Cawich, Shamir O.; Rose, Romer E. C.; Harding, Hyacinth E.; Crandon, Ivor W.; McDonald, Archibald H.; Ferron-Boothe, Doreen
Author Affiliation, Ana.
Extremity Injuries From Motorcycle Road Traffic Accidents: The Experience From a Tertiary Referral Hospital in Jamaica.
The Internet Journal of Emergency Medicine
Date of Publication
Objectives: There is little data available on the prevalence of extremity injuries from motorcycle accidents in Jamaica. We performed a descriptive, analytical study to evaluate the injury profiles from motorcycle accidents in a tertiary referral hospital in Jamaica. Methods: Between January 1, 2000 and January 1, 2007, demographic and clinical data on all motorcycle accident victims admitted to the University Hospital of the West Indies with extremity injuries were collected in a prospective database. The data were analyzed using the SPSS version 12.0. Results: Of 270 motorcycle accident victims, there were 257 (95.2%) males and 13 (4.8%) females. The commoner extremity injuries were: soft tissue trauma 270 (100%); limb fractures 198 (73.4%); vascular 9 (3.3%); nerve (0); muscle 65 (24.1%). Associated injuries involved the head 143 (53.0%), abdomen 38 (14.1%) and thoracic viscera 71 (26.3%). The mean injury severity score was 9.0 (SD 9.4; Median 8; Mode 4). There were 195 patients needing surgical intervention in the form of orthopaedic operations (94), neurosurgical operations (43), abdominal operations (49), and vascular operations (14). The mean duration of hospitalization was 10 days (SD 11.2; Range 0-115; Median 6; Mode 3). There were 12 (4.4%) deaths, 9 (75%) due to traumatic brain injuries. Fatal injuries were commoner in males (11) and un-helmeted patients (10). Conclusions: Motorcycle accident victims place an additional burden on emergency surgical services. Educational intervention strategies and legislative policies are needed to minimize the impact of these preventable injuries on the limited resources of the health services.....