Injury Patterns and Severity of Motorcycle Crash Injuries Among Hospitalized Children and Adolescents in Darab, Iran in ۲۰۱۶: A cross-Sectional Study

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 ۱۵, ۲۰۱۷ and continued for three months. All ۲۱۲ children and adolescents, who had been injured in motorcycle crashes in ۲۰۱۶ 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 v۱۶, using descriptive statistics, Mann-Whitney test, and Chi-square test at a significance level of α≥۰.۰۵. Results: The mean age of the injured children was ۱۴.۲۸±۲.۹۷ years. The head was the most commonly injured organ, while ۱۳۰ (۶۱.۳%) cases had been injured in more than one organ. Most children had minor injuries with an ISS<۹ (۷۹%). The highest frequency of accidents was reported in the summer and spring. The majority of the injured motorcycle riders (n=۱۹۱, ۹۰%) had not used a helmet. Besides, the use of helmet was found to decrease with advancing age (P=۰.۰۱۷).Conclusion: Although head injuries are more frequent than injuries to other parts of the body, and more than ۹۰% 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).

کلیدواژه ها:

accidents ، adolescent ، child ، injury severity score ، motorcycle