Paediatric motorbike accidents: the need for stricter regulation to reduce the frequency of injuries

Jandhyala, Satish

doi:10.1111/j.1445-2197.2011.05701.x

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Males dominate motorcycle casualties 6 7 14–19. However, in both on-road and off-road samples, males are more commonly injured as riders, and females as passengers 5 9 20.…”

Section: Resultsmentioning

confidence: 99%

“…There is good evidence that protective clothing designed for motorcycle use reduces the risk of hospitalisation in adult riders 38. Protective clothing use appears less common among children than helmet use 5 6 25 35. In Europe, Boix et al 35 suggest that access to suitable clothing and costs associated with buying clothing for children who are growing quickly are barriers.…”

Section: Resultsmentioning

confidence: 99%

“…Licensing is often suggested as a means to regulate minimum age for operating off-road motorcycles and to ensure adequate training prior to use 6 7 15 16. In Minnesota, children <16 years are required to have a rider education certificate, and <12 years must only ride under adult supervision 25.…”

Section: Resultsmentioning

confidence: 99%

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Children and motorcycles: a systematic review of risk factors and interventions

et al. 2017

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“…Males dominate motorcycle casualties 6 7 14–19. However, in both on-road and off-road samples, males are more commonly injured as riders, and females as passengers 5 9 20.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Children and motorcycles: a systematic review of risk factors and interventions

et al. 2017

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“…Korrespondierend hierzu demonstrierten Kortor et al, dass Frakturen und knöcherne Läsionen im Bereich der unteren Extremität die häufigste Verletzung unter Motorradfahrern darstellen [21]. In den letzten Jahren gewannen Motorradunfälle, in welche Kinder und Jugendliche involviert waren und verletzt wurden, zunehmend an Aufmerksamkeit, da Kinder als Beifahrer auf Motorrädern die weitestgehend verletzlichste Population darstellen [6,20,29].…”

Section: Hintergrundunclassified

Unterschiede der Verletzungsmuster bei Motorradunfällen von Kindern und Jugendlichen

et al. 2021

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Zusammenfassung Hintergrund Verkehrsunfälle und ihre Verletzungsfolgen stellen eine häufige traumatische Ursache für das Versterben und für das Auftreten von irreversiblen Schäden bei Kindern und Jugendlichen dar. Bei Motorradunfällen unterscheiden sich dabei Verletzungsmuster abhängig vom Patientenalter. Ziel der Arbeit Ziel dieser Studie ist es, die typischen Verletzungsmuster nach Motorradunfällen im Kindes- und Jugendalter vergleichend zu beschreiben, da diese einen ausschlaggebenden Einfluss auf die Prävention sowie die adäquate Behandlung der jeweiligen Patientengruppen bieten können. Material und Methoden In die Studie wurden innerhalb der Jahre 2002–2018 22.923 Patienten aus dem TraumaRegister der Deutschen Gesellschaft für Unfallchirurgie (DGU®) eingeschlossen. Die Auswertung erfolgte in 4 Altersgruppen: Gruppe 1 (4 bis 15 Jahre), Gruppe 2 (16 bis 17 Jahre), Gruppe 3 (18 bis 20 Jahre) sowie Gruppe 4 (21 bis 50 Jahre) als Kontrolle. Ergebnisse In Gruppe 2 stellten Extremitätenverletzungen das häufigste Verletzungsmuster dar und traten überwiegend im Bereich der unteren Extremität auf. Zudem ergab die Analyse, dass Gruppe 1 häufiger ein schweres Schädel-Hirn-Trauma erleidet, trotz initial schlechtem Zustand aber ein besseres Outcome aufweist. Thorakale, abdominelle sowie Wirbelsäulen- und Beckenverletzungen kommen bei den jüngeren Altersgruppen seltener vor. Insbesondere stellen Rippenfrakturen eine Rarität bei Kindern dar. In der Diagnostik werden Kinder im Vergleich zu Erwachsenen seltener einer Ganzkörper-CT-Diagnostik zugeführt. Diskussion Die Studie deckt altersabhängige Unterschiede in den Verletzungsmustern von Patienten auf, die als Beifahrer oder Fahrer eines Motorrades in einen Unfall involviert waren. Zudem konnten ebenso Unterschiede in der prä- und innerklinischen Versorgung herausgearbeitet werden.

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“…Most previous reports in the literature relating to children injured on these vehicles have used large administrative datasets, or focused cases series from hospital records, to report epidemiology and injuries and outcomes for specific types of off‐road vehicles, specific injuries or riding activity 4‐9 . To develop effective countermeasures to reduce risk of crashes and injury, there is a need to understand crash circumstances and mechanisms of injury, and how these differ among users of different off‐road vehicle types, during different types of riding activity and among those using protective gear or not.…”

Section: Introductionmentioning

confidence: 99%

Paediatric off‐road vehicle injury in rural and regional Australia

Mulligan

Adams

Soundappan

et al. 2021

Australian J Rural Health

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Objective Off‐road riding of quad bikes and motorcycles is common among children across rural and remote Australia, but is a significant source of injury and hospitalisation. An in‐depth analysis of paediatric off‐road vehicle crashes was undertaken to inform injury prevention countermeasures by characterising injury patterns and sources of injury. Design This is a prospective in‐depth case series. Participants Participants are children aged 16 and under who have been hospitalised due to injury sustained from the use of an off‐road motorcycle or quad bike in New South Wales, Australia. Interventions Crash investigation techniques (medical data, structured interview, vehicle and crash site inspection) were used to ascertain details of the crash event, protective gear, injury information and contributory factors. Results Thirty children were recruited, 27 boys and 3 girls, ranging in age from 4 to 16 years, having crashed on off‐road motorcycles (n = 27) or quads (n = 3). Most (73.3%) were participating in unstructured social riding. A total of 67 separate injuries were observed, with overall Injury Severity Scores between 1 and 35. There were high rates of wearing helmets and motorcycle‐specific garments. The most commonly injured areas were the upper and lower extremities. The most common sources of injury were from impacting the ground, obstacles/other riders or the vehicle. Conclusion This study demonstrates the patterns of riding and injury in rural paediatric off‐road vehicle riders, occurring despite high rates of helmet/protective gear use. This underscores the need for investigation into the injury mitigation and fit properties of protective gear and the inherent risks for physically and developmentally maturing children.

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Paediatric motorbike accidents: the need for stricter regulation to reduce the frequency of injuries

Cited by 4 publications

References 9 publications

Children and motorcycles: a systematic review of risk factors and interventions

Children and motorcycles: a systematic review of risk factors and interventions

Unterschiede der Verletzungsmuster bei Motorradunfällen von Kindern und Jugendlichen

Paediatric off‐road vehicle injury in rural and regional Australia

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