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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >Seat belts-related behaviors in car drivers with cardiac implantable electronic devices
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Seat belts-related behaviors in car drivers with cardiac implantable electronic devices

机译：带心脏植入电子设备的汽车司机的安全带相关行为

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Background Seat belt use is the single most effective means of reducing fatal injuries in road traffic accidents. The presence of a cardiac implantable electronic device (CIED) might influence seat belt-related behaviors due to the physical proximity of the seat belt and left subclavian area in which the device is usually implanted. Understanding the underlying mechanisms of improper seat belt use may improve safety of these patients. Methods We performed a prospective study using a structured questionnaire with 120 CIED recipients (age, 63.9 +/- 10.9 years) attending a pacing outpatient clinic. All study participants were active drivers and predominantly male. The majority of patients (79%) had undergone high-energy device implantation. Results We found that 18% of study participants do not fasten seat belts on a regular basis or use the seat belt in an atypical fashion (such as under the armpit). Moderate or high level of discomfort from the interaction between seat belt and CIED was present in 27%, while more than half (51%) were afraid of seat belt-induced CIED damage. In multifactorial analysis, we found the following independent predictors of improper seat belt use: (1) at least moderate level of discomfort at the CIED site (P = 0.02); (2) fear of CIED damage (P = 0.009); and (3) irregular seat belt use prior to CIED implantation (P = 0.037). Conclusions Improper seat belt-related behaviors are common in CIED recipients. They arise from previous habits and from CIED-related physical and psychological factors. Patients' education regarding the importance and safety of proper seat belt use is a priority.
机译：背景技术安全带使用是降低道路交通事故中致命伤害的最有效手段。由于座椅带的物理接近，并且通常植入装置的位置，心脏可植入电子设备（CIED）的存在可能影响座椅带相关的行为。了解座椅安全带使用的潜在机制可以改善这些患者的安全性。方法采用带有120名CIED接受者（年龄，63.9 +/- 10.9岁）的结构化问卷进行了前瞻性研究，参加了起搏门诊诊所。所有学习参与者都是活跃的司机，主要是男性。大多数患者（79％）经历了高能的装置植入。结果我们发现，18％的学习参与者定期不系好安全带或使用座椅皮带以非典型方式（如腋下）。座椅皮带和CIED之间相互作用的中度或高水平的不适以27％出现，而超过一半（51％）害怕座椅皮带诱导的被伤害。在多因素分析中，我们发现以下座椅安全带的以下独立预测因子使用：（1）CIED位点至少适中的不适（P = 0.02）; （2）害怕被捕损伤（p = 0.009）; （3）在CIED植入之前使用的不规则座椅带（P = 0.037）。结论CIED接受者的座椅带相关行为不当。它们来自以前的习惯和相关的身体和心理因素。患者对适当安全带使用的重要性和安全性的教育是优先事项。

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