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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Valorar el efecto de las circunstancias ambientales sobre el riesgo de muerte de los conductores de veh&#237;culos de dos ruedas de motor &#40;VDRM&#41; tras un accidente de tr&#225;fico&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha estudiado la serie de casos formada por los 309&#46;626 conductores de VDRM implicados en accidentes de tr&#225;fico con v&#237;ctimas en Espa&#241;a&#44; entre 1993 y 2002&#44; recogidos por la Direcci&#243;n General de Tr&#225;fico&#46; La variable dependiente ha sido la defunci&#243;n del conductor&#46; Como variables ambientales se han considerado factores temporales &#40;a&#241;o&#44; mes&#44; d&#237;a y hora&#41; y espaciales &#40;zona del accidente&#44; iluminaci&#243;n&#44; entre otros&#41;&#46; Tambi&#233;n se han recogido potenciales factores de confusi&#243;n dependientes del conductor &#40;edad&#44; sexo&#44; uso de casco&#41;&#44; del veh&#237;culo y el tipo de accidente&#46; Se han obtenido&#44; mediante modelos de regresi&#243;n de Poisson&#44; riesgos relativos crudos y ajustados para cada categor&#237;a ambiental&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Para la mayor&#237;a de las variables temporales&#44; no hay asociaci&#243;n con el riesgo de defunci&#243;n en el an&#225;lisis ajustado&#44; a excepci&#243;n de un mayor riesgo para la conducci&#243;n de madrugada&#46; El riesgo aumenta fuertemente en carretera &#40;especialmente autopistas y autov&#237;as&#41; con respecto a las zonas urbanas&#44; para las que hay una clara relaci&#243;n dosis-respuesta entre un menor tama&#241;o del municipio y una mayor letalidad&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Tras ajustar por los factores de riesgo dependientes del conductor&#44; el efecto de los factores ambientales sobre el riesgo de muerte del conductor de un VDRM tras el accidente se circunscribe a la zona donde se produce el accidente y&#44; en menor medida&#44; a la hora en que ocurre&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the effect of environmental factors on the risk of death for drivers of two-wheeled motorized vehicles &#40;TWMV&#41; after a crash&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We studied a case series comprising all 309&#44;626 drivers of TWMV involved in road crashes with victims compiled by the Spanish Department of Transportation from 1993 to 2002&#46; The dependent variable was death of the driver&#46; Environmental factors included temporal variables &#40;year&#44; month&#44; day and hour of the crash&#41; and spatial variables &#40;area where the accident took place and light conditions&#44; among others&#41;&#46; Confounding variables related to the driver &#40;age&#44; sex&#44; helmet use&#41;&#44; the vehicle&#44; and the type of crash were also recorded&#46; Poisson regression models were constructed to obtain crude and adjusted relative risks for each environmental condition&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In the adjusted analysis&#44; no association was found between most time-related factors and the risk of death&#44; with the exception of an increased risk in the early hours of the morning&#46; The risk of death was much greater for crashes on open roads &#40;especially highways and motorways&#41; than in urban areas&#44; where the risk of death increased as the size of the town decreased&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">After adjustment for several confounders&#44; the only environmental factors related to the risk of death in TWMV drivers after a crash were the area when the crash occurred&#44; and &#40;more weakly&#41; the time of day when it occurred&#46;</p>"
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Respuesta

Conflictos de interés

Los conflictos de interés pueden ser laborales, de investigación, económicos o morales. Los/las autores/as deben indicar si existe alguno de estos conflictos. Una descripción más detallada sobre los conflictos de intereses se encuentra disponible en las normas éticas de Gaceta Sanitaria.

El texto se adecua a las normas éticas de la revista
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?