Predictors of hospitalization and surgical intervention among patients with motorcycle injuries

Fletcher, Cary; McDowell, D; Thompson, Camelia; James, Kenneth

doi:10.1136/tsaco-2019-000326

Cited by 8 publications

(9 citation statements)

References 15 publications

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“…12 The average length of stay of road crash patients from 2008 to 2017 included in the PGH-ISIS database was 10.77 days. This is similar to studies among hospitalized road traffic victims in Jamaica (10 days ± 8 days) 13 and in Ethiopia (11.16 days). 14 This study in the Philippine setting showed that length of stay (LOS) in the hospital was significantly influenced by both clinical and non-clinical variables.…”

Section: Discussionsupporting

confidence: 90%

Analysis of Length of Hospital Stay of Road Crash Patients in the Philippine General Hospital’s Integrated Surgical Information System from 2008–2017

Herbosa¹,

2022

Acta Med Philipp

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Introduction. Mobility in the Philippines has increasingly become a major issue especially with the growing economy of the country. Collisions on the road cannot be entirely avoided; thus, we focus our efforts to reducing road crashes that result in death and serious injuries. To do this, we analyzed road crash patients brought to the Philippine General Hospital (PGH). Objective. The study aimed to quantify how crash factors affect length of hospital stay (LOS) of patients brought to PGH, as well as to look for associations between the LOS and demographic and clinical variables. Methods. This is a retrospective study using database of patients admitted in PGH from 2008 to 2017. The study focused on LOS, which was used as the dependent variable for Poisson regression and Kruskal-Wallis H tests. The determinants considered in the study are socio-demographic variables such as age, sex, civil status, victim type, vehicle type, patient classification, and region of incidence, as well as clinical variables such as consult type, outcome of the patient, body parts injured, Glasgow coma score (GCS), among others. Results. We analyzed data of 4979 road crash patients from the PGH database. We found that civil status, age, patient classification, vehicle type, and province were associated with LOS. For the clinical variables, consult type, primary service, outcome of patient, body injuries, GCS and systolic blood pressure were found significant. Poisson regression suggests longer hospital stay for patients with injuries sustained in the head and neck (RR = 1.102, p < 0.001), face (RR = 1.218, p < 0.001), and extremity (RR = 1.673, p < 0.001). Conclusion. Results show that injury sustained in certain parts of the body such as head and neck, face, and extremity significantly affect LOS. Results also show that subgroups within demographic variables affect LOS. There is a need to address the ever-increasing number of road crash patients and implications to length of hospitalization.

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Section: Discussionsupporting

confidence: 90%

Analysis of Length of Hospital Stay of Road Crash Patients in the Philippine General Hospital’s Integrated Surgical Information System from 2008–2017

Herbosa¹,

2022

Acta Med Philipp

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“…These big differences can be explained due to different definitions of TBI or data collection methods. The most common injury occurring in motorcycle accidents are lower extremity injury, in 55% of the cases, same incidence as in Fletcher et al [ 23 ].…”

Section: Discussionmentioning

confidence: 70%

Comparison of Injury Patterns between Electric Bicycle, Bicycle and Motorcycle Accidents

Spörri

Halvachizadeh

Gamble

et al. 2021

JCM

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Background: Electric bicycles (E-bikes) are an increasingly popular means of transport, and have been designed for a higher speed comparable to that of small motorcycles. Accident statistics show that E-bikes are increasingly involved in traffic accidents. To test the hypothesis of whether accidents involving E-bikes bear more resemblance to motorcycle accidents than conventional bicyclists, this study evaluates the injury pattern and severity of E-bike injuries in direct comparison to injuries involving motorcycle and bicycle accidents. Methods: In this retrospective cohort study, the data of 1796 patients who were treated at a Level I Trauma Center between 2009 and 2018 due to traffic accident, involving bicycles, E-bikes or motorcycles, were evaluated and compared with regard to injury patterns and injury severity. Accident victims treated as inpatients at least 16 years of age or older were included in this study. Pillion passengers and outpatients were excluded. Results: The following distribution was found in the individual groups: 67 E-bike, 1141 bicycle and 588 motorcycle accidents. The injury pattern of E-bikers resembled that of bicyclists much more than that of motorcyclists. The patients with E-bike accidents were almost 14 years older and had a higher incidence of moderate traumatic brain injuries than patients with bicycle accidents, in spite of the fact that E-bike riders were nearly twice as likely to wear a helmet as compared to bicycle riders. The rate of pelvic injuries in E-bike accidents was twice as high compared with bicycle accidents, whereas the rate of upper extremity injuries was higher following bicycle accidents. Conclusion: The overall E-bike injury pattern is similar to that of cyclists. The differences in the injury pattern to motorcycle accidents could be due to the higher speeds at the time of the accident, the different protection and vehicle architecture. What is striking, however, is the higher age and the increased craniocerebral trauma of the E-bikers involved in accidents compared to the cyclists. We speculate that older and untrained people who have a slower reaction time and less control over the E-bike could benefit from head protection or practical courses similar to motorcyclists.

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“…It is a known fact that motorcycle accidents can result in severe, even deadly injuries [16,[18][19][20]. In our study, 1 motorcycle driver with severe polytrauma died in the Emergency Department, shortly after arrival.…”

Section: Methodsmentioning

confidence: 71%

Electric scooter vs. motorcycle injuries – little toys with an underestimated impact

Nica

Eremia

Albu

et al. 2020

Romanian Journal of Orthopaedic Surgery and Traumatology

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Introduction: The study weighs the impact of accidents involving electric scooters and motorcycles, its main purpose being that of showing the injuries produced by the use of electric scooters.Materials and method: The retrospective study was conducted in the Emergency Unit of the University Emergency Hospital Bucharest, Romania, between 01.06.2020 and 30.09.2020, by analyzing the data from the presentation sheets and the hospital database. It followed and compared a total of 55 cases, out of which 29 patients were involved in motorcycle accidents, and 26 patients were involved in electric scooter accidents, by number, age, sex, imaging investigations, severity of injuries, hospitalization days, and the treatment of discharged patients.General data about the number of analyzed presentations was extracted and compared to similar data from the same period of the year 2019.Results: The study showed an increase in presentations due to electric scooter accidents. Also, most of the injuries in both types of accidents are musculoskeletal (96.5% in motorcycle accidents and 84.61% in electric scooter accidents), and the percentage of discharged patients who needed immobilization by various orthopedic devices was higher in electric scooter accidents (34.8%) than in motorcycle accidents (26%).Discussions: The study was conducted in the middle of the COVID-19 pandemic, in an atypical situation, due to regulations imposed by the authorities.Conclusion: There was an increase in the use of electric scooters in the summer of 2020, which resulted in an increased number of mainly orthopedic injuries, and implicitly of immobilization for discharged patients, underestimated by the population, as protective equipment is not mandatory for people aged over 16 years.

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Predictors of hospitalization and surgical intervention among patients with motorcycle injuries

Cited by 8 publications

References 15 publications

Analysis of Length of Hospital Stay of Road Crash Patients in the Philippine General Hospital’s Integrated Surgical Information System from 2008–2017

Analysis of Length of Hospital Stay of Road Crash Patients in the Philippine General Hospital’s Integrated Surgical Information System from 2008–2017

Comparison of Injury Patterns between Electric Bicycle, Bicycle and Motorcycle Accidents

Electric scooter vs. motorcycle injuries – little toys with an underestimated impact

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