Motorcycle-related hospitalization of adolescents in a Level I trauma center in southern Taiwan: a cross-sectional study

Liang, Chi-Cheng; Liu, Hang-Tsung; Rau, Cheng-Shyuan; Hsu, Shiun-Yuan; Hsieh, Hsiao-Yun; Hsieh, Ching-Hua

doi:10.1186/s12887-015-0419-3

Cited by 36 publications

(45 citation statements)

References 18 publications

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“…Studies [1,[5][6][7][8][9] have consistently concluded that helmet use is beneficial in preventing head injuries and subsequently reducing injury severity among motorcyclists. By using police-reported crash data in Taiwan, Keng [10] found that helmet use was associated with a decreased odds of deaths among motorcyclists.…”

Section: Introductionmentioning

confidence: 99%

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

et al. 2020

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Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: As many as 725 patients participated in the questionnaire survey and reported their helmet types or phone use during crashes. The results of multivariate logistic models demonstrated that nonstandard helmet (half or open-face helmet) use was associated with an increased risk of head injuries and more severe injuries (injury severity score ≥ 8). Drunk riding and phone use appeared to be two important risk factors for head injuries and increased injury severity. Anaemia was also found to be a determinant of head injuries." Conclusions: Compared to full-coverage helmets, nonstandard provide less protection against head injuries and increased injury severity among motorcyclists.

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Section: Introductionmentioning

confidence: 99%

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

et al. 2020

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“…Notes that the inspections of transit, mainly in small towns, are reduced. These evidence can still be related to the culture of young population that go with greater frequency to bars and parties during the weekends, as well as use alcoholic beverages [36].…”

Section: Discussionmentioning

confidence: 99%

“…Young people, when start driving, represent a high-risk population for the transit and public health organs, usually by characteristics of inexperience in driving, impulsivity, or even the frequent consumption of alcohol, drugs and other, which along with supervisory failure, contribute to the increase in cases of accidents [34][35][36].…”

Section: Discussionmentioning

confidence: 99%

Profile Of Victims Of Motorcycle Accidents Admitted In Emergency Room Of A Referral Hospital In Ceara, Brazil

Agra

Bezerra

Szarfarc³

et al. 2016

Int Arch Med

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Introduction: Economic growth and the increase of credit power in Brazil, especially in the Northeast region, allow the population to increase the acquisition of vehicles, mostly motorcycles. On the other hand, while facilitated this sale, little is invested in traffic enforcement measures, in an alarming increase of traffic accidents associated with causes that could be avoided, resulting in several members and head traumas or can lead to death. Objective:To describe the profile of motorcycle accident victims who were admitted in the emergency room of a public hospital.Methods: This is a descriptive, retrospective, documentary and quantitative study carried out with 270 victims of brain trauma involved in motorcycle accidents admitted in a public hospital in Ceará, Brazil. Data collection happened between 2013 and 2014, analyzing medical records of patients and answering a basic form for data optimization.Results: Motorcycle accidents that occurred in the period [2013][2014] registered in the public hospital of the city of Cariri, Ceará, Brazil, affecting mostly males (88.1%) and a high number of young people and adults (55%). There has been a reduction of accidents from 2013 (65%) and 2014 (34.1%). There was a predominance of accidents over the weekend (41%), having as a contributing factor alcoholism (61%) and the non-use of a helmet (86%), providing the skull trauma injury as the most present (40.7%). Profile of Victims of Motorcycle Accidents Admitted in EmergencyRoom IntroductionAutomobile accidents, in particular those with motorcycles, constitute a serious public health issue, in particular by physical limitations arising in their survivors, influencing on social determinants of health, since these are social, economic, ethnic/racial, cultural, behavioral and psychological factors influencing the occurrence of health problems and their risk factors in the population.In the face of technological advances, increasing the purchasing power of the world's population and the accelerated process of urbanization, it has been observed in recent years, a great evolution in the number of people who own transport like cars or motorcycles, to perform their daily activities or as a working tool.On the other hand, especially in developing countries, a disorganized growth reflected by the poor organization of traffic and the excessive number of accidents, causes fatalities or serious sequelae, in most cases, to drivers of motorcycles. According to the World Health Organization, approximately 1.3 million people die of traffic accident victims every year, and the most vulnerable groups (bikers, pedestrians and cyclists) found more than half of this value, concentrating in Africa the most dangerous and deadly world transits [1].In Brazil, the economic growth, particularly in the Northeast, with expansion of income and personal loans, combined with a chronic deficiency in public transport, provided a significant increase in the purchase of motor vehicles, especially the various models of motorcycles.The acquisition...

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“…Despite the burden of injuries associated with motorcycle incidents, few comprehensive studies have been conducted to examine the outcome of these patients according to age and site of injuries. Identifying high-risk injury patterns and common clusters of ages may allow for targeted interventions leading to improved care (3,4).…”

Section: Introductionmentioning

confidence: 99%

Motorcycle-related trauma: effects of age and site of injuries on mortality. A single-center, retrospective study.

Granieri

Reitano

Bindi

et al. 2020

Preprint

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BackgroundMotorcyclists are often victims of road traffic incidents. Though elderly patients seem to have worse survival outcomes and sustain more severe injuries than younger patients, concordance in the literature for this does not exist. The aim of the study is to evaluate the impact of age and injury severity on the mortality of patients undergoing motorcycle trauma. MethodsData of 1725 patients consecutively admitted to our Trauma Center were selected from 2002 to 2016 and retrospectively analyzed. The sample was divided into three age groups: ≤ 17 years, 18-54 years and ≥ 55 years. Mortality rates were analyzed for the overall population and patients with Injury Severity Score (ISS) ≥ 25. Differences in survival among age groups were evaluated with Log-Rank test and multivariate logistic regression models were created to identify independent predictors of mortality.ResultsA lower survival rate was detected in patients older than 55 years (83,6% vs 94,7%; p = 0.049) and in those sustaining critical injuries (ISS ≥ 25, 61% vs 83% p = 0.021). Age (p =0,027; OR: 1,03), ISS (p <0,001; OR: 1,09), Revised Trauma Score (RTS) (p <0,001; OR: 0,47) resulted independent predictors of death. Multivariate analysis identified head (p <0,001; OR: 2,04), chest (p <0,001; OR: 1,54), abdominal (p <0,001; OR: 1,37) and pelvic (p =0,014; OR: 1,26) injuries as independent risk factors related to mortality as well. Compared to the theoretical probability of survival, patients of all age groups showed a survival advantage when managed at a level I Trauma Center.ConclusionsWe detected anatomical injury distributions and mortality rates among three age groups. Patients aging more than 55 years had an increased risk of death, with a prevalence of severe chest injuries, while younger patients sustained more severe head trauma. Age represented an independent predictor of death. Management of these patients at a Level I Trauma Center may lead to improved outcomes.

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Motorcycle-related hospitalization of adolescents in a Level I trauma center in southern Taiwan: a cross-sectional study

Cited by 36 publications

References 18 publications

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

Profile Of Victims Of Motorcycle Accidents Admitted In Emergency Room Of A Referral Hospital In Ceara, Brazil

Motorcycle-related trauma: effects of age and site of injuries on mortality. A single-center, retrospective study.

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