Motor vehicle accident mortality by elderly drivers in the super-aging era: A nationwide hospital-based registry in Japan

Matsuyama, Tasuku; Kitamura, Tetsuhisa; Katayama, Yusuke; Hirose, Tomoya; Kiguchi, Takeyuki; Sado, Junya; Kiyohara, Kosuke; Izawa, Junichi; Okada, Nobunaga; Takebe, Kotaro; Watanabe, Makoto; Miyamoto, Yuki; Yamahata, Yoshihiro; Ohta, Bon

doi:https://doi.org/10.1097/MD.0000000000012350

Motor vehicle accident mortality by elderly drivers in the super-aging era: A nationwide hospital-based registry in Japan

Matsuyama, Tasuku; Kitamura, Tetsuhisa; Katayama, Yusuke et al.

Medicine (United States), 2018, 97(38), e12350

アクセス数:1,583件（2025-08-15 06:48 集計）

固定URL: https://hdl.handle.net/11094/78392

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タイトル	Motor vehicle accident mortality by elderly drivers in the super-aging era: A nationwide hospital-based registry in Japan
著者	NRID 1000050829025 1000050829025 著者名 Matsuyama, Tasuku
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 著者名 Kitamura, Tetsuhisa
	NRID 1000050747144 1000050747144 ORCID 0000-0003-2585-4259 0000-0003-2585-4259 researchmap permalink orion2013 orion2013 Scopus Author ID 56470235000 56470235000 著者名 Katayama, Yusuke
	NRID 1000070597509 1000070597509 researchmap permalink tomoyahirose tomoyahirose Scopus Author ID 41861413300 41861413300 著者名 Hirose, Tomoya
	NRID 1000030724380 1000030724380 著者名 Kiguchi, Takeyuki
	著者名 Sado, Junya
	NRID 1000080581834 1000080581834 著者名 Kiyohara, Kosuke
	著者名 Izawa, Junichi
	著者名 Okada, Nobunaga
	著者名 Takebe, Kotaro
	著者名 Watanabe, Makoto
	著者名 Miyamoto, Yuki
	NRID 1000000437211 1000000437211 著者名 Yamahata, Yoshihiro
	NRID 1000010596240 1000010596240 著者名 Ohta, Bon
キーワード等	Elderly drivers
	Mortality
	Motor vehicle accidents
	Prevalence
内容	Matsuyama, Tasuku MD; Kitamura, Tetsuhisa MD; Katayama, Yusuke MD; Hirose, Tomoya MD; Kiguchi, Takeyuki MD; Sado, Junya MPH; Kiyohara, Kosuke DrPH; Izawa, Junichi MD; Okada, Nobunaga MD; Takebe, Kotaro MD; Watanabe, Makoto MD; Miyamoto, Yuki MD; Yamahata, Yoshihiro MD; Ohta, Bon MD, Motor vehicle accident mortality by elderly drivers in the super-aging era, Medicine: September 2018 - Volume 97 - Issue 38 - p e12350, doi: 10.1097/MD.0000000000012350
抄録	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.
出版者	Lippincott Williams and Wilkins
収録物名	Medicine (United States)
巻(号)	97(38)
ページ	e12350
刊行年月	2018-09
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78392
PISSN	00257974
eISSN	15365964
NCID	AA12542695
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1097/MD.0000000000012350
関連情報 (isIdenticalTo)	PMID 30235692
アクセス権	open access
権利情報	© 2018 The Authors. Published by Wolters Kluwer Health, Inc. This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Medicine (United States). 2018, 97(38), p. e12350
DC.title	Motor vehicle accident mortality by elderly drivers in the super-aging era: A nationwide hospital-based registry in Japan
DC.creator	Matsuyama, Tasuku
	Kitamura, Tetsuhisa
	Katayama, Yusuke
	Hirose, Tomoya
	Kiguchi, Takeyuki
	Sado, Junya
	Kiyohara, Kosuke
	Izawa, Junichi
	Okada, Nobunaga
	Takebe, Kotaro
	Watanabe, Makoto
	Miyamoto, Yuki
	Yamahata, Yoshihiro
	Ohta, Bon
DC.publisher	Lippincott Williams and Wilkins
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2018-09
DC.identifier	https://doi.org/10.1097/MD.0000000000012350
DC.subject	Elderly drivers
	Mortality
	Motor vehicle accidents
	Prevalence
DC.description	Matsuyama, Tasuku MD; Kitamura, Tetsuhisa MD; Katayama, Yusuke MD; Hirose, Tomoya MD; Kiguchi, Takeyuki MD; Sado, Junya MPH; Kiyohara, Kosuke DrPH; Izawa, Junichi MD; Okada, Nobunaga MD; Takebe, Kotaro MD; Watanabe, Makoto MD; Miyamoto, Yuki MD; Yamahata, Yoshihiro MD; Ohta, Bon MD, Motor vehicle accident mortality by elderly drivers in the super-aging era, Medicine: September 2018 - Volume 97 - Issue 38 - p e12350, doi: 10.1097/MD.0000000000012350
DCTERMS.abstract	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.
DC.rights	© 2018 The Authors. Published by Wolters Kluwer Health, Inc. This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	78392
citation_title	Motor vehicle accident mortality by elderly drivers in the super-aging era: A nationwide hospital-based registry in Japan
citation_author	Matsuyama, Tasuku
	Kitamura, Tetsuhisa
	Katayama, Yusuke
	Hirose, Tomoya
	Kiguchi, Takeyuki
	Sado, Junya
	Kiyohara, Kosuke
	Izawa, Junichi
	Okada, Nobunaga
	Takebe, Kotaro
	Watanabe, Makoto
	Miyamoto, Yuki
	Yamahata, Yoshihiro
	Ohta, Bon
citation_publisher	Lippincott Williams and Wilkins
citation_language	英語
citation_date	2018-09
citation_journal_title	Medicine (United States)
citation_volume	97
citation_issue	38
citation_firstpage	e12350
citation_doi	https://doi.org/10.1097/MD.0000000000012350
citation_pmid	30235692
citation_public_url	https://hdl.handle.net/11094/78392

Motor vehicle accident mortality by elderly drivers in the super-aging era: A nationwide hospital-based registry in Japan

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