Pattern of injuries in helmeted motorcyclists in Singapore

Tham, Kum Ying; Seow, Eillyne; Wong, HP

doi:10.1016/s0196-0644(99)80202-9

Cited by 13 publications

(27 citation statements)

References 15 publications

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“…However, it has been shown that helmets do not guarantee complete head and facial protection. 6 Our studies also showed that most of the injury (46.9%, N = 53) in the maxillofacial area involved the lower face even when the riders were wearing buckled helmets. This number is certainly increased when both the lower face and midface injuries that occurred simultaneously were added to the lower face injury group (61.9%, N = 70).…”

Section: Discussionsupporting

confidence: 71%

“…1,6,14 In relation to crash configuration and type of injuries sustained, Peek-Asa and Kraus 14 showed that head and the facial injuries are more commonly seen in riders who sustained head-on collisions, whereas lower extremity and abdominal injuries were more common in riders involved in approaching turn collisions. Head-on collisions, however, are 4 times likely to cause death than serious injuries.…”

Section: Discussionmentioning

confidence: 99%

“…4 Despite of its effectiveness, there seems to be a limit to the protection by helmets against head injury; crash characteristics will affect severity of head injuries even in helmeted motorcyclists. 6 Apart from head and facial injuries, motorcyclists are also susceptible to other concomitant injuries (i.e., cervical, orthopedic, thoracic, and abdominal injuries).…”

mentioning

confidence: 99%

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Pattern of Maxillofacial Injuries in Motorcyclists in Malaysia

Ramli

Rahman

et al. 2008

Journal of Craniofacial Surgery

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Motorcycle casualties represent significant number in road traffic accidents in Malaysia, and among all the injuries, facial injuries pose many significant problems physiologically, functionally, and aesthetically. The aim of this study was to analyze the pattern of maxillofacial as well as other injuries in motorcyclists who were seen at Hospital Universiti Kebangsaan Malaysia.Patients' records from January 2004 to December 2005 were reviewed. Data related to demographics, vehicle/object involved in collision, involvement as a rider or pillion, whether a helmet was worn or not, location of injuries on the face/facial bones, and other associated injuries were collected.A total of 113 cases of motorcycle accidents were recorded; 106 males and 7 females were involved. Mean age was 25.8 years. Among all the races, Malay had the highest involvement (72.3%), followed by Chinese (14.3%), Indians (8.9%), and others (5.4%). The types of collision were either a single-vehicle collision (i.e., skidded) or with another vehicle/s or object (e.g., tree, stone, or lamppost). The injuries were mainly seen on the lower face (46.9%) followed by midface (25.7%) and a combination of the midface and lower face (15%) and others (12.4%). The most frequent other associated injuries recorded were orthopedic and head injuries.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Pattern of Maxillofacial Injuries in Motorcyclists in Malaysia

Ramli

Rahman

et al. 2008

Journal of Craniofacial Surgery

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“…This was consistent with previous studies involving cyclists (18,19,(23)(24)(25)(26)(27) and motorcyclists. (11,27,28) However, the patterns of extremity injuries differed between cyclists and motorcyclists in our study. Motorcyclists sustained significantly higher rates of upper extremity injuries and tibia/fibular fractures, while cyclists sustained significantly more femoral fractures.…”

Section: Discussioncontrasting

confidence: 62%

Injury patterns in elderly cyclists and motorcyclists presenting to a tertiary trauma centre in Singapore

Cheong

Tham

Chiu

2021

smedj

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Introduction:In our ageing population, there are increasing numbers of elderly cyclists and motorcyclists. Compared to younger riders, this cohort sustains more injuries and has poorer outcomes. The aim of this study was to describe and compare patient demographics, injury patterns and outcomes among elderly cyclists and motorcyclists presenting to a Level 1 trauma centre.Methods: Data of all cyclists, motorcyclists and pillion riders aged 65 years and above, who presented to the emergency department after accidents from 1 January 2013 to 31 December 2017 were extracted from the hospital's trauma registry and reviewed.Results: Cyclists and motorcyclists formed 42.0% and 58.0%, respectively, of 157 recruited patients. At the time of incident, 40.8% of patients were employed. Mean age of patients was 71.6 ± 5.8 years. Extremities and pelvic girdle injuries (61.1%) were the most frequent, followed by chest injuries (48.4%), and head and neck injuries (40.1%). For severe injuries (defined as Abbreviated Injury Scale score ≥ 3), chest injuries (39.5%) were the most common, followed by head and neck injuries (36.3%). Overall mortality rate was 9.6%, with cyclists at nearly three times the risk of motorcyclists. More cyclists than motorcyclists (18.2% vs. 11.0%) required intensive care. There were no significant differences in length of hospital stay. Conclusion:Elderly riders have unique injury patterns and consume significant healthcare resources. Trauma systems need to acknowledge this changing injury epidemiology and equip trauma centres with necessary resources targeted at elderly patients. Future work should focus on strategies to minimise extremity and chest injuries.

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“…Compared with other motorized road users (such as cars and trucks), MTV riders are in greater risk of sustaining severe multiple injuries and death after road traffic accidents, because of their vulnerability and relative high driving speed. [1][2][3][4] In the 70s of the previous century, helmet laws for motorcyclists and moped riders were introduced in The Netherlands. Since then, virtually 100% of the motorcyclists use motorcycle helmets.…”

mentioning

confidence: 99%