Banu ALICIOĞLU, Erol YALNIZ, Deniz EŞKİN, Barış YILMAZ

Motosiklet kazalarına bağlı yaralanmalar

Amaç: Son yıllarda motosiklet kullanımının yaygınlaşmasına paralel olarak motosiklet kazalarında da artış gözlenmektedir. Ülkemizde motosiklet kazaları/yaralanmaları konusunda fazla çalışma yoktur. Bu çalışmada motosiklet kazalarına bağlı yaralanmaların profili araştırıldı. Çalışma planı: 2003-2007 yılları arasında motosiklet kazası nedeniyle üniversite hastanemizde tedavi edilen 212 hasta (204 erkek, 8 kadın; ortalama yaş 36±16; dağılım 2-79) geriye dönük olarak değerlendirildi. Olguların yaş ve cinsiyetleri, mevcut travmaları, hastanede kalış süreleri kaydedildi. Yaralanmalar yerleşimlerine göre gruplandırıldı. Sonuçlar: Sıklık açısından yaralanmaların dağılımı şöyleydi: Kas-iskelet sistemi (n=106, %50), kafatası travmaları (n=103, %48.6), maksillofasyal (n=38, %17.9), göğüs (n=15, %7.1), omurga (n=10, %4.7) ve karın bölgesi (n=6, %2.8) yaralanmaları. Üst ve alt ekstremitelerde birden fazla kırığı olan olgu sayısı sırasıyla 17 (%8) ve 43 (%20.3) idi. Ekstremite yaralanmalarında tibia-fibula kırıklarını (%17.9) omuz yaralanmaları (%11.3) izlemekteydi. Yirmi üç olguda (%10.9) hem ekstremite hem de kafa yaralanması vardı. Hastanede yatış süresi ortalama 12.2±16.8 gün (dağılım 1-150 gün) bulundu. Sekiz olgu ortalama yedi gün yoğun bakımda tedavi gördü. Komplikasyon olarak, olekranon ve tibia plato kırığı bulunan bir olguda (%0.5) pulmoner emboli gelişti. Motosiklet kazaları dokuz olguda (%4.3) ölümle sonuçlandı. Çıkarımlar: Motosiklet kazaları önlenebilir veya zararı azaltılabilir nitelikte olduğundan, risk faktörleri ülkemiz için belirlenmeli, gerekli trafik yasa ve önleyici kurallar çıkarılıp uygulanmalı ve eğitim programları yaygınlaştırılmalıdır

Anahtar Kelimeler:

Motorsikletler, Yaralanma şiddeti skoru, Kazalar, trafik, Yaralar ve yaralanmalar, Risk faktörleri, Geriyedönük çalışma

Injuries associated with motorcycle accidents

Objectives: In recent years, there has been a significant increase in motorcycle accidents in parallel with the increasing number of motorcyclists. Data on motorcycle accidents/ injuries are relatively limited in Turkey. This study sought to determine the injury profile of patients involved in motorcycle accidents. Methods: This retrospective study included 212 patients (204 males, 8 females; mean age 36±16 years; range 2 to 79 years) who were hospitalized for injuries caused by motorcycle accidents. Data on age and sex, injury patterns, length of hospitalization were recorded. Injuries were grouped according to localization. Results: The frequencies of injuries in descending order were as follows: musculoskeletal system injuries (n=106, 50%), skull injuries (n=103, 48.6%), maxillofacial injuries (n=38, 17.9%), thoracic (n=15, 7.1%), vertebral (n=10, 4.7%), and abdominal (n=6, 2.8%) injuries. Multiple fractures in upper and lower extremities were seen in 17 (8%) and 43 (20.3%) patients, respectively. The most frequent extremity injuries were tibia-fibula fractures (17.9%) followed by shoulder injuries (11.3%). Both extremity and skull injuries were seen in 23 patients (10.9%). The mean hospital stay was 12.2±16.8 days (range 1 to 150 days). Eight patients required intensive care for a mean of seven days. As a complication, one patient (0.5%) with olecranon and tibial plateau fractures developed pulmonary embolism. Motorcycle accidents resulted in mortality in nine patients (4.3%). Conclusion: Since motorcycle accidents are preventable or associated risks for injuries are reducible, risk factors for our country should be determined, necessary laws and restrictive regulations should be put into practice, and educational programs should be implemented.

Keywords:

Motorcycles, Injury Severity Score, Accidents, Traffic, Wounds and Injuries, Risk Factors, Retrospective Studies,

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