Ministry of Health

http://newzealand.govt.nz/

    
 ©Copyright
 Published: 28/11/2011

Childhood Motorcycle Injuries
Mike King

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Outline

Childhood Motorcycle Injuries
Orange Base Hospital

Motor Bike Injuries in Children
Dr Allan Kerrigan
Aims
 To expand on data initially presented by Dr Allan Kerrigan from 1999.
 Study trends in presentations of childhood motorcycle injury.
 Assess the impact of childhood MC injuries on OBH.

Methods
 Patients identified from Orange Base Hospital EDIS.
 Review of _prospectively acquired data from ED
 Retrospective chart review of all admissions

Patients
 Patients aged less than 15 yrs.
 All presentations to ED following motorcycle injuries
 April 1998 to May 2005

Results
 270 presentations
 251 patients
• 13 2 presentations
• 3 3 presentations
 Age range 2 - 14 yrs
 228 males, 42 females
 204 treated and discharged
 66 (24%) admitted to OBH

Age Distribution
Annual Incidence

Activity
 247 MC riders
• 3 yr male youngest rider
 23 passengers

Location
 Farm 109
 Home 55
 Rec Area 30
 Sports 19
 Road 7

Admissions
 66 patients admitted
 59 male, 7 female
 64 MC riders, 2 passengers
Age distribution

Mechanism injury
 Falls 35
 Collisions bike 10
 Jump 9
 Stationary object 8
 Farms 37
 Rec. Area 18
 Home 8
 Sports 3

Referral
 32 Patients referred
 34 Direct present
 34 Private car
 31 Ambulance
 1 Retrieval

Service
 Ortho 44
 General Surg. 19
 Other 3

Injuries
 Head/ neck 5
 Face 1
 Chest 1
 Abdo/ pelvis 5
 Extremities 42
 External 22

Limb Injuries
 Humerus 8
• ORIF 4
 Forearm 18
• Closed reduction 15
 Femur 5
• Traction 4
 Tib/ fib 10
• ORIF 3
 Hand/ Foot 4

Helmets
 Worn 39
 Not worn 8
 Not Recorded 19

Outcomes
 Average LOS 4 days
 Range 1-84 days
 Median 2 days
 Transferred to other hosp 4

Conclusions
 Large number of young children injured.
 Most injuries from farm use motorbikes
 Significant workload to the hospital in bed stay, operating theatre time and outpatient facilities.

Conclusions
 Helmet use 60 %
 Relatively minor injuries
 Lack public awareness of impact of “underage” motorcycle use.