Nwadiaro H C, Ekwe K K, Akpayak I C, Shitta H
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
Niger J Clin Pract. 2011 Apr-Jun;14(2):186-9. doi: 10.4103/1119-3077.84012.
The increasing use of commercial motorcycle as mode of transportation in urban cities in Nigeria has become important source of morbidity and mortality. This is coupled with poor helmet use, narrow roads, increasing traffic, and poor licensing of the motorcycle riders. The objectives of this study are to determine the pattern of injuries following accident involving motorcycles, the mortality rate, and the immediate causes of mortality.
This is a combined retrospective and prospective study spanning over 2 years (1 year each). Patient's records were retrieved to collate data for the retrospective study while all the patients presenting to the casualty unit of Jos University Teaching Hospital following involvement in motorcycle accidents between April 2006 and March 2007 were selected for the study.
Out of 485 motorcycle injured patients, 295 and 190 were recruited from the retrospective and prospective study respectively. The male: female (M: F) ratio was 4.8:1. The ages ranged from 2.5 to 84 years with a peak at 21-30 years. The total number of injuries was 559 with 443 patients singly injured and 42 patients multiply traumatized. Head injury (40.1%) was the most frequently occurring injury followed closely by extremity injuries (38.1%). None of the patients wore protective helmet. Thirty-six (36) mortalities (7.4%) were recorded and all dead patients had head injuries. All deaths occurred within 24 h.
Head injury represents a common cause of morbidity and mortality following motorcycle injuries in our environment. Therefore, strict enforcement of helmet laws from May 10, 2010 may reduce morbidity and mortality.
在尼日利亚城市，商业摩托车作为一种交通方式的使用日益增加，已成为发病和死亡的重要来源。这还伴随着头盔使用不佳、道路狭窄、交通日益拥堵以及摩托车骑手执照发放不规范等问题。本研究的目的是确定涉及摩托车事故后的损伤模式、死亡率以及死亡的直接原因。
这是一项为期2年（每年1年）的回顾性与前瞻性相结合的研究。检索患者记录以整理回顾性研究的数据，同时选取2006年4月至2007年3月期间因摩托车事故到乔斯大学教学医院急诊科就诊的所有患者进行研究。
在485名摩托车受伤患者中，分别从回顾性研究和前瞻性研究中招募了295名和190名患者。男女比例为4.8:1。年龄范围为2.5至84岁，峰值在21 - 30岁。损伤总数为559处，443名患者为单处受伤，42名患者为多处受伤。头部损伤（40.1%）是最常发生的损伤，紧随其后的是四肢损伤（38.1%）。所有患者均未佩戴防护头盔。记录到36例死亡（7.4%），所有死亡患者均有头部损伤。所有死亡均发生在24小时内。
在我们的环境中，头部损伤是摩托车受伤后发病和死亡的常见原因。因此，从2010年5月10日起严格执行头盔法可能会降低发病率和死亡率。
