Fletcher Cary, Mcdowell Derrick, Thompson Camelia, James Kenneth
Orthopaedics, St Ann's Bay Regional Hospital, St Ann, Jamaica.
Community Health and Psychaitry, University of the West Indies, Mona, Saint Andrew, Jamaica.
Trauma Surg Acute Care Open. 2019 Aug 16;4(1):e000326. doi: 10.1136/tsaco-2019-000326. eCollection 2019.
To describe the distribution of injuries, hospitalization rates by body areas injured, and surgery-requiring admissions, and to identify independent predictors of admission to a regional hospital in Jamaica.
A cross-sectional study was conducted among persons presenting to the St Ann's Bay Regional Hospital in Jamaica (2016-2018) with injuries sustained from motorcycle crashes. A census was done of patients admitted to the surgery ward from the emergency room, as well as those referred to the Orthopaedic Outpatient Department. Trained members of the orthopedic team administered a pretested questionnaire within 24 hours of presenting to the orthopedic service to elicit data on sociodemographic characteristics, motor vehicle collision circumstance and motor bike specifications, physical injuries sustained and medical management, as well as compliance with legal requirements for riding a motorcycle. Associations between variables were examined using χ tests and logistic regression.
There were 155 participants in the study, and 75.3% of motorcyclists with injuries required admission. The average length of stay was approximately 10 days. Surgery was required for 71.6% of those admitted. Lower limb injuries constituted 55% of all injuries. The independent predictors for admission were alcohol use and total body areas involved. Motorcycle crash victims who used alcohol close to the time of crash were three times more likely to be admitted to hospital than those who did not consume alcohol. As the total body areas involved increased by one, there was a threefold increase in the likelihood of being admitted. Additionally, the greater the number of body areas involved, the greater was the likelihood of admission.
Lower limb injuries are the most commonly reported injuries among victims of motorcycle crashes. Alcohol and total body areas involved are independent predictors of admission to hospital. In the planning of trauma delivery services, this information should be taken into account.
Level IV.
描述损伤的分布情况、按受伤身体部位划分的住院率以及需要手术的入院情况，并确定牙买加地区医院入院的独立预测因素。
对2016 - 2018年在牙买加圣安妮湾地区医院因摩托车事故受伤就诊的人员进行横断面研究。对从急诊室收治到外科病房的患者以及转诊至骨科门诊的患者进行普查。骨科团队的经过培训的成员在患者到骨科就诊后24小时内发放一份经过预测试的问卷，以获取有关社会人口学特征、机动车碰撞情况和摩托车规格、身体损伤情况及医疗处理，以及遵守骑摩托车法律要求等方面的数据。使用χ检验和逻辑回归分析变量之间的关联。
该研究共有155名参与者，75.3%的受伤摩托车骑行者需要入院治疗。平均住院时间约为10天。71.6%的入院患者需要进行手术。下肢损伤占所有损伤的55%。入院的独立预测因素是饮酒和涉及的身体部位总数。在事故发生时饮酒的摩托车事故受害者入院的可能性是未饮酒者的三倍。随着涉及的身体部位总数每增加一个，入院的可能性增加两倍。此外，涉及的身体部位数量越多，入院的可能性就越大。
下肢损伤是摩托车事故受害者中最常报告的损伤。饮酒和涉及的身体部位总数是入院的独立预测因素。在规划创伤救治服务时，应考虑这些信息。
四级。
