of the drivers' illness while driving. [Materials and Methods] In 30-month period beginning in October 1998, 2, 560 traffic accident patients were brought to Saiseikai Kanagawa Hospital by ambulance. Observational records written by Emergency Medical Technicians and medical records were examined to identify traffic accidents patients caused by drivers' illness. [Results] Of the 2, 560 traffic accident patients (1, 571 drivers), consciousness disturbance not caused by traffic accidents were present in 65 patients (2.54% of the patients: 4.14% of the drivers) by medical records; 49 patients with alcohol ingestion (1.91%:3.12%), 2 asleep (0.08:0.13%) and 14 with illnesses (0.55%:0.89%). Diagnoses of illnesses were ventricular fibrillation 4, epilepsy 3, subarachnoid hemorrhage 2, hypoglycemia 1, liver failure 1, rupture of thoracic aortic aneurysm 1, vasovagal syncope 1 and asthmatic attack 1. Seven of the 14 patients with illness developed cardiopulmonary arrest (CPA) at the scene, and 5 of them were professional drivers. Four of the 7 CPA patients died at emergency room (ER). One of the 3 CPA patients with return of spontaneous circulation died after admission, and the other 2 were transferred to other hospitals. Three of the other 7 patients with illness discharged survived after admission. The other 4 patients discharged home from ER. [Conclusion] The results indicated that the 0.89% of the drivers and the 0.55% of the traffic-accident patients were related to illness.

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