Injury Patterns among Motorcyclist Trauma Patients: A Cross Sectional Study on 4200 Patients

Document Type : RESEARCH PAPER

Authors

1 Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

2 Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

3 Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran

Abstract

Background: Motorcyclists are among the most vulnerable groups of road accident victims, who are prone to a growing
mortality rate due to the constant rise in the number of accidents. This study was performed to investigate the injury
patterns among motorcyclist trauma patients admitted to Kamyab Hospital, the largest trauma center affiliated with
Mashhad Univercity of Medical Sciences, Mashhad, Iran, due to an accident.
Methods: This cross-sectional study was conducted on motorcyclists referred to our hospital due to accidents from
August 23, 2014 to August 22, 2016 to receive treatment. After the accurate examination of the collected data and
correction of the potential errors, they were subjected to analysis. The gathered data included the demographic
variables, injury pattern, accident time, and accident type. Data analysis was performed in Stata Software, version 12.
Results: A total of 4,205 motorcycle accident cases were hospitalized (14% of all cases were hospitalized during the
two-year study period). The mean age of the patients was 30 years, and 88% of them were male (a male to female ratio
of 7.3). Car- and pedestrian-motorcycle collisions were the most common causes of injury that accounted for 68% and
22% of the cases, respectively. The head was the most commonly injured site of the body; in this regard, 59.7% of the
admitted patients and 85.4% of total death cases had a head injury. In addition, 67% of the target population received
trauma in more than two parts of their body. The elbow, arm, and hip were the least regions involved.
Conclusion: Motorcycle accidents cause severe physical injuries to the patients’ body. Head injury was the most
common type of trauma, leading to a wide range of disabilities. Therefore, the use of crash helmets and avoidance of
dangerous driving behaviors will remarkably decrease such trauma.
Level of evidence: IV

Keywords

Main Subjects


1. Yonesian M, Moradi A. Knowledge, attitude and
practice of drivers on regulation of traffic in Tehran. J
Sch Public Health Instit Public Health Res. 2005.
2. World Health Organization. available from. http://
wwwwhoint/gho/road_safety/mortality/number_
text/en.
3. Soori H, Hussain SJ, Razzak JA. Road safety in the
Eastern Mediterranean Region--findings from
the Global Road Safety Status Report. Eastern
Mediterranean health journal = La revue de sante de
la Mediterranee orientale = al-Majallah al-sihhiyah lisharq
al-mutawassit. 2011 Oct;17(10):770-6. PubMed
PMID: 22256412. Epub 2012/01/20. eng.
4. Organization WH. The global burden of disease: 2004
update. 2008.
5. Tefft BC. Impact speed and a pedestrian’s risk of severe
injury or death. Accident; analysis and prevention.
2013 Jan;50:871-8. PubMed PMID: 22935347. Epub
2012/09/01. eng.
6. Jouybari L, Sanagoo A, Gadimi A, Tahanian M, Sabzi Z.
The knowledge and attitudes of driving license trainee
of first aids for the victims of road accidents. Journal
of Gorgan Bouyeh Faculty of Nursing & Midwifery.
2010;7(1):41-7.
7. Bahadorimonfared A, Soori H, Mehrabi Y, Delpisheh
A, Esmaili A, Salehi M, et al. Trends of fatal road
traffic injuries in Iran (2004-2011). PloS one.
2013;8(5):e65198. PubMed PMID: 23724132.
Pubmed Central PMCID: PMC3665536. Epub
2013/06/01. eng.
8. Heydari ST, Maharlouei NN, Foroutan A, Sarikhani Y,
Ghaffarpasand F, Moafian G, et al. Fatal motorcycle
accidents in Fars Province, Iran: a communitybased
survey. Chinese journal of traumatology.
2012;15(4):222-7.
9. Patel PB, Staley CA, Mehta S, Schenker ML. Unhelmeted
Motorcycle Riders Have Increased Injury Burden: A
Need to Revisit Universal Helmet Laws. The Journal of
surgical research. 2019 May 9;242:177-82. PubMed
PMID: 31078903. Epub 2019/05/13. eng.
10. Saadat S, Rahmani K, Moradi A, Zaini SA, Darabi F.
Spatial analysis of driving accidents leading to deaths
related to motorcyclists in Tehran. Chinese journal of
traumatology = Zhonghua chuang shang za zhi. 2019
Jun;22(3):148-54. PubMed PMID: 31056469. Epub
2019/05/06. eng.
11. Horswill MS, Helman S. A behavioral comparison
between motorcyclists and a matched group of
non-motorcycling car drivers: factors influencing
accident risk. Accident Analysis & Prevention.
2003;35(4):589-97.
12. Lin M-R, Kraus JF. Methodological issues in motorcycle
injury epidemiology. Accident Analysis & Prevention.
2008;40(5):1653-60.
13. Injuries WHO, Department VP, Organization WH,
Injuries WHODo, Prevention V. The injury chart book:
A graphical overview of the global burden of injuries:
World Health Organization; 2002.
14. Khorshidi A, Ainy E, Soori H. Epidemiological pattern
of road traffic injuries among Iranian motorcyclist
in 2012. Safety Promotion and Injury Prevention.
2016;4(1):47-54.
15. Lopez-Alvarenga J, Vazquez-Velazquez V, Arcila-
Martí􀆴nez D, Sierra-Ovando A, González-Barranco J,
Salí􀆴n-Pascual R. Accuracy and diagnostic utility of
the Hospital Anxiety and Depression Scale (HAD)
in a sample of obese Mexican patients. Revista
de investigacion clinica; organo del Hospital de
Enfermedades de la Nutricion. 2002;54(5):403-9.
16. Zargar M, Khaji A, Karbakhsh M. Pattern of motorcyclerelated
injuries in Tehran, 1999 to 2000: a study in
6 hospitals. Eastern Mediterranean health journal =
La revue de sante de la Mediterranee orientale = al-
Majallah al-sihhiyah li-sharq al-mutawassit. 2006 Jan-
Mar;12(1-2):81-7. PubMed PMID: 17037224. Epub
2006/10/14. eng.
17. Araqi E, Vahedian M. Study on susceptible and damages
from motorcycle accidents in Mashhad in 2005. The
Horizon of Medical Sciences. 2007;13(1):34-9.
18. Hemmati H, Chabok SY, Dehnadimoghadam A,
Melksari HM, Dafchahi MA, Shabani S. Trauma in
Guilan (North of Iran): an epidemiologic study. Acta
Medica Iranica. 2009;47(5):403-8.
19. Sosin DM, Sacks JJ, Holmgreen P. Head injuryassociated
deaths from motorcycle crashes.
Relationship to helmet-use laws. Jama. 1990 Nov
14;264(18):2395-9. PubMed PMID: 2231995. Epub
1990/11/14. eng.
20. Zohrevandi B, Asadi P, Monsef Kasmaee V, Tajik H,
Ashouri A, Ebrahimi H. Epidemiology of motor cycle
accidents in Rasht, 2011-2012. Iranian Journal of
Forensic Medicine. 2014;20(4):169-70. eng.
21. Ramouz A, Hosseini M, Vahdati SS. Epidemiology
of head and neck fractures caused by motorcycle
accidents. Iranian journal of emergency medicine.
2016;3(1):23-7.
22. Vorko-Jovic A, Kern J, Biloglav Z. Risk factors in urban
road traffic accidents. Journal of safety research.
2006;37(1):93-8. PubMed PMID: 16516927. Epub
2006/03/07. eng.
23. Li Y-M. Road traffic casualties and risky driving
behavior in Hualien County, 2001–2005. Tzu Chi
Medical Journal. 2007;19(3):152-8.
24. Hasani J, Hashemi Nazari SS, Khorshidi A, Shojaei A.
Factors related to pedestrians mortality following
road traffic accidents in Tehran and Alborz Provinces,
Iran. International Journal of Epidemiologic Research.
2016;3(3):204-13.
25. Kraus JF, Peek C. The impact of two related prevention
strategies on head injury reduction among nonfatally
injured motorcycle riders, California, 1991-1993.
Journal of neurotrauma. 1995 Oct;12(5):873-81.
PubMed PMID: 8594214. Epub 1995/10/01. eng.
26. Bachulis BL, Sangster W, Gorrell GW, Long WB.
Patterns of injury in helmeted and nonhelmeted
motorcyclists. American journal of surgery. 1988
May;155(5):708-11. PubMed PMID: 3369630. Epub
1988/05/01. eng.
27. Maracy M, Tabar Isfahani M. The burden of road traffic
injuries in Isfahan, Iran in 2010. Journal of Kerman
University of Medical Sciences. 2013;20(5).
28. Pfortmueller CA, Marti M, Kunz M, Lindner G,
Exadaktylos AK. Injury severity and mortality of
adult zebra crosswalk and non-zebra crosswalk road
crossing accidents: a cross-sectional analysis. PloS
one. 2014;9(3):e90835. PubMed PMID: 24595100.
Pubmed Central PMCID: PMC3940932. Epub 2014/
03/07. eng.