Factors influencing motorcycle crash victim outcomes: a prospective study

Cunningham, Gregory; Chenik, David; Zellweger, René

doi:10.1111/j.1445-2197.2012.06127.x

Cited by 10 publications

(8 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, the current study included only patients who were triaged as major traumas or those requiring hospital admission, in contrast to the Trivedi study where only 8.8% of patients were major trauma activations and the majority of whom (93.9%) were discharged home from the Emergency Department. We also observed vastly higher rates of alcohol or drug intoxication, which have previously been linked to increased injury severity and worse outcomes with other injury mechanisms like motorcycle crashes 20…”

Section: Discussionmentioning

confidence: 51%

The e-merging e-pidemic of e-scooters

Kobayashi

Williams

Brown

et al. 2019

Trauma Surg Acute Care Open

150

110

View full text Add to dashboard Cite

IntroductionSince their release in 2017, standing electric motorized scooters (eScooters) have risen in popularity as an alternative mode of transportation. We sought to examine the incidence of injury, injury patterns, prevalence of helmet and drug and alcohol use in eScooter trauma.MethodsThis was a multi-institutional retrospective case series of patients admitted for injuries related to operation of an eScooter following the widespread release of these devices in September 2017 (September 1, 2017 to October 31, 2018). Demographics, drug and alcohol use, helmet use, admission vitals, injuries, procedures, hospital and intensive care unit length of stay (LOS), death, and disposition were analyzed.Results103 patients were admitted during the study period, and monthly admissions increased significantly over time. Patients were young men (mean age 37.1 years; 65% male), 98% were not wearing a helmet. Median LOS was 1 day (IQR 1–3). 79% of patients were tested for alcohol and 48% had a blood alcohol level >80 mg/dL. 60% of patients had a urine toxicology screen, of which 52% were positive. Extremity fractures were the most frequent injury (42%), followed by facial fractures (26%) and intracranial hemorrhage (18%). Median Injury Severity Score was 5.5 (IQR 5–9). One-third of patients (n=34) required an operative intervention, the majority of which were open fixations of extremity and facial fractures. No patients died during the study. The majority of patients were discharged home (86%).ConclusioneScooter-related trauma has significantly increased over time. Alcohol and illicit substance use among these patients was common, and helmet use was extremely rare. Significant injuries including intracranial hemorrhage and fractures requiring operative intervention were present in over half (51%) of patients. Interventions aimed at increasing helmet use and discouraging eScooter operation while intoxicated are necessary to reduce the burden of eScooter-related trauma.Level of evidenceLevel IV.

show abstract

Section: Discussionmentioning

confidence: 51%

The e-merging e-pidemic of e-scooters

Kobayashi

Williams

Brown

et al. 2019

Trauma Surg Acute Care Open

150

110

View full text Add to dashboard Cite

show abstract

“…The limitations of this study include the use of a retrospective design and the lack of availability of data regarding the circumstances of the mechanism of injury. Although a study regarding the factors influencing motorcycle crash victim outcomes found that traveling in excess of 50 kph increased the risk of intracranial injury (OR = 4.8) [ 17 ], lack of data regarding the motorcycle speed during accidents prevented analysis of the effect of speed in the current study. Lack of data also prevented the ability to analyze the impact of the type of motorcycle; type of helmet material; or the use of any other protective materials, such as knee braces.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

View full text Add to dashboard Cite

BackgroundThe aim of this study was to investigate and compare the injury pattern, mechanisms, severity, and mortality of adolescents and adults hospitalized for treatment of trauma following motorcycle accidents in a Level I trauma center.MethodsDetailed data regarding patients aged 13–19 years (adolescents) and aged 30–50 years (adults) who had sustained trauma due to a motorcycle accident were retrieved from the Trauma Registry System between January 1, 2009 and December 31, 2012. The Pearson’s chi-squared test, Fisher’s exact test, or the independent Student’s t-test were performed to compare the adolescent and adult motorcyclists and to compare the motorcycle drivers and motorcycle pillion.ResultsAnalysis of Abbreviated Injury Scale (AIS) scores revealed that the adolescent patients had sustained higher rates of facial, abdominal, and hepatic injury and of cranial, mandibular, and femoral fracture but lower rates of thorax and extremity injury; hemothorax; and rib, scapular, clavicle, and humeral fracture compared to the adults. No significant differences were found between the adolescents and adults regarding Injury Severity Score (ISS), New Injury Severity Score (NISS), Trauma-Injury Severity Score (TRISS), mortality, length of hospital stay, or intensive care unit (ICU) admission rate. A significantly greater percentage of adolescents compared to adults were found not to have worn a helmet. Motorcycle riders who had not worn a helmet were found to have a significantly lower first Glasgow Coma Scale (GCS) score, and a significantly higher percentage was found to present with unconscious status, head and neck injury, and cranial fracture compared to those who had worn a helmet.ConclusionAdolescent motorcycle riders comprise a major population of patients hospitalized for treatment of trauma. This population tends to present with a higher injury severity compared to other hospitalized trauma patients and a bodily injury pattern differing from that of adult motorcycle riders, indicating the need to emphasize use of protective equipment, especially helmets, to reduce their rate and severity of injury.

show abstract

“…They concluded that fewer older bicyclists used helmets and that they suffered more sustained or severe head injuries, with greater functional decline [21]. An Australian study to evaluate the factors influencing the outcome of 208 motorcycle crash victims showed that losing control due to intoxication, collision with another vehicle, or travelling above the speed limit was associated with the worst patient outcome; travelling in excess of 50 kph increased the risk of intracranial injury [22]. Our patient group was too small to allow similar conclusions.…”

Section: Discussionmentioning

confidence: 99%

E-Bike Injuries: Experience from an Urban Emergency Department—A Retrospective Study from Switzerland

Papoutsi

Martinolli

Braun

et al. 2014

Emergency Medicine International

View full text Add to dashboard Cite

Background. Between 2005 and 2012, annual sales of E-bikes in Switzerland increased from 1,792 to 52,941. This continuous and rapid transition from human-powered bicycles to an electric bicycle technology may indicate the increasing demand for low-cost transportation technology in combination with a healthy lifestyle. Material and Methods. In the present study, from April 2012 to September 2013, we retrospectively analysed E-bike accidents treated in the Emergency Department of our hospital by focusing on the following parameters: age, gender, time, period, and cause of the accident, as well as injury and outcome. Results. Patients were predominantly male. The mean age of injured E-cyclists was 47.5 years. The main causes of injury were self-accident. Most injuries were to the head/neck. The mean ISS was 8.48. The outcome showed that 9 patients were treated as outpatients, 9 were inpatients, and 5 patients were kept in the Intensive Care Unit (ICU). Only six patients underwent surgery (S). Discussion. This is the first attempt to evaluate E-bike injuries in Switzerland in an acute hospital setting. Since there is increasing popular preference for E-bikes as means of transportation and injuries to the head or neck are prevalent among E-cyclists, the hazard should not to be underestimated.

show abstract

Factors influencing motorcycle crash victim outcomes: a prospective study

Abstract: Crash factors including intoxication, speed and accident cause significantly influence both short- and long-term patient outcomes.

Cited by 10 publications

References 5 publications

The e-merging e-pidemic of e-scooters

The e-merging e-pidemic of e-scooters

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

E-Bike Injuries: Experience from an Urban Emergency Department—A Retrospective Study from Switzerland

Contact Info

Product

Resources

About