Yeung William, Kong Victor, Ko Jonathan, He Reuben, Wang Jim, Cheung Cynthia, Manchev Vasil, Bruce John, Laing Grant, Clarke Damian
Department of Surgery, University of Auckland, Auckland, New Zealand.
Department of Surgery, Auckland City Hospital, Auckland, New Zealand.
Eur J Trauma Emerg Surg. 2025 Apr 29;51(1):188. doi: 10.1007/s00068-025-02857-z.
Although the transportation of passengers in the open back area of pickup trucks is associated with significant risk of injury, this practice remains ubiquitous in South Africa. This study reviews the spectrum of injury and clinical outcome of these patients in a large city in South Africa The intention of the study is to highlight the inherent dangers associated with the practice and hence provide impetus to legislators and authorities to attempt to restrict and ultimately eliminate this practice.
This was a retrospective study conducted over a decade (Jan 2012-Dec 2023) at a major trauma centre in South Africa.
A total of 371 patients were included (male: 53%, mean age: 25 years). The mean Injury Severity Score (ISS) was 11. The most common anatomical region injured was head, followed by face and thorax. All patients underwent radiological investigations. 15% percent required operative intervention, with laparotomy and wound debridement being the most common. 9% required intensive care unit admission. The mean length of hospital stay was four days. The overall morbidity was 8%. The overall mortality was 4% and 71% of all mortalities were related to severe traumatic brain injury.
Transporting passengers in the load area of a pickup truck is dangerous and results in preventable morbidity and mortality. Attention should be given in South Africa to developing legislation in order to prevent this activity and to enforce these rules once passed.
尽管坐在皮卡车敞开的后部区域搭载乘客会带来重大受伤风险，但这种做法在南非仍然普遍存在。本研究回顾了南非一个大城市中这些患者的损伤范围和临床结局。该研究的目的是强调这种做法所固有的危险，从而推动立法者和当局试图限制并最终消除这种做法。
这是一项在南非一家主要创伤中心进行的为期十年（2012年1月至2023年12月）的回顾性研究。
共纳入371例患者（男性：53%，平均年龄：25岁）。平均损伤严重度评分（ISS）为11分。受伤最常见的解剖部位是头部，其次是面部和胸部。所有患者均接受了影像学检查。15%的患者需要手术干预，其中剖腹术和伤口清创最为常见。9%的患者需要入住重症监护病房。平均住院时间为四天。总体发病率为8%。总体死亡率为4%，所有死亡病例中有71%与严重创伤性脑损伤有关。
在皮卡车货厢搭载乘客是危险的，会导致可预防的发病和死亡。南非应重视制定立法以防止这种行为，并在立法通过后执行这些规定。
