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Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center
BACKGROUND: Female patients present with unique physiological and behavioral characteristics compared to male patients. The aim of this study was to investigate and compare the injury patterns, injury characteristics, and mortality of male and female patients hospitalized for treatment of motorcycle...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chang Gung University
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138601/ https://www.ncbi.nlm.nih.gov/pubmed/28521902 http://dx.doi.org/10.1016/j.bj.2016.10.005 |
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author | Hsieh, Ching-Hua Hsu, Shiun-Yuan Hsieh, Hsiao-Yun Chen, Yi-Chun |
author_facet | Hsieh, Ching-Hua Hsu, Shiun-Yuan Hsieh, Hsiao-Yun Chen, Yi-Chun |
author_sort | Hsieh, Ching-Hua |
collection | PubMed |
description | BACKGROUND: Female patients present with unique physiological and behavioral characteristics compared to male patients. The aim of this study was to investigate and compare the injury patterns, injury characteristics, and mortality of male and female patients hospitalized for treatment of motorcycle accident-related trauma in a level I trauma center. METHODS: Retrospective analysis of motorcycle-related injuries from the Trauma Registry System was performed to identify and compare 4028 male and 2919 female patients hospitalized for treatment between January 1, 2009 and December 31, 2013. RESULTS: The female patients were younger, less often drunken, more often wore helmets, were transported by emergency medical services, and arrived at the emergency department between 7 a.m. and 5 p.m. compared to male patients. Analysis of Abbreviated Injury Scale scores revealed that female patients sustained significantly higher rates of injuries to the extremities, but lower rates of injuries to the head/neck, face, and thorax than male patients did. Female patients had a significant lower Injury Severity Score (ISS) and adjusted odds ratio of in-hospital mortality (AOR 0.83, 95% CI: 0.83–0.86) after adjustment by ISS. However, the logistic regression analysis of propensity score-matched patients with adjusted confounders including helmet-wearing status and alcohol intoxication revealed that the gender did not significantly influence mortality (OR 0.82, 95% CI 0.47–1.43; p = 0.475), implying the an associated risky behaviors may attribute to the difference of odds of mortality between the male and female patients. In addition, a significantly fewer female patients were admitted to the intensive care unit (ICU), and female patients had a significantly shorter hospital and ICU length of stay. CONCLUSION: Female motorcycle riders have different injury characteristics, lower ISS and in-hospital mortality, and present with a bodily injury pattern that differs from that of male motorcycle riders. LEVEL OF EVIDENCE: Epidemiologic study, level III. |
format | Online Article Text |
id | pubmed-6138601 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Chang Gung University |
record_format | MEDLINE/PubMed |
spelling | pubmed-61386012018-09-27 Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center Hsieh, Ching-Hua Hsu, Shiun-Yuan Hsieh, Hsiao-Yun Chen, Yi-Chun Biomed J Original Article BACKGROUND: Female patients present with unique physiological and behavioral characteristics compared to male patients. The aim of this study was to investigate and compare the injury patterns, injury characteristics, and mortality of male and female patients hospitalized for treatment of motorcycle accident-related trauma in a level I trauma center. METHODS: Retrospective analysis of motorcycle-related injuries from the Trauma Registry System was performed to identify and compare 4028 male and 2919 female patients hospitalized for treatment between January 1, 2009 and December 31, 2013. RESULTS: The female patients were younger, less often drunken, more often wore helmets, were transported by emergency medical services, and arrived at the emergency department between 7 a.m. and 5 p.m. compared to male patients. Analysis of Abbreviated Injury Scale scores revealed that female patients sustained significantly higher rates of injuries to the extremities, but lower rates of injuries to the head/neck, face, and thorax than male patients did. Female patients had a significant lower Injury Severity Score (ISS) and adjusted odds ratio of in-hospital mortality (AOR 0.83, 95% CI: 0.83–0.86) after adjustment by ISS. However, the logistic regression analysis of propensity score-matched patients with adjusted confounders including helmet-wearing status and alcohol intoxication revealed that the gender did not significantly influence mortality (OR 0.82, 95% CI 0.47–1.43; p = 0.475), implying the an associated risky behaviors may attribute to the difference of odds of mortality between the male and female patients. In addition, a significantly fewer female patients were admitted to the intensive care unit (ICU), and female patients had a significantly shorter hospital and ICU length of stay. CONCLUSION: Female motorcycle riders have different injury characteristics, lower ISS and in-hospital mortality, and present with a bodily injury pattern that differs from that of male motorcycle riders. LEVEL OF EVIDENCE: Epidemiologic study, level III. Chang Gung University 2017-04 2017-05-04 /pmc/articles/PMC6138601/ /pubmed/28521902 http://dx.doi.org/10.1016/j.bj.2016.10.005 Text en © 2017 Chang Gung University. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Hsieh, Ching-Hua Hsu, Shiun-Yuan Hsieh, Hsiao-Yun Chen, Yi-Chun Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center |
title | Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center |
title_full | Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center |
title_fullStr | Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center |
title_full_unstemmed | Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center |
title_short | Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center |
title_sort | differences between the sexes in motorcycle-related injuries and fatalities at a taiwanese level i trauma center |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138601/ https://www.ncbi.nlm.nih.gov/pubmed/28521902 http://dx.doi.org/10.1016/j.bj.2016.10.005 |
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