Oezel L, Jaekel C, Bieler D, Stuewe D, Neubert A, Lefering R, Grassmann J P, Windolf J, Thelen S
Klinik für Orthopädie und Unfallchirurgie, Medizinische Fakultät und Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland.
Klinik für Unfallchirurgie und Orthopädie, Wiederherstellungs‑, Hand- und Plastische Chirurgie, Verbrennungsmedizin, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
Unfallchirurgie (Heidelb). 2022 Nov;125(11):880-891. doi: 10.1007/s00113-021-01090-8. Epub 2021 Oct 15.
Traffic accidents and the traumatic injury consequences are frequent causes of mortality and irreversible damage in children and young adults. In motorcycle accidents the injury patterns differ depending on the age of the patient.
The aim of this study was to describe the typical injury patterns after motorcycle accidents involving children and adolescents as these can have a decisive influence on the prevention and the adequate treatment in the respective patient groups.
The study included 22,923 patients from the years 2002-2018 which were extracted from the TraumaRegister DGU®. Injury patterns of 4 age categories were analyzed: group 1 (4-15 years), group 2 (16-17 years), group 3 (18-20 years) and group 4 (21-50 years).
In both younger age groups, limb injuries mostly of the lower extremities, showed the highest incidence. Moreover, younger patients with traumatic brain injury showed better outcomes despite of initially poor conditions. Ribcage, abdominal, pelvic and spinal injuries are the least frequent in younger patients. In terms of diagnostics, children are less likely to undergo whole-body computed tomography (CT) diagnostics than adults.
The study revealed age-specific differences with respect to injury patterns in patients involved in motorcycle accidents, either as drivers or co-drivers. Furthermore, the analysis of preclinical and in-hospital treatment elucidated the relevance of preventive and protective measures.
交通事故及其造成的创伤性损伤后果是儿童和年轻人死亡及不可逆转损伤的常见原因。在摩托车事故中，损伤模式因患者年龄而异。
本研究的目的是描述涉及儿童和青少年的摩托车事故后的典型损伤模式，因为这些模式可能对相应患者群体的预防和适当治疗产生决定性影响。
该研究纳入了2002年至2018年从创伤注册数据库DGU®中提取的22923名患者。分析了4个年龄组的损伤模式：第1组（4至15岁）、第2组（16至17岁）、第3组（18至20岁）和第4组（21至50岁）。
在两个较年轻的年龄组中，主要为下肢的肢体损伤发生率最高。此外，患有创伤性脑损伤的较年轻患者尽管初始状况不佳，但预后较好。较年轻患者中肋骨、腹部、骨盆和脊柱损伤最少见。在诊断方面，儿童接受全身计算机断层扫描（CT）诊断的可能性低于成人。
该研究揭示了涉及摩托车事故的患者（无论是驾驶员还是乘客）在损伤模式方面的年龄特异性差异。此外，对院前和院内治疗的分析阐明了预防和保护措施的相关性。
