Griffiths Dylan M, Krzyzaniak Andrea, Campbell Bryan R, Mericle Margaret Y N, Calvo Richard Y, Cook Brittany H, Sise Michael J, Bansal Vishal, Krzyzaniak Michael J
From the Department of Trauma and Acute Care Surgery (D.M.G., A.K., B.R.C., M.Y.N.M., R.Y.C., M.J.S., V.B., M.J.K.), Scripps Mercy Hospital; Naval Medical Center San Diego (D.M.G., B.R.C., M.Y.N.M.), San Diego, California; and Naval Health Clinic Hawaii (B.H.C.), Honolulu, Hawaii.
J Trauma Acute Care Surg. 2025 Aug 1;99(3S Suppl 1):S55-S60. doi: 10.1097/TA.0000000000004626. Epub 2025 May 8.
The impact of motorcycle trauma on military readiness is unknown. We sought to describe morbidity from major motorcycle trauma in active duty patients and to characterize its impact on active duty readiness.
This is a retrospective study of our Level I trauma registry from 2016 to 2023. Adult patients with motorcycle-specific injuries and identified as active duty military personnel were included. Patients were grouped by those who did or did not meet readiness standards based on injury type, procedures, and functional status at discharge. Demographics, hospital length of stay, Injury Severity Score, injury diagnoses, discharge characteristics, and toxicology and alcohol results were abstracted and overall impact to military readiness evaluated.
A total of 122 active duty patients met the inclusion criteria. The cohort was primarily male (97%), moderately injured, and young (median, 26 years), with a median hospital stay of 1 day. Lower extremity, abdominal wall, and scrotum/testis injuries were most prevalent. There were no patient deaths; however, 54% of patients were discharged with a physical limitation, and 18% of those required admission to an intermediate level of care. A total of 25.4% of patients were determined to have duty limiting conditions. Taken together with positive toxicology/alcohol screens in 46.7% of patients, 72.9% of patients were unfit for duty.
Over half of active duty personnel with motorcycle-related injuries had physical limitations with 25% being severe enough to compromise readiness. Personnel loss due to motorcycle injuries is avoidable and leads to deleterious outcomes for military operational capacity.
Prognostic and Epidemiological; Level III.
摩托车创伤对军事战备状态的影响尚不清楚。我们试图描述现役患者中严重摩托车创伤的发病率，并确定其对战备状态的影响。
这是一项对我们2016年至2023年一级创伤登记处数据的回顾性研究。纳入患有特定摩托车损伤且被确定为现役军人的成年患者。根据损伤类型、手术情况和出院时的功能状态，将患者分为符合或不符合战备标准的两组。提取患者的人口统计学数据、住院时间、损伤严重程度评分、损伤诊断、出院特征以及毒理学和酒精检测结果，并评估对战备状态的总体影响。
共有122名现役患者符合纳入标准。该队列主要为男性（97%），损伤程度中等，年龄较轻（中位数为26岁），中位住院时间为1天。下肢、腹壁和阴囊/睾丸损伤最为常见。没有患者死亡；然而，54%的患者出院时存在身体限制，其中18%的患者需要入住中级护理机构。共有25.4%的患者被确定存在限制服役的情况。再加上46.7%的患者毒理学/酒精检测呈阳性，72.9% 的患者不适合服役。
超过一半的现役摩托车伤人员存在身体限制，其中25% 的限制严重到足以影响战备状态。因摩托车损伤导致的人员损失是可以避免的，并且会对军事行动能力产生有害影响。
预后和流行病学；三级。
