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Factors associated with serious vehicular accidents: A cross-sectional study in hospital emergency rooms.
Forest, Karelle; Valdenaire, Guillaume; Lorendeau, Jean-Paul; Sagaspe, Patricia; Contrand, Benjamin; Durand-Teyssier, Charlotte; Sakr, Dunia; Gil-Jardine, Cédric; Boutreux, Sébastien; Lagarde, Emmanuel; Peyrouzet, Hélène; Lassalle, Régis; Moore, Nicholas; Philip, Pierre; Girodet, Pierre-Olivier.
Afiliación
  • Forest K; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
  • Valdenaire G; CHU de Bordeaux Emergency department, Bordeaux, France.
  • Lorendeau JP; CH de Périgueux Emergency department, Perigueux, France.
  • Sagaspe P; SANPSY UMR CNRS, Bordeaux, France.
  • Contrand B; Injury Epidemiology, transport, occupation (University of Bordeaux), Bordeaux, France.
  • Durand-Teyssier C; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
  • Sakr D; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
  • Gil-Jardine C; CHU de Bordeaux Emergency department, Bordeaux, France.
  • Boutreux S; CH de Périgueux Emergency department, Perigueux, France.
  • Lagarde E; Injury Epidemiology, transport, occupation (University of Bordeaux), Bordeaux, France.
  • Peyrouzet H; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
  • Lassalle R; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
  • Moore N; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
  • Philip P; SANPSY UMR CNRS, Bordeaux, France.
  • Girodet PO; Bordeaux INSERM CIC1401, CHU de Bordeaux - Université de Bordeaux 33076, Bordeaux, France.
Br J Clin Pharmacol ; 87(2): 612-621, 2021 02.
Article en En | MEDLINE | ID: mdl-32530532
AIMS: Pictograms on medicine boxes warn of potential drug-related driving hazard; we studied their association with serious accidents. METHODS: Prospective study in emergency departments of the hospitals in Bordeaux and Périgueux (France), of drivers with serious (admitted at least 24 hours) or nonserious vehicular accidents. Minors, passengers, pedestrians or subjects incapable of answering an interview were excluded. Interviews ascertained driver and accident characteristics, use of drugs with or without pictograms, use of alcohol and abuse substances, sleepiness, distractions, and mind wandering at the time of the accident, RESULTS: Between 18 October 2016 and 26 December 2018, 1200 of the 6212 drivers admitted to the hospital emergency rooms, 741 nonserious, 459 serious, were interviewed. Serious accidents were associated with male sex (odds ratio 1.89, 95% confidence interval [1.36-2.64]), age above 60 years (3.64 [2.21-6.00]), driving on local roads (3.34 [2.34-4.76]), driving a motorcycle (3.39 [2.29-5.00]), having drunk alcohol within 6 hours (2.89 [1.85-4.51]) and using a drug with a pictogram during the 24 hours previous to the accident (1.57 [1.06-2.32]). From 207 police reports, 101 drivers were not responsible, and 106 were responsible, associated with age below 40 years, driving in overcast or rainy weather (2.62 [1.29-5.33]), on local roads (3.89 [1.90-7.95]), and use of at least 1 pictogram drug in the previous week (3.12 [1.31-7.41]). CONCLUSION: The known risks of alcohol and pictogram drugs, of riding motorcycles and using local roads were confirmed. As measured, behavioural sleepiness did not predict accidents.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducción de Automóvil / Accidentes de Tránsito Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Br J Clin Pharmacol Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducción de Automóvil / Accidentes de Tránsito Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Br J Clin Pharmacol Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido