COVID-19 pandemisinin motosiklet kazası ciddiyeti ve demografik özellikler üzerindeki etkisi: Retrospektif bir acil servis çalışması
Öz
Giriş: Bu çalışmanın amacı, COVID-19 pandemisinden önce ve sonra motosiklet kazaları sonucu acil servise başvuran hastaların yaralanma şiddetini ve demografik ve klinik özelliklerini değerlendirmektir.
Yöntemler: Pandemiden önceki ve sonraki iki yıl içinde motosiklet kazaları nedeniyle bir üniversite hastanesinin acil servisine başvuran hastalar üzerinde retrospektif bir çalışma yürütülmüştür. Pandemi öncesi ve sonrası dönemler arasında yaş, cinsiyet, yaralanma şiddeti, yaralanma bölgeleri, kurye olarak çalışma durumu ve etanol pozitifliği açısından karşılaştırmalar yapılmıştır. Yaralanma Şiddeti Skoru (ISS) >15 birincil son noktaydı. İstatistiksel analizde kategorik değişkenler için Ki-kare veya Fisher'ın kesin testi ve sürekli değişkenler için Student'ın t-testi veya Mann-Whitney U testi kullanılmış olup p <0,05 anlamlı kabul edilmiştir.
Bulgular: Çalışmaya toplam 112 pandemi öncesi ve 354 pandemi sonrası hasta dâhil edilmiştir. Ortalama yaş 28,98±9,75 yıldı ve %91,2'si erkekti. ISS >15 olan hastaların oranı dönemler arasında benzerdi (%4,5'e karşı %4,8, p = 0,883). Etanol pozitif hastalarda daha yüksek ISS puanları ve daha fazla maksillofasiyal kırık, pnömotoraks/hemotoraks ve akciğer kontüzyonları vardı. Çalışma popülasyonunun %21,2'si kuryeydi ve kuryelerde radius/ulna kırıkları kurye olmayanlara göre daha yaygındı.
Sonuç: Pandemiden sonra motosiklet kazaları arttı ve kuryelerin oranı daha yüksekti. ISS puanları pandemi öncesi ve sonrası dönemlerde benzer kaldı. Güvenli sürüş teknikleri eğitimi, yasal düzenlemeler ve alkol kullanımı konusunda farkındalık gereklidir.
Anahtar Kelimeler
Kaynakça
- Coronavirus disease (COVID-19) pandemic. World Health Organization. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed December 14, 2024.
- Chong SL, Tyebally A, Chew SY, et al. Road traffic injuries among children and adolescents in Singapore–Who is at greatest risk? Accident Analysis & Prevention 2017;100:59-64.
- Ang BH, Chen WS, Lee SWH. Global burden of road traffic accidents in older adults: A systematic review and meta-regression analysis. Archives of Gerontology and Geriatrics 2017;72:32-8.
- Motorlu Kara Taşıt Sayısı. Türkiye İstatistik Kurumu. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Motorlu-Kara-Tasitlari-Aralik-2022-49436. Accessed December 14, 2023.
- Baker SP, o'Neill B, Haddon Jr W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma and Acute Care Surgery 1974;14:187-96.
- Murat K, Hayati K, Tunç OD, Çatal S, Büyüktopçu Ö, Şirin E. The effect of driver age and working hours on increased motorcycle accidents with the COVID-19 pandemic: a cross-sectional case study. Anatolian Current Medical Journal 2022;4:279-83.
- Çetin E, Doğan H. Motorcycle Accident Cases Presented to the Emergency Department Before and During the COVID-19 Pandemic. Southern Clinics of Istanbul Eurasia 2024;35:419-26.
- de Queiroz Andrade CW, Marcos EAC, dos Santos JAR, et al. O impacto da pandemia pela COVID-19 nos acidentes de motocicleta e o perfil dos acidentados em uma região de saúde de Pernambuco. Research, Society and Development 2021;10:e5410917680.
- Yun H, Bae SJ, Lee JI, Lee DH. Epidemiology, injury characteristics and clinical outcomes of bicycle and motorcycle accidents in the under 20 population: South Korea. BMC Emergency Medicine 2022;22:1-11.
- Choi Y, Lee DH, Lee JI. Patterns and clinical outcomes of injuries related to two-wheeled vehicles (bicycle and motorcycle) in the geriatric population: a nationwide analysis in South Korea (2016–2018). BMC Geriatrics 2021;21:1-13.
- Ankarath S, Giannoudis PV, Barlow I, Bellamy M, Matthews S, Smith R. Injury patterns associated with mortality following motorcycle crashes. Injury 2002;33:473-7.
- Çetin E. Acil servise pandemi öncesi ve pandemi döneminde başvuran motorsiklet kazalarının incelenmesi. T.C. Sağlık Bilimleri Üniversitesi; 2023 [dissertation on the Internet]. Available at: https://tez.yok.gov.tr/UlusalTezMerkezi. Accessed December 14, 2024.
- Ogden EJ, Moskowitz H. Effects of alcohol and other drugs on driver performance. Traffic Inj Prev 2004;5:185-98.
- Huang WS, Lai CH: Survival risk factors for fatal injured car and motorcycle drivers in single alcohol-related and alcohol-unrelated vehicle crashes. J Safety Res 2011;42:93-9.
- Zador PL, Krawchuk SA, Voas RB: Alcohol-related relative risk of driver fatalities and driver involvement in fatal crashes in relation to driver age and gender: an update using 1996 data. J Stud Alcohol 2000;61:387-95
- Liu H T, Liang CC, Rau CS, Hsu SY, Hsieh CH. Alcohol-related hospitalizations of adult motorcycle riders. World Journal of Emergency Surgery 2015;10:1-8.
- Renzi F, Reitano E, Franca D, Chiara O, Cimbanassi S. Trauma, alcohol and drugs misuse in car and motorcycle drivers: a prevalence study in a level one trauma center. Updates in Surgery 2022;74:1129-36.
- Ahmed N, Kuo YH, Sharma J, Kaul S. Elevated blood alcohol impacts hospital mortality following motorcycle injury: A National Trauma Data Bank analysis. Injury 2020;51:91-6.
- Yadollahi M, Pazhuheian F. Relative risk of injury due to alcohol consumption in car and motorcycle drivers. Eastern Mediterranean Health Journal 2020;26:1525-8.
- Granieri SS, Reitano EE, Bindi FF, et al. Motorcycle-related trauma: effects of age and site of injuries on mortality. A single-center, retrospective study. World Journal of Emergency Surgery 2020;15:1-8.
- Martins RS, Saqib SU, Gillani M, Sania SRT, Junaid MU, Zafar H. Patterns of traumatic injuries and outcomes to motorcyclists in a developing country: A cross-sectional study. Traffic injury prevention 2021;22:162-6.
- Susanti R, Rusadi AR, Fortuna F. Profile and Description of Injury Victims Died due to Traffic Accidents on Motorcycle Riders at the Forensic Section of Dr. RSUP. M. Djamil Padang Year 2018–2019. Journal of Midwifery 2021;6:47-57.
- Barzegar A, Ghadipasha M, Forouzesh M, Valiyari S, Khademi A. Epidemiologic study of traffic crash mortality among motorcycle users in Iran (2011-2017). Chinese Journal of Traumatology 2020;23:219-23.
- Rosander A, Breeding T, Ngatuvai M, et al. National analysis of motorcycle associated injuries and fatalities: Wearing helmet saves lives. The American Journal of Emergency Medicine 2023;69:108-13.
- Liasidis P, Benjamin E, Jakob D, Lewis M, Demetriades D. Injury patterns and outcomes in motorcycle passengers. European Journal of Trauma and Emergency Surgery. 2023;49:2447-57.
- Canzi G, De Ponti E, Filippi A, Bozzetti A, Sozzi D, Novelli G. The burden of facial trauma on mortality in patients with multiple injuries: A single-center analysis of 1862 motorcycle accidents. Journal of Cranio-Maxillofacial Surgery 2022;50:146-9.
Impact of the COVID-19 pandemic on motorcycle accident severity and demographic characteristics: A retrospective emergency department study
Öz
Introduction: This study aimed to assess injury severity and the demographic and clinical characteristics of patients admitted to the emergency department following motorcycle accidents before and after the COVID-19 pandemic.
Methods: A retrospective study was conducted on patients presenting to the emergency department of a university hospital due to motorcycle accidents during the two years before and after the pandemic. Comparisons between the pre- and post-pandemic periods were made regarding age, sex, injury severity, injury sites, employment status as couriers, and ethanol positivity. Injury Severity Score (ISS) >15 was the primary endpoint. Statistical analysis used Chi-square or Fisher’s exact test for categorical variables, and Student’s t-test or Mann-Whitney U test for continuous variables, with p <0.05 considered significant.
Results: A total of 112 pre-pandemic and 354 post-pandemic patients were included in the study. The mean age was 28.98±9.75 years, with 91.2% male. The proportion of patients with ISS >15 was similar across periods (4.5% vs. 4.8%, p = 0.883). Ethanol-positive patients had higher ISS scores, and more maxillofacial fractures, pneumothorax/hemothorax, and lung contusions. Among the study population, 21.2% were couriers, with radius/ulna fractures more common in couriers than non-couriers.
Conclusion: Post-pandemic, motorcycle accidents increased, with a higher proportion of couriers. ISS scores remained similar between pre and post-pandemic periods. Safe driving techniques education, law regulations, and awareness regarding alcohol use are needed.
Anahtar Kelimeler
COVID-19 Emergency medicine Injury Severity Score Motorcycle Trauma
Etik Beyan
This study was approved by the Human Research Ethics Committee of the Ankara University School of Medicine (date: 26.01.2023, number: İ01-46-23).
Destekleyen Kurum
No
Kaynakça
- Coronavirus disease (COVID-19) pandemic. World Health Organization. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed December 14, 2024.
- Chong SL, Tyebally A, Chew SY, et al. Road traffic injuries among children and adolescents in Singapore–Who is at greatest risk? Accident Analysis & Prevention 2017;100:59-64.
- Ang BH, Chen WS, Lee SWH. Global burden of road traffic accidents in older adults: A systematic review and meta-regression analysis. Archives of Gerontology and Geriatrics 2017;72:32-8.
- Motorlu Kara Taşıt Sayısı. Türkiye İstatistik Kurumu. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Motorlu-Kara-Tasitlari-Aralik-2022-49436. Accessed December 14, 2023.
- Baker SP, o'Neill B, Haddon Jr W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma and Acute Care Surgery 1974;14:187-96.
- Murat K, Hayati K, Tunç OD, Çatal S, Büyüktopçu Ö, Şirin E. The effect of driver age and working hours on increased motorcycle accidents with the COVID-19 pandemic: a cross-sectional case study. Anatolian Current Medical Journal 2022;4:279-83.
- Çetin E, Doğan H. Motorcycle Accident Cases Presented to the Emergency Department Before and During the COVID-19 Pandemic. Southern Clinics of Istanbul Eurasia 2024;35:419-26.
- de Queiroz Andrade CW, Marcos EAC, dos Santos JAR, et al. O impacto da pandemia pela COVID-19 nos acidentes de motocicleta e o perfil dos acidentados em uma região de saúde de Pernambuco. Research, Society and Development 2021;10:e5410917680.
- Yun H, Bae SJ, Lee JI, Lee DH. Epidemiology, injury characteristics and clinical outcomes of bicycle and motorcycle accidents in the under 20 population: South Korea. BMC Emergency Medicine 2022;22:1-11.
- Choi Y, Lee DH, Lee JI. Patterns and clinical outcomes of injuries related to two-wheeled vehicles (bicycle and motorcycle) in the geriatric population: a nationwide analysis in South Korea (2016–2018). BMC Geriatrics 2021;21:1-13.
- Ankarath S, Giannoudis PV, Barlow I, Bellamy M, Matthews S, Smith R. Injury patterns associated with mortality following motorcycle crashes. Injury 2002;33:473-7.
- Çetin E. Acil servise pandemi öncesi ve pandemi döneminde başvuran motorsiklet kazalarının incelenmesi. T.C. Sağlık Bilimleri Üniversitesi; 2023 [dissertation on the Internet]. Available at: https://tez.yok.gov.tr/UlusalTezMerkezi. Accessed December 14, 2024.
- Ogden EJ, Moskowitz H. Effects of alcohol and other drugs on driver performance. Traffic Inj Prev 2004;5:185-98.
- Huang WS, Lai CH: Survival risk factors for fatal injured car and motorcycle drivers in single alcohol-related and alcohol-unrelated vehicle crashes. J Safety Res 2011;42:93-9.
- Zador PL, Krawchuk SA, Voas RB: Alcohol-related relative risk of driver fatalities and driver involvement in fatal crashes in relation to driver age and gender: an update using 1996 data. J Stud Alcohol 2000;61:387-95
- Liu H T, Liang CC, Rau CS, Hsu SY, Hsieh CH. Alcohol-related hospitalizations of adult motorcycle riders. World Journal of Emergency Surgery 2015;10:1-8.
- Renzi F, Reitano E, Franca D, Chiara O, Cimbanassi S. Trauma, alcohol and drugs misuse in car and motorcycle drivers: a prevalence study in a level one trauma center. Updates in Surgery 2022;74:1129-36.
- Ahmed N, Kuo YH, Sharma J, Kaul S. Elevated blood alcohol impacts hospital mortality following motorcycle injury: A National Trauma Data Bank analysis. Injury 2020;51:91-6.
- Yadollahi M, Pazhuheian F. Relative risk of injury due to alcohol consumption in car and motorcycle drivers. Eastern Mediterranean Health Journal 2020;26:1525-8.
- Granieri SS, Reitano EE, Bindi FF, et al. Motorcycle-related trauma: effects of age and site of injuries on mortality. A single-center, retrospective study. World Journal of Emergency Surgery 2020;15:1-8.
- Martins RS, Saqib SU, Gillani M, Sania SRT, Junaid MU, Zafar H. Patterns of traumatic injuries and outcomes to motorcyclists in a developing country: A cross-sectional study. Traffic injury prevention 2021;22:162-6.
- Susanti R, Rusadi AR, Fortuna F. Profile and Description of Injury Victims Died due to Traffic Accidents on Motorcycle Riders at the Forensic Section of Dr. RSUP. M. Djamil Padang Year 2018–2019. Journal of Midwifery 2021;6:47-57.
- Barzegar A, Ghadipasha M, Forouzesh M, Valiyari S, Khademi A. Epidemiologic study of traffic crash mortality among motorcycle users in Iran (2011-2017). Chinese Journal of Traumatology 2020;23:219-23.
- Rosander A, Breeding T, Ngatuvai M, et al. National analysis of motorcycle associated injuries and fatalities: Wearing helmet saves lives. The American Journal of Emergency Medicine 2023;69:108-13.
- Liasidis P, Benjamin E, Jakob D, Lewis M, Demetriades D. Injury patterns and outcomes in motorcycle passengers. European Journal of Trauma and Emergency Surgery. 2023;49:2447-57.
- Canzi G, De Ponti E, Filippi A, Bozzetti A, Sozzi D, Novelli G. The burden of facial trauma on mortality in patients with multiple injuries: A single-center analysis of 1862 motorcycle accidents. Journal of Cranio-Maxillofacial Surgery 2022;50:146-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Acil Tıp |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Temmuz 2025 |
| Gönderilme Tarihi | 26 Nisan 2025 |
| Kabul Tarihi | 21 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 6 Sayı: 2 |
Kaynak Göster
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