Elachi Itodo C, Okunola Benjamin B, Yongu Williams T, Onyemaechi Ndubuisi Oc, Odatuwa-Omagbemi Odoyoh D, Ahachi Chukwukadibia N, Mue Daniel D
Department of Surgery, Benue State University, Markurdi, Benue, Nigeria.
Depatment of Clinical Services, 45 Nigerian Air Force Hospital, Makurdi, Benue, Nigeria.
Niger Med J. 2014 Nov;55(6):452-5. doi: 10.4103/0300-1652.144693.
Motorcycle-related injuries lead to considerable morbidity and mortality. The aim of this study is to determine the pattern and outcome of motorcycle-related injuries at Benue State University Teaching Hospital, Makurdi, Nigeria.
Case records of all patients who presented to the accident and emergency department with motorcycle-related injuries between July 2012 and June 2013 were analysed for age, gender, injury host status (i.e. rider, pillion or pedestrian), nature of collision (motorcycle versus other vehicles, motorcycle versus motorcycle, motorcycle versus pedestrian or lone riders), body region injured, injury severity score (ISS) at arrival, length of hospital stay (LOS) and mortality.
Seventy - nine patients with motorcycle-related injuries were included in the study. They consisted of 63 males (61.8%) and 16 females (15.7%). The age range was 5-65 years with a mean of 32.4 ± 14.0. Motorcycle versus vehicle collisions were the most common mechanism of injury (n = 46, 58.2%). Musculoskeletal injuries constituted the most common injuries sustained (n = 50, 47.6%) and the tibia was the most frequently fractured bone (n = 14, 35.9%). The majority of patients (57.0%) sustained mild/moderate injuries (ISS ≤ 15). There was no statistically significant difference between the sexes for sustaining mild/moderate injuries or severe/profound injuries (P > 0.05). Mortality rate was 6.3% with head injuries being involved in all cases.
Young males were mostly injured in motorcycle-related trauma. Musculoskeletal injuries were the most common injuries sustained and head injuries were involved in all the deaths. Enforcement of motorcycle crash bars and helmet usage is recommended.
与摩托车相关的损伤会导致相当高的发病率和死亡率。本研究的目的是确定尼日利亚马库尔迪贝努埃州立大学教学医院与摩托车相关损伤的模式及结果。
对2012年7月至2013年6月期间因与摩托车相关的损伤而到急诊室就诊的所有患者的病例记录进行分析，内容包括年龄、性别、受伤主体身份（即骑手、乘客或行人）、碰撞性质（摩托车与其他车辆、摩托车与摩托车、摩托车与行人或单独骑手）、受伤身体部位、入院时的损伤严重程度评分（ISS）、住院时间（LOS）和死亡率。
79例与摩托车相关损伤的患者纳入本研究。其中男性63例（61.8%），女性16例（15.7%）。年龄范围为5 - 65岁，平均年龄为32.4±14.0岁。摩托车与车辆碰撞是最常见的损伤机制（n = 46，58.2%）。肌肉骨骼损伤是最常见的损伤类型（n = 50，47.6%），胫骨是最常发生骨折的骨头（n = 14，35.9%）。大多数患者（57.0%）遭受轻度/中度损伤（ISS≤15）。在遭受轻度/中度损伤或重度/极重度损伤方面，性别之间无统计学显著差异（P>0.05）。死亡率为6.3%，所有死亡病例均涉及头部损伤。
年轻男性在与摩托车相关的创伤中受伤最多。肌肉骨骼损伤是最常见的损伤类型，所有死亡病例均涉及头部损伤。建议加强摩托车防撞杆的使用并强制佩戴头盔。
