Motorcycle Crash-Related Emergency Department Visits and Hospitalizations for Traumatic Brain Injury in North Carolina

Harmon, Katherine J.; Proescholdbell, Scott; Naumann, Rebecca B.; Waller, Anna

doi:10.1097/htr.0000000000000096

Cited by 3 publications

(4 citation statements)

References 16 publications

(15 reference statements)

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“…These results regarding motorcyclists of working age involved in traffic and hospitalized for long periods of time draw attention to the high costs for the health system of prehospital care and rehabilitation. 5,13,22,30 Consequently, motorcycle accident prevention is the most effective policy for reducing years of potential life lost, hospital care expenditure, morbidity and mortality related to accidents.…”

Section: Discussionmentioning

confidence: 99%

Mortalidade de motociclistas com lesões traumáticas resultantes de acidentes de trânsito na cidade de São José dos Campos, em 2015: estudo de coorte

Silva

Lopes

Thomaz

et al. 2020

Epidemiol. Serv. Saúde

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Resumo Objetivo: Analisar fatores associados à mortalidade por lesões traumáticas entre motociclistas. Métodos: Coorte prospectiva, conduzida no Hospital Municipal de São José dos Campos, Brasil, 2015. Foram incluídos motociclistas com lesões traumáticas, ≥14 anos de idade, hospitalizados. Analisaram-se as variáveis sociodemográficas do acidente e da hospitalização, por modelo de regressão de Poisson, apresentando-se risco relativo (RR) e intervalos de confiança de 95% (IC95%). Resultados: Entre 190 motociclistas, 161 (84,7%), jovens do sexo masculino, revelaram 422 (41,8%) lesões em extremidades inferiores e superiores. A incidência de óbito foi maior na medida do aumento da gravidade do trauma, fisiológica (RR=9,67 [IC95% 1,46;64,26]; e RR=4,71 [IC95% 1,36;16,26]) e anatômica (RR=31,49 [IC95% 3,72;266,38]); e mostrou-se menor em até uma semana de internação (RR=0,39 [IC95% 0,15;0,98]). Conclusão: A gravidade do trauma e o tempo de internação associaram-se ao óbito de motociclistas, mas novos estudos devem ser conduzidos para confirmar esses achados e analisar essas relações mais detalhadamente.

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Section: Discussionmentioning

confidence: 99%

Mortalidade de motociclistas com lesões traumáticas resultantes de acidentes de trânsito na cidade de São José dos Campos, em 2015: estudo de coorte

Silva

Lopes

Thomaz

et al. 2020

Epidemiol. Serv. Saúde

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show abstract

“…Studies evaluating motorcycle injuries tend to focus on certain age groups [7], a specific geographic location [8], passengers as a passenger service [9], or recreational motorcycle use [10]. The few studies that have evaluated OMIs are either surveys or interviews [11][12][13][14]; alternatively, these studies have focused on non-medical factors [14][15][16][17][18] or certain disease entities [19,20].…”

Section: Introductionmentioning

confidence: 99%

Comparison of incidence and outcome between occupational and non-occupational motorcycle injuries in Korea: A 7-years observational study

et al. 2023

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Motorcycles are widely used in various workplaces. Motorcycle use for occupational purposes continues to increase owing to growing e-commerce. Here, we aimed to highlight the importance of occupational motorcycle injuries by analyzing their epidemiologic characteristics and outcomes. We analyzed retrospective data from the Emergency Department-based Injury In-depth Surveillance program from 2012 to 2018. Motor vehicle injuries involving riders aged ≥16 years were included. Patients were divided into occupational motorcycle and non-occupational motorcycle injury groups based on whether or not the injury occurred during work time. General characteristics, injury details, and clinical outcomes such as injury severity and in-hospital mortality were analyzed. Of the 37,194 study patients, 24.2% (8,991) experienced occupational motorcycle injuries. The number of injuries in both groups increased yearly, as did the proportion of occupational injuries among total injuries. In both the groups, patients aged 20–29 years had the highest proportion of injuries. Regarding collision pattern and injury counterpart, side-to-side collisions and injuries involving small four-wheel vehicles were the most frequent. Alcohol intake was significantly lower, while helmet usage was higher in the occupational motorcycle injury group. Moreover, patients with occupational motorcycle injuries had lower injury severity, admission rate, and in-hospital mortality. On multivariable logistic regression analysis, increasing age, time of the injury, alcohol intake, not using a helmet, and collision with a human or animal were associated with higher odds of severe injury. Patients with occupational injuries had higher helmet usage, lower injury severity, lower mortality, and lower admission rate than did patients with non-occupational injuries. Injury severity was associated with the time of injury, collision with other living objects, alcohol consumption, and helmet usage.

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“…In North Carolina, the median healthcare charges of motorcycle crash-related hospitalizations with a TBI diagnosis is nearly $9000 greater than hospitalizations without a TBI diagnosis. 4 …”

Section: Introductionmentioning

confidence: 99%

“…In North Carolina, the median healthcare charges of motorcycle crashrelated hospitalizations with a TBI diagnosis is nearly $9000 greater than hospitalizations without a TBI diagnosis. 4 On the other hand, motorcycles are an affordable commuting transport option for many household members in low and middle income countries, including Pakistan. 5 The total numbers of registered motorcycles are 2.3 million while an average of 7408 new motorcycles are adding on the roads of Pakistan every day.…”

Section: Introductionmentioning

confidence: 99%

Helmet Wearing Saves the Cost of Motorcycle Head Injuries: A Case Study from Karachi, Pakistan

Ali¹,

Malik²,

Khan³

et al. 2021

CEOR

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Purpose To estimate the difference in healthcare cost of head injuries among motorcycle helmet users and non-users. Methods Motorcycle crash victims with head injuries that were brought to a public, tertiary care emergency room in Karachi were studied through a descriptive cross-sectional design. A standard questionnaire was used to collect data on demographics, injury pattern, helmeting practice, length of hospital stay, out-of-pocket payments (OOPs), and healthcare service utilization at the facility to estimate total healthcare and other costs applying micro-costing methods during the hospitalization period. Results A total of 323 motorcyclists involved in crash were brought to a public tertiary care ER, 112 patients had head injuries and were enrolled in the study. The helmeted motorcyclists had a significantly lower median total healthcare cost of PKR 10,796 ($69) [IQR 9851 ($63)–PKR 12,581 ($80)] compared to higher cost of PKR 12,113 ($77) [IQR 10,431 ($66)−50,545 ($322)] (p value = 0.046) in non-helmeted. Helmet users expended significantly less cost on laboratory tests, PKR 365 ($2) [IQR 365 ($2)–548 ($3)] compared to PKR 3650 ($23) [IQR 365 ($2)–5840 ($37)] (p value =0.027) among non-users. Furthermore, cost of radiological investigations was also low among helmeted patients compared to non-helmeted ones, median PKR 4096 ($26) [IQR 3166 ($20)–5678 ($36)] vs 4750 ($30) [3166 ($20)−11,358 ($72)] (p value =0.049). The out-of-pocket payments (OOPs) for healthcare services were lower among helmet users as compared to non-users, with cost of PKR 17,750 ($113) [IQR 16,650 ($106)–18,000 ($115)] vs PKR 19,800 ($126) [IQR 12,300 ($78)–30,900 ($197)] (p value =0.03), respectively. Conclusion The result of this study demonstrates that helmet use among motorcyclists significantly reduced healthcare costs and healthcare resource utilizations during hospitalization for head injuries in Pakistan. Thus, it is important to implement strict helmet wearing laws to decrease head injuries and the cost burden on the healthcare facility and patients.

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Motorcycle Crash-Related Emergency Department Visits and Hospitalizations for Traumatic Brain Injury in North Carolina

Cited by 3 publications

References 16 publications

Mortalidade de motociclistas com lesões traumáticas resultantes de acidentes de trânsito na cidade de São José dos Campos, em 2015: estudo de coorte

Mortalidade de motociclistas com lesões traumáticas resultantes de acidentes de trânsito na cidade de São José dos Campos, em 2015: estudo de coorte

Comparison of incidence and outcome between occupational and non-occupational motorcycle injuries in Korea: A 7-years observational study

Helmet Wearing Saves the Cost of Motorcycle Head Injuries: A Case Study from Karachi, Pakistan

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