手术与驾驶安全_and_Motor_years

作者：米勒之声

摘要译文（供参考）

接受普通外科手术的成年人的机动车碰撞风险：一项回顾性案例交叉研究

背景：

手术会导致认知和功能的短暂损伤，这可能会影响驾驶安全。

我们假设，与手术前相比，手术后发生机动车碰撞的风险会增加。

方法：

在新泽西州安全健康结果数据库的基于人群的观察数据中进行了一项巢式病例交叉研究。

研究包括年龄≥18岁、持有有效驾照的成年人，他们在2016年1月1日至2017年11月30日期间在新泽西州的一家急诊医院接受了普通手术，并出院回家。

时间段为术前56天至28天和出院至术后28天，自身对照。

普通外科是由通用手术术语规范定义的。

我们的主要结果是警方报告的机动车相撞事故。

结果：

在一个由70722名司机组成的队列中，手术后的车祸数量为263起（0.37%），而手术前为279起（0.39%）。

采用病例交叉设计，手术与28天内车祸发生率的变化无关（调整后的发病率比为0.92，95%CI为0.78，1.09；p=0.340）。

性别和住院时间存在统计交互作用。

年轻人与老年人（调整后的风险比1.87，95%CI:1.10，3.18，p=0.021）、

非西班牙裔黑人（调整后风险比1.96，95%CI1.33，2.88；p=0.001）和西班牙裔白人（调整后危险比1.38，95%CI:1.00，1.91，p=0.047）与非西班牙裔白人相比，术后发生车祸的风险更大。

结果：

出院数据显示，与手术后相比，28天内机动车碰撞的发生率平均没有变化。

我们提供了手术后车祸风险的数据，并强调了特定的风险人群。

原文摘要

Motor Vehicle Crash Risk Among Adults Undergoing General Surgery:

A Retrospective Case-Crossover Study

Background:

Surgery causes transient impairment in cognition and function, which may impact driving safety. We hypothesized that the risk of a motor vehicle crash would increase after compared to before surgery.

Methods:

We performed a nested case-crossover study within population-based observational data from the New Jersey Safety Health Outcomes Data Warehouse.

We included adults aged ≥ 18 years with a valid driver's license who underwent general surgery in an acute care hospital in New Jersey between January 1st, 2016 and November 30th, 2017 and were discharged home.

Individuals served as their own controls within a pre-surgery interval (56 days to 28 days before surgery) and post-surgery interval (discharge through 28 days after surgery).

General surgery was defined by Common Procedural Terminology Codes. Our primary outcome was a police-reported motor vehicle crash.

Results:

In a cohort of 70,722 drivers, the number of crashes after surgery was 263 (0.37%) compared to 279 (0.39%) before surgery. Surgery was not associated with a change in crash incidence over 28 days using a case-crossover design (adjusted incidence rate ratio of 0.92, 95% CI 0.78, 1.09; p = 0.340). Statistical interaction was present for sex and hospital length of stay. Younger versus older adults (adjusted risk ratio 1.87, 95% CI: 1.10, 3.18, p = 0.021) and non-Hispanic Black individuals (adjusted risk ratio 1.96, 95% CI 1.33, 2.88; p = 0.001) and Hispanic individuals (adjusted risk ratio 1.38, 95% CI: 1.00, 1.91, p = 0.047) versus non-Hispanic White individuals had a greater risk of a crash after surgery.

Conclusions:

Using population-based crash and hospital discharge data, the incidence of motor vehicle crashes over a 28 day period did not change on average before compared to after surgery. We provide data on crash risk after surgery and highlight specific populations at risk.