Department of Orthopaedics and Traumatology, Biruni University Faculty of Medicine, İstanbul-Türkiye.
Department of Emergency Medicine, Biruni University Faculty of Medicine, İstanbul-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 Feb;30(2):114-122. doi: 10.14744/tjtes.2024.08791.
The Coronavirus Disease 2019 (COVID-19) pandemic has led to a unique set of circumstances, straining health-care systems and affecting the way of life in societies around the world. Measures such as social isolation, travel restrictions, and workplace closures have led to an increase in motorcycle use. Consequently, motorcycle accidents have become a significant problem during this period. This study presents detailed research conducted to examine motorcycle accidents during the COVID-19 pandemic and to understand the causes and consequences of the increase in these accidents.
This research evaluated records from a single health examination and used various models to analyze motorcycle acci-dents within a specified time period. Additionally, retrospective analyses were conducted to examine associations between motorcycle use and crashes in our country before and after the pandemic. The records of 386 patients who were injured in motorcycle accidents and followed up, received treatment, and were recorded at Biruni University Hospital between November 2015 and April 2023 were retrospectively examined. Noted details included the victims' age, gender, injury mechanism, injury site, injury severity, helmet use, presence and location of fractures, time distribution of the accident, and the severity of other important tissue injuries. The relationship between the injury site, fractures, and accident details, and the "Injury Severity Score" (ISS) was also investigated.
Among the 386 injured victims in motorcycle accidents, 333 were male and 53 were female. Of these, 168 (43.5%) were motorcycle drivers, 137 (35.5%) were motorcycle couriers, and 81 (21%) were pedestrians. A total of 186 (48%) injuries occurred before the pandemic (November 2015-March 2020), while 200 (52%) were sustained during the pandemic. The study indicates a noticeable increase in motorcycle injuries, particularly among motor couriers, especially during the pandemic quarantine periods. Post hoc analysis revealed that motor couriers had significantly lower ISS compared to other professions (p=0.009 and p=0.045, respectively). Motorcyclists who wore helmets were found to have significantly lower ISS than those who did not wear helmets (p<0.05). Furthermore, it was found that the ISS was positively correlated with the number of bone fractures, total soft tissue injury, and significant clinical characteristics (r=0.758, r=0.756, and p<0.001, respectively).
This clinical study's findings demonstrate that the measures implemented during the pandemic to limit society's mobility have led to an increase in motorcycle accidents. Notably, there has been a significant rise in the number of accidents, particularly involving individual motorcycle use and motorcycle courier services.
2019 年冠状病毒病（COVID-19）大流行导致了一系列独特的情况，使医疗系统紧张，并影响了世界各地社会的生活方式。社交隔离、旅行限制和工作场所关闭等措施导致摩托车使用量增加。因此，摩托车事故在这期间成为了一个重大问题。本研究介绍了详细的研究，旨在检查 COVID-19 大流行期间的摩托车事故，并了解这些事故增加的原因和后果。
本研究评估了单一健康检查的记录，并使用各种模型分析了特定时间段内的摩托车事故。此外，还进行了回顾性分析，以检查我们国家在大流行前后摩托车使用与事故之间的关联。对 2015 年 11 月至 2023 年 4 月期间在比鲁尼大学医院因摩托车事故受伤并接受治疗和记录的 386 名患者的记录进行了回顾性检查。记录了受害者的年龄、性别、损伤机制、损伤部位、损伤严重程度、头盔使用情况、骨折的存在和位置、事故的时间分布以及其他重要组织损伤的严重程度。还研究了损伤部位、骨折与事故细节之间的关系以及“损伤严重程度评分”（ISS）。
在因摩托车事故受伤的 386 名患者中，有 333 名男性和 53 名女性。其中，168 名（43.5%）是摩托车驾驶员，137 名（35.5%）是摩托车快递员，81 名（21%）是行人。共有 186 名（48%）受伤发生在大流行之前（2015 年 11 月至 2020 年 3 月），而 200 名（52%）发生在大流行期间。研究表明，摩托车受伤人数明显增加，特别是在摩托车快递员中，尤其是在大流行隔离期间。事后分析表明，与其他职业相比，摩托车快递员的 ISS 明显较低（p=0.009 和 p=0.045）。戴头盔的摩托车手的 ISS 明显低于未戴头盔的人（p<0.05）。此外，发现 ISS 与骨折数量、总软组织损伤和显著临床特征呈正相关（r=0.758、r=0.756 和 p<0.001）。
本临床研究的结果表明，大流行期间实施的限制社会流动性的措施导致了摩托车事故的增加。值得注意的是，事故数量显著增加，特别是涉及个人摩托车使用和摩托车快递服务的事故。
