Pattern of major injuries after motorcycle accidents in Egypt: The Mansoura Emergency Hospital experience

Abstract

Background and aim: Motorcycle accidents are one of the leading causes of road traffic injuries and mortality. The aim of this study was to determine the common patterns of major injuries associated with motorcycle accidents in patients attending Mansoura University Emergency Hospital in Egypt, and to measure the magnitude of the problem in our community. Patients and methods: Patients involved in motorcycle crashes who were admitted to the hospital during August 2014 to April 2015 were retrospectively reviewed. All age groups and both genders were included. Results: Two hundred patients (181 males) with a mean age of 30.7 AE 10.5 years were included with the majority of patients aged 20-40 years. Head injuries were the most frequent fatal injuries (9/61) patients; orthopedic injuries were the most common injuries, occurring in 78.5% of victims. Multisystem injuries occurred in 28% of patients. None of the motorcyclists involved in accidents wore helmets. Conclusion: Motorcycle accidents are a common cause of road traffic injuries and mortalities in Egypt, occurring mainly in males aged 20-40 years. The majority of victims had an isolated trauma to single body system. Orthopedic injuries were the most common and least fatal type of injuries. The highest fatalities were among patients with chest injuries then patients with head injuries. None of the victims wore protective clothing or helmets at the time of accident.

Predictors of hospitalization and surgical intervention among patients with motorcycle injuries

“…In another study, almost one in three patients required admission to the hospital (either to the ward or the intensive care unit) 21. Fouda et al 10 reported that surgical management for orthopedic injuries ensued in approximately 74% of injured motorcyclists admitted.…”

“…Consequently a variety of injuries including musculoskeletal injuries commonly occur. Orthopedic injuries predominate among injuries after motorcycle crashes 10 11. Lower limb injuries are preponderant, partly due to exposure or inadequate protection of the lower limbs,4 12 and in an early study inadequate footwear for the rider and pillion and rear wheel defects were cited 13.…”

“…Lower limb injuries are preponderant, partly due to exposure or inadequate protection of the lower limbs,4 12 and in an early study inadequate footwear for the rider and pillion and rear wheel defects were cited 13. Other common sites of injury are the upper limbs and the thorax 10 11 14. Lin et al 15 in their prospective study found that severity of motorcycle injuries was more likely to increase when the collisions involve heavier vehicles and if the motor vehicle collision occurred in poor lighting.…”

“…Lin et al 15 in their prospective study found that severity of motorcycle injuries was more likely to increase when the collisions involve heavier vehicles and if the motor vehicle collision occurred in poor lighting. Severity has been linked to road conditions,16 17 rurality,10 16 older age,18 and speeding 15 17…”

Risk of Mortality on Patients with Traffic Accidents of Emergency Department at dr. Soebandi Hospital, Jember Regency

“…Trauma patients death reached 6.0% with the highest proportion of head /spinal trauma patients (67%) (Eaton et al, 2017). In addition, other studies also showed 4.5 % deaths in motorbike traffic accident, treated in ward (82.5%) and ICU (13%) (Fouda et al, 2016).…”