Moped and Motorcycle Trauma: Injury Prevention and an Opportunity to Intervene

Wentzel, Jennifer L.; Taylor, Ryan; Zino, Christen; Avery, Michael J.; Muertos, Keely; Sciarretta, Jason D.

doi:10.1177/000313482008600303

Cited by 1 publication

(1 citation statement)

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“…One study in South Carolina found among motorcycle and moped accidents only 20% of motorcyclists and 9.2% of moped riders were wearing helmets. 17 In another study based in Hawaii, where similar laws exist, 48.8% of motorcyclists were wearing helmets at the time of the accident, compared to only 9.8% of moped users. 16 They also saw that, despite increases in injury severity and mortality rates among motorcycle injuries, moped patients were diagnosed with facial fractures at a higher rate.…”

Section: Discussionmentioning

confidence: 96%

Predictors of Facial Fractures in Trauma Patients: Retrospective Review at a Level I Trauma Center

Sanders

Rhodes

Boscia

et al. 2023

The American Surgeon™

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Background The incidence and causes of facial fractures differ between patients, but patterns arise within populations. These patterns vary by gender, age, and between countries. This study aims to determine variables to identify patients at risk for facial fractures in a United States trauma population. Methods This is a single-center study of Trauma Registry data, inclusive of years July 1, 2016, to January 31, 2022. Inclusion criteria were based upon all trauma patients. Confirmation of a non-isolated facial fracture (dependent variable) was verified using ICD10 diagnosis codes. A logistic regression was performed in SPSS to ascertain the effects of predictor variables on the likelihood that a trauma patient will experience a facial fracture. Results 20377 patients were included in the analysis based upon the requirements specified in the methods section; 1575 (7%) had a positive facial fracture. The logistic regression model was statistically significant (N = 18507, P < .01). Significant risk factors for facial fracture identified included helicopter transport (OR = 1.35, P < .01) and increasing injury severity scores (OR = 1.07, P < .01). Modes of injury most likely to predict facial fracture included assault (OR = 6.62, P < .01), moped (OR = 2.02, P < .01), and motorcycle trauma (OR = 1.55, P < .01). The discharge disposition most likely among facial fracture patients included short-term general hospital (OR = 1.71, P < .01) and intermediate care facility (OR = 4.47, P < .01). Conclusions Patients with traumatic injuries from assault, moped, and motorcycle accidents were more likely to present with facial fractures. These patients had more severe injuries, seen as increased ISS scores, higher likelihood of transport by helicopter, and the need for additional care after discharge.

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Section: Discussionmentioning

confidence: 96%