American Journal of Epidemiology Vol. 123, No. 5: 846-861
Copyright © 1986 by The Johns Hopkins University School of Hygiene and Public Health
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MOTOR VEHICLE TRAUMA IN NORTHEASTERN OHIO. I: INCIDENCE AND OUTCOME BY AGE, SEX, AND ROAD-USE CATEGORY
1Injury Prevention and Analysis Group, Building 475, Department of Applied Science, Brookhaven National Laboratory Upton, NY 11973
2Injury Epidemiology Program, Department of Community and Preventive Medicine, School of Medicine, State University of New York Stony Brook, NY
3Department of Epidemiology and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH, at the time of data collection and initial analysis. (Dr. Jerome I. Barancik was formerly with that department as well
4Code 3 Health Information Systems/3M Columbus OH
5G and M Health Care Business Systems Chesterland, OH
6Insurance Institute for Highway Safety Washington, DC
Reprint requests to Dr. Jerome I. Barancik at this address
Hospital emergency department visits for motor vehicle trauma occurring in a midwestern metropolitan region (Cleveland and Lorain-Elyria, Ohio Standard Metropolitan Statistical Areas; 2.2 million population) were analyzed to determine the incidence and outcome by age, sex, and road-use category. A 50% incidence sample (n=20,752) of motor vehicle trauma events to residents of this region was identified from the emergency department records of 41 participating hospitals for a one-year period, 1977. These hospitals accounted for 98% of all emergency department cases in the region. The annual motor vehicle trauma incidence rate per 100,000 population was 1,871. The highest annual incidence rate (4,462) was for ages 20–24; the lowest rates were for infants under one year (837) and for the elderly over 74 years (667). Incidence rate rank-ordered road-use categories were as follows: passenger car occupant, motorized cycle rider, other enclosed vehicle occupant, pedestrian, and pedal cyclist. Above age 4, age-specific male incidence rates significantly exceeded female incidence rates for most road-use categories. There were 80 admissions and 7 fatalities per 1,000 motor vehicle trauma incidence cases. Case-admission ratios were highest for pedestrians (266), riders of motorized cycles (184), and pedal cyclists (115); they were lowest for occupants of partially or fully enclosed vehicles (65). Case-fatality ratios per 1,000 cases were also highest for pedestrians (43) and riders of motorized cycles (11). Male case-fatality ratios exceeded female ratios for each road-use category in nearly all age groups, and male case-admission ratios exceeded those for females ages 10–54. For ages 75 and over, the admission ratios and fatality ratios were nearly twice as high as in any other age group.
accidents, traffic; age factors; morbidity; mortality; sex factors; vehicles; wounds and injuries
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