Riding into the golden years: injury patterns and outcomes of advanced-age motorcycle trauma

Muratore, Sydne; Hawes, Luke; Farhat, Joseph; Reicks, Patty; Gipson, Jonathan; Beilman, Greg J.

doi:10.1016/j.amjsurg.2016.06.011

Cited by 12 publications

(8 citation statements)

References 16 publications

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“…Nevertheless, our findings emphasise the impact older riders have on healthcare resource utilisation and were similar to findings of other studies. (9,18) Results revealed that among elderly cyclists and motorcyclists, the extremities and pelvic girdle region were the most vulnerable to injury. This was consistent with previous studies involving cyclists (18,19,(23)(24)(25)(26)(27) and motorcyclists.…”

Section: Discussionmentioning

confidence: 99%

“…(6) Studies have shown that compared to younger riders, elderly motorcyclists sustain more injuries, (7)(8)(9) more severe injuries (9)(10)(11)(12)(13)(14) and show different injury patterns. (9,14) The increasing age of motorcyclists correlated with prolonged hospital stay, (9,10,14,15) increased complications, (9,10,15) increased mortality (10,14,15) and higher care demands after discharge. (9) Similarly, for cyclists, older age was associated with increased injury severity, mortality and length of intensive care unit stay.…”

Section: Introductionmentioning

confidence: 99%

“…(9,14) The increasing age of motorcyclists correlated with prolonged hospital stay, (9,10,14,15) increased complications, (9,10,15) increased mortality (10,14,15) and higher care demands after discharge. (9) Similarly, for cyclists, older age was associated with increased injury severity, mortality and length of intensive care unit stay. (16)(17)(18)(19) Current literature comparing cyclists and motorcyclists has revealed differences in injury patterns and outcomes.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Cheong

Tham

Chiu

2021

smedj

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“…More broadly, the findings highlight the importance of constant attention when riding and could serve as a conversation starter for clinicians who care for patients who motorcycle (currently eight million in America, including survivors of cancer). 64 65 66 Standard safety recommendations to avoid a crash might include maximizing visibility, wearing protective clothing, and maintaining the vehicle in excellent condition. 67 68 69 Additional strategies while riding might include wearing a helmet, activating headlights, scanning the road surface for defects, respecting the weather, being wary of left turning vehicles, obeying traffic laws, and forgoing stunts.…”

Section: Discussionmentioning

confidence: 99%

The full moon and motorcycle related mortality: population based double control study

Redelmeier

Shafir

2017

BMJ

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ObjectiveTo test whether a full moon contributes to motorcycle related deaths.DesignPopulation based, individual level, double control, cross sectional analysis.SettingNighttime (4 pm to 8 am), United States.Participants13 029 motorcycle fatalities throughout the United States, 1975 to 2014 (40 years).Main outcome measureMotorcycle fatalities during a full moon.Results13 029 motorcyclists were in fatal crashes during 1482 relevant nights. The typical motorcyclist was a middle aged man (mean age 32 years) riding a street motorcycle with a large engine in a rural location who experienced a head-on frontal impact and was not wearing a helmet. 4494 fatal crashes occurred on the 494 nights with a full moon (9.10/night) and 8535 on the 988 control nights without a full moon (8.64/night). Comparisons yielded a relative risk of 1.05 associated with the full moon (95% confidence interval 1.02 to 1.09, P=0.005), a conditional odds ratio of 1.26 (95% confidence interval 1.17 to 1.37, P<0.001), and an absolute increase of 226 additional deaths over the study interval. The increase extended to diverse types of motorcyclists, vehicles, and crashes; was accentuated during a supermoon; and replicated in analyses from the United Kingdom, Canada, and Australia.ConclusionThe full moon is associated with an increased risk of fatal motorcycle crashes, although potential confounders cannot be excluded. An awareness of the risk might encourage motorcyclists to ride with extra care during a full moon and, more generally, to appreciate the power of seemingly minor distractions at all times.

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“…A large number of bikers suffer blows to the head in fatal injuries, consequently leading to intracranial hemorrhage. Among the injuries that bikers suffer are severe traumas to legs, especially knees, which usually result in serious damages (10). Various studies have revealed a higher frequency of Copyright © 2019, Author(s).…”

Section: Introductionmentioning

confidence: 99%

An Epidemiological Study of Traumas Caused by Motorcycle Crashes in Shahid Rajaee Hospital, Shiraz, Iran in 2013 - 2016

Yadollahi

Ghafarpour

2019

Shiraz E-Med J

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Background: Road traffic injuries (RTIs) are one of the main causes of death and disability throughout the world. In this regard, motorcyclists constitute the most vulnerable groups. By investigating the epidemiological characteristics of motorcycle crashes, we can attain valuable information about research priorities. Objectives: We decided to conduct this study aiming at determining the epidemiological pattern of RTIs among motorcyclists in Shiraz in 2013-2016. Methods: In this cross-sectional study, we reviewed all information related to motorcycle crashes that took place in Shiraz from January 2013 to December 2016. The injured motorcyclists were classified according to their age, gender, the severity of the injury, injured region, length of hospital stay, hospital-acquired infections, and the outcomes. We also performed a logistic regression analysis to determine the risk factors for fatality in motorcycle crashes. Results: According to our results, from all motorcycle crashes, 13577 (91.5%) were related to men and 1258 (8.5%) to women. Furthermore, most injured motorcyclists were in the 15-29-year-old age group. Crashes mostly occurred on weekends and in warm seasons. A hospital stay of more than one month (OR = 4.93, CI: 2.32-10.46) and an ISS of 9-15 (OR = 7.56, CI: 3.68-15.56) were the most effective risk factors for motorcyclist fatality. Conclusions: According to the study, since most motorcycle crashes involved the youth, enforcing stricter laws and cultural developments towards correcting risky behaviors can be very important in reducing the rates of death and disability.

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Riding into the golden years: injury patterns and outcomes of advanced-age motorcycle trauma

Cited by 12 publications

References 16 publications

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

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

The full moon and motorcycle related mortality: population based double control study

An Epidemiological Study of Traumas Caused by Motorcycle Crashes in Shahid Rajaee Hospital, Shiraz, Iran in 2013 - 2016

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