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首页> 外文期刊>Traffic Injury Prevention >The Economic Impact of Helmet Use on Motorcycle Accidents: A Systematic Review and Meta-analysis of the Literature from the Past 20 Years
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The Economic Impact of Helmet Use on Motorcycle Accidents: A Systematic Review and Meta-analysis of the Literature from the Past 20 Years

机译：头盔使用对摩托车事故的经济影响：过去20年文献的系统回顾和荟萃分析

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Objective: The incidence and cost of motorcycle accidents are projected to increase. Motorcycle helmets are accepted as an effective strategy for reducing the morbidity and therefore the cost of motorcycle accidents. Despite this, states have continued to repeal helmet laws in the past 20years. In addition, variations in the methodologies and outcomes of published reports have contributed to uncertainty regarding the health care dollars saved due to motorcycle helmet use. The purpose of this systematic review and meta-analysis is to clarify the economic impact of motorcycle helmet use.Methods: Our primary source was Medline. Search terms included motorcycle, motorbike, motorcycle helmet, head protective devices, and cost and cost analysis. The review only included articles that were primary studies, written in English, evaluations of periods after 1994, and published in a peer-reviewed journal. Two independent authors extracted data using predefined data fields. Meta-analysis was done using the R-metafor package.Results: Twelve papers met the criteria for inclusion. Meta-analysis demonstrated that nonhelmeted patients required $12,239 more in hospital costs per patient. Nonhelmeted patients also required more postdischarge care and were more likely to use publicly funded insurance. Studies also found lower injury severity and better hospital course in the helmeted population. Study limitations included selection bias, unclear statistical assumptions, lack of precision measures, confounding variables, and lack of standardization to a common year. Meta-analysis demonstrated an I-2 of 67%, attributing a significant proportion of outcome variation to study differences.Conclusions: Motorcycle helmet use reduces morbidity and contributes to significant health care cost savings. Continuing antihelmet legislation will impose a substantial economic burden to the health care system, the government, and the public.
机译：目标：摩托车事故的发生率和成本预计将增加。摩托车头盔被认为是减少发病率并降低摩托车事故成本的有效策略。尽管如此，在过去的20年中，各州仍在继续废除头盔法。此外，已发表报告的方法和结果的变化也导致不确定因使用摩托车头盔而节省的医疗费用。该系统综述和荟萃分析的目的是阐明摩托车头盔使用的经济影响。方法：我们的主要数据来源是Medline。搜索词包括摩托车，摩托车，摩托车头盔，头部保护装置以及成本和成本分析。该评价仅包括以基础研究为主，用英语撰写，对1994年以后的时期进行评估并发表在同行评审期刊上的文章。两位独立作者使用预定义的数据字段提取了数据。结果：使用R-metafor软件包进行荟萃分析。结果：12篇论文符合纳入标准。荟萃分析表明，非头盔式患者每人需要多支付12,239美元的住院费用。非头盔式患者也需要更多的出院后护理，并且更有可能使用公共资助的保险。研究还发现，在头盔人群中，受伤严重程度较低，住院过程更好。研究的局限性包括选择偏倚，不清楚的统计假设，缺乏精确的度量标准，令人困惑的变量以及缺乏对普通年份的标准化。荟萃分析显示I-2为67％，将结果差异很大的原因归因于研究差异。结论：使用摩托车头盔可降低发病率，并有助于节省大量医疗费用。持续的反头盔立法将给医疗体系，政府和公众带来巨大的经济负担。

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