Volume 10, Issue 3 (8-2020)                   PCNM 2020, 10(3): 59-66 | Back to browse issues page


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Navabi P, Tahmasebi R, Ravanipour M. Injury Patterns and Severity of Motorcycle Crash Injuries Among Hospitalized Children and Adolescents in Darab, Iran in 2016: A cross-Sectional Study. PCNM 2020; 10 (3) :59-66
URL: http://nmcjournal.zums.ac.ir/article-1-698-en.html
Professor, Department of Nursing, School of Nursing and Midwifery; And The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr university of Medical Sciences, Bushehr, IR Iran , ravanipour@gmail.com
Abstract:   (5178 Views)
Background: Injuries caused by motorcycle crashes in children and adolescents are one of the main health problems that can cause serious injuries or even death in this population.
Objectives: This study aimed to determine the injury patterns and severity of motorcycle crash injuries among hospitalized children and adolescents in Darab, Iran.
Methods: This descriptive cross-sectional study was started on May 15, 2017 and continued for three months. All 212 children and adolescents, who had been injured in motorcycle crashes in 2016 and were referred to the emergency ward of the central hospital of Darab, were selected, and their medical records were reviewed. The data collection tools included a demographic information form, an injury-related questionnaire, and the Injury Severity Score (ISS). Data analysis was performed in SPSS v16, using descriptive statistics, Mann-Whitney test, and Chi-square test at a significance level of α0.05.
Results: The mean age of the injured children was 14.28±2.97 years. The head was the most commonly injured organ, while 130 (61.3%) cases had been injured in more than one organ. Most children had minor injuries with an ISS<9 (79%). The highest frequency of accidents was reported in the summer and spring. The majority of the injured motorcycle riders (n=191, 90%) had not used a helmet. Besides, the use of helmet was found to decrease with advancing age (P=0.017).Conclusion: Although head injuries are more frequent than injuries to other parts of the body, and more than 90% of motorcyclists do not wear helmets, informing and educating children and families is very important in this area. It is recommended to implement strict traffic laws for motorcycling and highlight the necessity of wearing helmets by motorcycle riders. Moreover, families should be stricter about their children riding motorcycles, especially during school holidays (summer and spring).
Full-Text [PDF 547 kb]   (8173 Downloads)    
Type of Study: Orginal research | Subject: Nursing
Received: 2020/11/20 | Accepted: 2020/08/31 | Published: 2020/08/31

References
1. World Health Organization (WHO). Global status report on road safety 2018: Summary. [Cited 2021 Feb 24];.Avaiable from:URL: https://apps.who.int/iris/bitstream/handle/10665/277370/WHO-NMH-NVI-18.20-eng.pdf
2. 2 Road traffic injuries. [Cited 2021 Feb 24];. Avaiable from:URL:https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries
3. 3 Araujo M, Illanes E, Chapman E, Rodrigues E. Effectiveness of interventions to prevent motorcycle injuries: systematic review of the literature. Int J Inj Contr Saf Promot. 2017; 24(3): 406-22. [Crossref]
4. 4 .Australia I. Motorcycle safety. [Cited 2020 Aug 22];. Avaiable from:URL:
5. http://cdn-nrspp.s3.amazonaws.com/wp-content/uploads/sites/4/2017/03/23093157/Motorcycle-Safety_20200430_1228_Awil.pdf
6. Cheng W, Gill GS, Sakrani T, Dasu M, Zhou J. Predicting motorcycle crash injury severity using weather data and alternative Bayesian multivariate crash frequency models. Accident Analysis & Prevention. 2017; 108: 172-80. [Crossref]
7. Bazargani HS, Vahidi RG, Abhari AA. Predictors of Survival in Motor Vehicle Accidents Among Motorcyclists, Bicyclists and Pedestrians. Trauma Mon. 2017; 22(2): e26019. [Crossref]
8. Yousef zade Chabok S, Safayi M, Hemati H, Mohammadi H, Shabani S. Epidemiology of head injury in patients who were reffered to Poorsina hospital. J Guilan Uni Med Sci. 2008; 16(64): 112-19. [In Persian].
9. Singh D, Singh SP, Kumaran M, Goel S. Epidemiology of road traffic accident deaths in children in Chandigarh zone of North West India. Egypt J Forensic Sci. 2016; 6(3): 255-60. [Crossref]
10. 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. [Crossref]
11. Javid M, Shahcheraghi M, Lahiji A, et al. Road traffic injuries in children. Iran j Orthopaedic surgery. 2006; 4(3): 1-6. [In Persian]
12. Chong S-L, Tyebally A, Chew SY, et al. Road traffic injuries among children and adolescents in Singapore-Who is at greatest risk? Accid Anal Prev. 2017; 100: 59-64. [Crossref]
13. Saunders BE, Adams ZW. Epidemiology of traumatic experiences in childhood. Child Adolesc Psychiatr Clin N Am. 2014; 23(2): 167-84. [Crossref]
14. Soori H, Ainy E, Zayeri F, Mehmandar M. Comparison of road traffic death occurrence within urban and metropolitan roads focusing on environmental factors. Hakim Res J. 2013; 15(4): 339-45. [In Persian]
15. Flynn JM, Skaggs DL, Waters PM. Rockwood and Wilkins' Fractures in Children. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
16. Moradi Lakeh M, Tehrani Banihashemi S, Varasteh Kia G, Roohipour M. Comparison of trauma scoring systems for prediction of patients' prognosis. Razi J Med Sci. 2002; 9(28): 129-37. [In Persian].
17. MacKenzie EJ, Shapiro S, Eastham JN. The Abbreviated Injury Scale and Injury Severity Score: levels of inter-and intrarater reliability. Med care. 1985; 23(6): 823-35. [Crossref]
18. Brown JB, Gestring ML, Leeper CM, et al. The value of the injury severity score in pediatric trauma: Time for a new definition of severe injury? J Trauma And Acute Care Surg. 2017; 82(6): 995-1001. [Crossref]
19. Memarzadeh M, Hoseinpour M, Sanjary N, Karimi Z. A study on trauma epidemiology in children referred to Isfahan Alzahra Hospital during 2004-7. FEYZ. 2011; 14(5): 488-93. [In Persian].
20. Behzadnia S, Shahmohammadi S. Road traffic injuries among Iranian children and adolescents: an epidemiological review. J Pediatr Rev. 2016; 4(1): 0-0. [In Persian]. [Crossref]
21. Kumar S, Verma AK. Trends in trauma-related mortality among adolescents: A 6 year snapshot from a teaching hospital's post mortem data. J Clin Orthop Trauma. 2017; 8(2): S1-S5. [Crossref]
22. Aarts LT, Commandeur JJ, Welsh R, et al. Study on serious road traffic injuries in the EU. Luxembourg: Publications Office of the European :union:; 2016.
23. Osoro ME, Ng Z, Oundo J, Omolo J, Luman E. Factors associated with severity of road traffic injuries, Thika, Kenya. Pan Afr Med J. 2011; 8: 20. [Crossref]
24. Asadi P, Asadi K, Rimaz S, Monsef-Kasmaie V, Zohrevandi B, Mohtasham-Amiri Z. Epidemiology of trauma in children admitted to Poursina teaching hospital. J Guilan Univ Med Sci. 2015; 23(92): 9-15. [In Persian].
25. Mathison DJ, Agrawal D. An update on the epidemiology of pediatric fractures. Pediatr emerg care. 2010; 26(8): 594-603. [Crossref]
26. Ferraz-Torres M, Belzunegui-Otano T, Martínez-García O, Iriarte-Cerdán L, Salgado-Reguero E. Epidemiological characteristics and overall burden of accidental injuries in navarra, spain: Epidemiology of injuries in children. J Trauma Nurs. 2016; 23(4): 231-6. [Crossref]
27. Tafida MA, Wagatsuma Y, Ma E, Mizutani T, Abe T. Descriptive epidemiology of traumatic spinal injury in Japan. J Orthop Sci. 2018; 23(2):273-76. [Crossref]
28. Torabi A, Tarrahi M J, Ali Mahmoudi G. Epidemiology of motorcycle accident in Khoramabad, Iran. Payesh. 2009; 8(3): 253-62. [In Persian].
29. Cunningham RM, Walton MA, Carter PM. The major causes of death in children and adolescents in the United States. N Engl J Med. 2018; 379(25): 2468-75. [Crossref]
30. Dischinger PC, Ryb GE, Ho SM, Braver ER, editors. Injury patterns and severity among hospitalized motorcyclists: a comparison of younger and older riders. Annu Proc Assoc Adv Automot Med. 2006; 50: 237- 49.

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