Cargando…
Motorcycle-related head and neck injuries: increased risk among ethnic minorities
BACKGROUND: Ethnic disparities have been associated with injury and mortality. The impact of ethnicity on head and neck injury (HNI), traumatic brain injury (TBI), in-hospital mortality and resource utilization following a motorcycle crash (MCC) is undetermined. This study explored the influence of...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724796/ https://www.ncbi.nlm.nih.gov/pubmed/33292548 http://dx.doi.org/10.1186/s13584-020-00428-8 |
_version_ | 1783620590905589760 |
---|---|
author | Cohen-Manheim, Irit Radomislensky, Irina Siman-Tov, Maya Peleg, Kobi |
author_facet | Cohen-Manheim, Irit Radomislensky, Irina Siman-Tov, Maya Peleg, Kobi |
author_sort | Cohen-Manheim, Irit |
collection | PubMed |
description | BACKGROUND: Ethnic disparities have been associated with injury and mortality. The impact of ethnicity on head and neck injury (HNI), traumatic brain injury (TBI), in-hospital mortality and resource utilization following a motorcycle crash (MCC) is undetermined. This study explored the influence of ethnicity in these aspects and the effect of helmet use on HNI and TBI following a MCC. METHODS: The National Trauma Registry provided hospitalization data on motorcycle riders and passengers between 2008 and 2017. Ethnicity was classified as Jews or Arabs, the two major ethnic groups in Israel. Univariate followed by multivariable logistic models were applied to examine ethnic disparities. Mediation effect was tested by structural equation modeling. RESULTS: Among 6073 MCC casualties, Arabs had increased odds of HNI (OR = 1.37,95% CI = 1.12–1.65) and TBI (OR = 1.51,95%CI = 1.12–1.99), and a six-fold decreased odds of helmet use (OR = 0.16,95%CI = 0.12–0.22). The HNI and TBI associations with ethnicity were mediated by helmet use. Arabs had significantly higher odds for admission to intensive care unit (OR = 1.36,95%CI = 1.00–1.83), and lower odds for ambulance evacuation (OR = 0.73,95%CI = 0.61–0.89) and discharge to rehabilitation (OR = 0.55,95%CI = 0.39–0.7). In-hospital mortality was not associated with ethnicity. CONCLUSIONS: Helmet non-use is an important etiologic factor associated with motorcycle-related HNI and TBI among Arabs. While in Israel, ethnic equality exists in in-hospital health care, disparities in ambulance and rehabilitation utilization was found. Intervention programs should target the Arab population and focus on helmet compliance. |
format | Online Article Text |
id | pubmed-7724796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77247962020-12-09 Motorcycle-related head and neck injuries: increased risk among ethnic minorities Cohen-Manheim, Irit Radomislensky, Irina Siman-Tov, Maya Peleg, Kobi Isr J Health Policy Res Original Research Article BACKGROUND: Ethnic disparities have been associated with injury and mortality. The impact of ethnicity on head and neck injury (HNI), traumatic brain injury (TBI), in-hospital mortality and resource utilization following a motorcycle crash (MCC) is undetermined. This study explored the influence of ethnicity in these aspects and the effect of helmet use on HNI and TBI following a MCC. METHODS: The National Trauma Registry provided hospitalization data on motorcycle riders and passengers between 2008 and 2017. Ethnicity was classified as Jews or Arabs, the two major ethnic groups in Israel. Univariate followed by multivariable logistic models were applied to examine ethnic disparities. Mediation effect was tested by structural equation modeling. RESULTS: Among 6073 MCC casualties, Arabs had increased odds of HNI (OR = 1.37,95% CI = 1.12–1.65) and TBI (OR = 1.51,95%CI = 1.12–1.99), and a six-fold decreased odds of helmet use (OR = 0.16,95%CI = 0.12–0.22). The HNI and TBI associations with ethnicity were mediated by helmet use. Arabs had significantly higher odds for admission to intensive care unit (OR = 1.36,95%CI = 1.00–1.83), and lower odds for ambulance evacuation (OR = 0.73,95%CI = 0.61–0.89) and discharge to rehabilitation (OR = 0.55,95%CI = 0.39–0.7). In-hospital mortality was not associated with ethnicity. CONCLUSIONS: Helmet non-use is an important etiologic factor associated with motorcycle-related HNI and TBI among Arabs. While in Israel, ethnic equality exists in in-hospital health care, disparities in ambulance and rehabilitation utilization was found. Intervention programs should target the Arab population and focus on helmet compliance. BioMed Central 2020-12-08 /pmc/articles/PMC7724796/ /pubmed/33292548 http://dx.doi.org/10.1186/s13584-020-00428-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research Article Cohen-Manheim, Irit Radomislensky, Irina Siman-Tov, Maya Peleg, Kobi Motorcycle-related head and neck injuries: increased risk among ethnic minorities |
title | Motorcycle-related head and neck injuries: increased risk among ethnic minorities |
title_full | Motorcycle-related head and neck injuries: increased risk among ethnic minorities |
title_fullStr | Motorcycle-related head and neck injuries: increased risk among ethnic minorities |
title_full_unstemmed | Motorcycle-related head and neck injuries: increased risk among ethnic minorities |
title_short | Motorcycle-related head and neck injuries: increased risk among ethnic minorities |
title_sort | motorcycle-related head and neck injuries: increased risk among ethnic minorities |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724796/ https://www.ncbi.nlm.nih.gov/pubmed/33292548 http://dx.doi.org/10.1186/s13584-020-00428-8 |
work_keys_str_mv | AT cohenmanheimirit motorcyclerelatedheadandneckinjuriesincreasedriskamongethnicminorities AT radomislenskyirina motorcyclerelatedheadandneckinjuriesincreasedriskamongethnicminorities AT simantovmaya motorcyclerelatedheadandneckinjuriesincreasedriskamongethnicminorities AT motorcyclerelatedheadandneckinjuriesincreasedriskamongethnicminorities AT pelegkobi motorcyclerelatedheadandneckinjuriesincreasedriskamongethnicminorities |