ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Injuries as a result of two-wheeler accidents and its relationship with the COVID-19 pandemic
Abstract
Aims: The numbers of two-wheeled vehicle (TWV) accidents are rising continually. Social isolation caused by the Covid-19 pandemic affected the frequency of such accidents. This study was conducted in order to examine the general characteristics of victims presenting to the emergency department due to TWV accidents and to investigate the effect of the pandemic on such incidents.
Methods: This retrospective study involved patients involved in TWV accidents. Presentations made prior to 11 March, 2020, were classified as the pre-pandemic period and those made subsequently as the pandemic period. The type of TWV, the accident mechanism, victims’ demographic characteristics, possession of a driver’s license, crash helmet use, injuries observed in victims, trauma severity scores (Glasgow Coma Scale [GCS]; injury severity score [ISS]; and revised trauma score [RTS]), laboratory test and imaging results, victims’ clinical outcomes (discharge, admission, or exitus), and the daily numbers of presentations to the emergency department due to TWV accidents before and after the pandemic were recorded.
Results: A-349 patients were included in the study, 77.3% involved in motorcycle accidents and 22.7% in bicycle accidents. The mean age of the entire victim group was 24.48±13.52 years, and 93.1% were male. Riders comprised 93.7% of the victims and passengers 6.3%. Driver’s licenses were possessed by 16.6% of the victims, and 9.5% wore crash helmets. Motorcycle accidents were most frequently due to ‘falls associated with loss of balance,’ and bicycle accidents as a results of ‘collision with another vehicle or object.’ The three most commonly injured regions were the extremities, head, and thorax. RTS levels were 10.13±3.51 before the pandemic and 11.98±0.20 during it(p=0.046). ISS levels were 16.07±21.27 before the pandemic and 13.29±17.28 during it(p=0.259). The pre-pandemic mortality rate was 3.9%, while no fatal accidents occurred during the pandemic(p=0.068). Daily numbers of presentations to the emergency department due to TWV accidents were 0.09 before the pandemic and 0.17 during it.
Conclusion: TWV accidents are frequently observed among young/middle-aged men. The great majority do not hold driver’s licenses, and crash helmet use is low. The extremities are the most frequently injured regions in such accidents. The number of accident victims presenting to the emergency department due to TWV accidents during the pandemic was almost twice as high as in the pre-pandemic period. The trauma energy of accidents occurring during the pandemic was lower than that in the pre-pandemic period, victims suffered less harm from trauma, and mortality decreased.

Keywords : Emergency department, bicycle, Covid-19 pandemic, motorcycle, traffic accident

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1. Solagberu BA, Ofoegbu CK, Nasir AA, Ogundipe OK, Adekanye AO,Abdur-Rahman LO. Motorcycle injuries in a developing countryand the vulnerability of riders, passengers, and pedestrians. Inj Prev.2006;12(4):266-268.
2. https://www.who.int/publications/i/item/world-report-on-road-traffic-injury-prevention (date of access: 07. 04. 2022)
3. Mandiracioglu A, Govsa F, Hanci H. Automobile dependence in urbanareas in the world and Turkey. Transportation and Traffic CongressProceedings Book. Ankara, Turkey. 1997:102-9.
4. https://www.sbb.gov.tr/wp-content/uploads/2022/08/Ulastirma-OIK-Kentici-Ulasim-Alt-Komisyon-Raporu.pdf (date of access: 25. 09. 2022)
5. Di Renzo L, Gualtieri P, Pivari F, et al. Eating habits and lifestylechanges during COVID-19 lockdown: an Italian survey. J Transl Med.2020;18(1):229.
6. Liboredo JC, Anastácio LR, Ferreira LG, Oliveira LA, Della Lucia CM.Quarantine During COVID-19 Outbreak: Eating Behavior, PerceivedStress, and Their Independently Associated Factors in a BrazilianSample. Front Nutr. 2021;8:704619.
7. Shi X, Qi M, Hu X, Qi G, Yuan P. Epidemiological Characteristics, RiskFactors, and Preventive Measures of Occupational Injuries AmongCommercial Couriers in China Before and During the COVID-19Pandemic. Disaster Med Public Health Prep. 2022;17:e166.
8. Sun J. How e-commerce support economic growth amid COVID-19:evidence from Chinese economy. Environ Sci Pollut Res Int.2023;30(38):88842-60.
9. Lin M, JF Kraus. A review of risk factors and patterns of motorcycleinjuries. Accid Anal Prev. 2009;41(4):710-722.
10. https://www.guvenlitrafik.gov.tr/kurumlar/guvenlitrafik.gov.tr/yayinlar/kitap_makale_arastirma/kitap_pdf/07_Turkiyede-Illerin-Trafik-Guvenligi-Durumu-2013_2017.pdf (date of access: 14. 05. 2022).
11. Murray CJL, Lopez AD. Global health statistics: a compendium ofincidence, prevalence and mortality estimates for over 200 conditions.In global health statistics: a compendium of incidence, prevalence andmortality estimates for over 200 conditions. 1996:906.
12. Gboyega A,Ebijuwa AS, Oyetola SO, Akinola JO. Factors InfluencingHigh Rate of Commercial Motorcycle Accidents in Nigeria. Am Int JContemp Res. 2012;2(11):130-40.
13. Wick M, Müller EJ, Ekkernkamp A, Muhr G. The motorcyclist: easyrider or easy victim? An analysis of motorcycle accidents in Germany.Am J Emerg Med. 1998;16(3):320-323.
14. Heydari ST, Maharlouei N, Foroutan A, et al. Fatal motorcycle accidentsin Fars Province, Iran: A community-based survey. Chinese Journal ofTraumatology. 2012;15(4):222-227.
15. Frank E, Frankel P, Mullins RJ, Taylor N. Injuries resulting from bicyclecollisions. Acad Emerg Med. 1995;2(3):200-203.
16. Theofilatos A, Yannis G. A review of the effect of traffic and weathercharacteristics on road safety. Accid Anal Prev. 2014;72:244-256.
17. Erenler AK, Gümüş B. Analysis of Road Traffic Accidents in Turkeybetween 2013 and 2017. Medicina (Kaunas). 2019;55(10):679.
18. Ersan AD, Karakaya Z, Topal F, Payza U, Akyol PY. Evaluationof motorcycle accidents admitted to the emergency service andthe relationship of alcohol with other demographic properties inmotorcycle accidents. Bitlis Eren University Journal of Science andTechnology. 2020;10(1):1-5.
19. Aşırdizer M, Yavuz M, Zeyfeoğlu Y, Uluçay D, Dizdar MG, Aygün A.The evaluation of cases of motorcycle/motor-bicycle or bicycle accidentsreferred to outpatient clinic of department of forensic medicine, CelalBayar Universty Medical Faculty Between 2003 and 2009 Years. Turk JForensic Med. 2009;23(3):17-26.
20. Njå O, Nesvåg SM. Traffic behaviour among adolescents using mopedsand light motorcycles. J Safety Res. 2007;38(4):481-492.
21. Koçak S, Uçar K, Bayır A, Ertekin B. Characteristics of the casesof bicycle and motorcycle accidents referred to the EmergencyDepartment. Turk J Emerg Med. 2010;10(3):112-118.
22. Ramos-Villalón S, Vázquez-López E, Damián-Pérez R, López-EstradaD, Díaz-Zagoya J. Patrón de fracturas óseas en accidentes de motocicletaen Hospital de Alta Especialidad. Acta Ortop Mex. 2021;34(6):376-381.
23. Apaydin-Abaci E. Acil servise başvuran motosiklet ve benzeri araçlarlaolan kazaların morbidite ve mortalite açısından incelenmesi vedemografik özelliklerle ilişkisi. Mersin, 2020.
24. Kumar S, Bansal YS, Singh D, Medhi B. Alcohol and Drug Use inInjured Drivers - An Emergency Room Study in a Regional TertiaryCare Centre of North West India. J Clin Diagn Res. 2015;9(7):HC01-4.
25. Meesmann U, Yvonne Achermann Stürmer. The ESRA initiative: globalapproach to monitor driving under influence of alcohol and drugsacross 48 countries. ICADTS Conference, 2022.
26. Maurer J, Vergalito E, Prior AF, Donzé N, Thomas A, Augsburger M.Suspicion of driving under the influence of alcohol or drugs: Crosssectional analysis of drug prevalence in the context of the Swisslegislation. Forensic Sci Int. 2021;329:111081.
27. Senkowski CK, McKenney MG. Trauma scoring systems: A review. JAm Coll Surg. 1999;189(5):491-503.
28. Hsieh CH, Liu HT, Hsu SY, Hsieh HY, Chen YC. Motorcycle-relatedhospitalizations of the elderly. Biomed J. 2017;40(2):121-128.
29. Yadollahi M, Jamali B. Severity and injury characteristics amongmatched hospitalized motorcycle drivers and their passengers. ChineseJournal of Traumatology. 2019;22(4):223-227.
30. Yılmaz F, Durdu T, Kavalci C, et al. An analyses of bicycle accidents inAnkara: Analyses of 5 years. JCAM. 2016;7(3):309-12.
31. Choi Y, Lee DH, Lee J il. Patterns and clinical outcomes of injuriesrelated to two-wheeled vehicles (bicycle and motorcycle) in the geriatricpopulation: a nationwide analysis in South Korea (2016-2018). BMCGeriatr. 2021;21(1):1-13.
32. Chiba H, Lewis M, Benjamin E, Jakob D. “Safer at home”: The effectof the COVID-19 lockdown on epidemiology, resource utilization, andoutcomes at a large urban trauma center. J Trauma Acute Care Surg.2021;90(4):708.
33. DiFazio LT, Curran T, Bilaniuk JW, et al. The Impact of the COVID-19Pandemic on Hospital Admissions for Trauma and Acute Care Surgery.Am Surg. 2020;86(8):901-3.
34. İlhan B, Bozdereli Berikol G, Aydın H, Arslan Erduhan M, Doğan H.COVID-19 outbreak impact on emergency trauma visits and traumasurgery in a level 3 trauma center. Ir J Med Sci. 2022;191(5):2319-24.
35. Kaya M, Kart H, Tunç D, Çatal S, Büyüktopçu Ö, Şirin E. The effect ofdriver age and working hours on increased motorcycle accidents withthe COVID-19 pandemic: a cross-sectional case study. Anatolian CurrMed J. 2022;4(3):279-83.
Article available in :
Volume 1, Issue 3, 2023
Page : 46-51
https://doi.org/10.51271/ICJEM-0013
Article Information
Received : 18 Sep 2023
Accepted : 27 Sep 2023
Published : 30 Sep 2023
Corresponding Author :

Oğuz Eroğlu: Department of Emergency Medicine, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Kan M, Cömertpay E, İlhan B, Eroğlu O, Deniz T. Injuries as a result of two-wheeler accidents and its relationship with the COVID-19 pandemic. Intercont J Emerg Med. 2023;1(3):46-51.

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