PMID- 30235692
OWN - NLM
STAT- MEDLINE
DCOM- 20181003
LR  - 20221005
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 38
DP  - 2018 Sep
TI  - Motor vehicle accident mortality by elderly drivers in the super-aging era: A 
      nationwide hospital-based registry in Japan.
PG  - e12350
LID - 10.1097/MD.0000000000012350 [doi]
LID - e12350
AB  - Motor vehicle accidents (MVAs) are one of the major public health burdens 
      worldwide. In particular, MVAs by elderly drivers have been significantly 
      increasing in recent years in industrialized countries. This study aimed to 
      assess the MVA characteristics and outcomes caused by elderly drivers in 
      Japan.Japan Trauma Data Bank (JTDB) is a prospective, nationwide, hospital-based 
      registry for trauma patients from 256 institutions in Japan. This study enrolled 
      all MVA drivers older than the legal age for driving between 2004 and 2015. The 
      included patients were divided into the following 3 groups: adults (aged </=64 
      years), young-old (aged 65-74 years), and old-old (aged >/=75 years). The primary 
      outcome was in-hospital mortality. The trend in the proportion of MVAs caused by 
      the young-old or the old-old group was evaluated using the Cochran-Armitage trend 
      test. To assess the association of the old-old group with in-hospital mortality, 
      compared with the adult group, we used multivariable logistic regression 
      analysis.During the study period, a total of 236,698 trauma patients were 
      registered, and 39,691 patients (16.8%) were eligible for our analysis. The 
      proportion of MVAs caused by elderly drivers aged >/=65 years significantly 
      increased from 11.7% in 2004 to 23.8% in 2015 (P < .001). As for the primary 
      outcome, unadjusted in-hospital mortality increased with age, but decreased 
      year-by-year irrespective of the age group. In multivariable logistic regression 
      analysis, in-hospital mortality was significantly higher in the old-old group 
      than in the adult group [17.3% (584/3372) vs 8.0% (2556/31,985); adjusted odds 
      ratio 4.80; 95% confidence interval 4.06-5.67].In the super-aging society of 
      Japan, the proportion of MVAs by elderly drivers increased year-by-year, and the 
      mortality rate was highest in those aged above 75 years.
FAU - Matsuyama, Tasuku
AU  - Matsuyama T
AD  - Department of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto 
      Division of Environmental Medicine and Population Sciences, Department of Social 
      and Environmental Medicine, Osaka University Graduate School of Medicine, Suita 
      Department of Traumatology and Acute Critical Medicine Emergency and Critical 
      Care Center, Osaka Police Hospital, Osaka Kyoto University Health Services, Kyoto 
      Department of Public Health, Tokyo Women's Medical University Intensive Care 
      Unit, Department of Anesthesiology, The Jikei University School of Medicine, 
      Tokyo, Japan.
FAU - Kitamura, Tetsuhisa
AU  - Kitamura T
FAU - Katayama, Yusuke
AU  - Katayama Y
FAU - Hirose, Tomoya
AU  - Hirose T
FAU - Kiguchi, Takeyuki
AU  - Kiguchi T
FAU - Sado, Junya
AU  - Sado J
FAU - Kiyohara, Kosuke
AU  - Kiyohara K
FAU - Izawa, Junichi
AU  - Izawa J
FAU - Okada, Nobunaga
AU  - Okada N
FAU - Takebe, Kotaro
AU  - Takebe K
FAU - Watanabe, Makoto
AU  - Watanabe M
FAU - Miyamoto, Yuki
AU  - Miyamoto Y
FAU - Yamahata, Yoshihiro
AU  - Yamahata Y
FAU - Ohta, Bon
AU  - Ohta B
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Accidents, Traffic/*mortality/*statistics & numerical data
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Hospital Mortality/*trends
MH  - Humans
MH  - Japan/epidemiology
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Registries/*statistics & numerical data
PMC - PMC6160118
EDAT- 2018/09/22 06:00
MHDA- 2018/10/04 06:00
PMCR- 2018/09/21
CRDT- 2018/09/22 06:00
PHST- 2018/09/22 06:00 [entrez]
PHST- 2018/09/22 06:00 [pubmed]
PHST- 2018/10/04 06:00 [medline]
PHST- 2018/09/21 00:00 [pmc-release]
AID - 00005792-201809210-00040 [pii]
AID - MD-D-18-02411 [pii]
AID - 10.1097/MD.0000000000012350 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Sep;97(38):e12350. doi: 10.1097/MD.0000000000012350.