Comparison of Urban Off-Road Vehicle and Motorcycle Injuries at a Level 1 Trauma Center

Christopher A. Butts, Roberto Gonzalez, John P. Gaughan, Janika San Roman, Steven Ross, John Porter, Joshua Hazelton

Research output: Contribution to journalArticle

Abstract

Background: Recently, there has been an increase in the usage of dirt bikes and all-terrain vehicles in urban environments. Previously, it has been shown that crashes involving these urban off-road vehicles (UORVs) resulted in different injury patterns from crashes that occurred in rural environments. The aim of this study was to compare injury patterns of patients involved in crashes while riding UORVs versus motorcycles (MCs). Methods: A retrospective review (2005-2016) of patients who presented to our urban level I trauma center as a result of any MC or UORV crash was performed. Patients who presented after 48 h from the time of accident were excluded. A P < 0.05 was considered significant. Results: We identified 1556 patients who were involved in an MC or UORV crash resulting in injury (MC: n = 1324 [85%]; UORVs: n = 232 [15%]). Patients in UORV crashes were younger (26.2 y versus 39.6 y), less likely to be helmeted (39.6% versus 90.2%), required fewer emergent trauma bay procedures (28.4% versus 36.7%), and needed fewer operative interventions (45.9% versus 54.2%) (all P < 0.05). Both groups had a similar Injury Severity Score (12.2 versus 12.6; P = 0.54) and Glasgow Coma Score (13.8 versus 13.5; P = 0.46). UORV patients had a lower mortality (0.9% versus 4.7%; P < 0.05) compared to MC crash patients despite similar injury patterns. Conclusions: Our data demonstrate that patients sustaining UORV injuries were younger and less likely to be helmeted but have a lower mortality rate after a crash, despite sustaining similar injuries as motorcyclists. This study provides an overview of how crashes involving UORV usage is a unique phenomenon and not entirely comparable to MC crashes.

Original languageEnglish (US)
Pages (from-to)373-376
Number of pages4
JournalJournal of Surgical Research
Volume245
DOIs
StatePublished - Jan 1 2020

Fingerprint

Motorcycles
Trauma Centers
Wounds and Injuries
Off-Road Motor Vehicles
Injury Severity Score
Mortality
Coma
Accidents

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Butts, Christopher A. ; Gonzalez, Roberto ; Gaughan, John P. ; San Roman, Janika ; Ross, Steven ; Porter, John ; Hazelton, Joshua. / Comparison of Urban Off-Road Vehicle and Motorcycle Injuries at a Level 1 Trauma Center. In: Journal of Surgical Research. 2020 ; Vol. 245. pp. 373-376.
@article{9a9ae8c79461444ca7fce163a3b595ba,
title = "Comparison of Urban Off-Road Vehicle and Motorcycle Injuries at a Level 1 Trauma Center",
abstract = "Background: Recently, there has been an increase in the usage of dirt bikes and all-terrain vehicles in urban environments. Previously, it has been shown that crashes involving these urban off-road vehicles (UORVs) resulted in different injury patterns from crashes that occurred in rural environments. The aim of this study was to compare injury patterns of patients involved in crashes while riding UORVs versus motorcycles (MCs). Methods: A retrospective review (2005-2016) of patients who presented to our urban level I trauma center as a result of any MC or UORV crash was performed. Patients who presented after 48 h from the time of accident were excluded. A P < 0.05 was considered significant. Results: We identified 1556 patients who were involved in an MC or UORV crash resulting in injury (MC: n = 1324 [85{\%}]; UORVs: n = 232 [15{\%}]). Patients in UORV crashes were younger (26.2 y versus 39.6 y), less likely to be helmeted (39.6{\%} versus 90.2{\%}), required fewer emergent trauma bay procedures (28.4{\%} versus 36.7{\%}), and needed fewer operative interventions (45.9{\%} versus 54.2{\%}) (all P < 0.05). Both groups had a similar Injury Severity Score (12.2 versus 12.6; P = 0.54) and Glasgow Coma Score (13.8 versus 13.5; P = 0.46). UORV patients had a lower mortality (0.9{\%} versus 4.7{\%}; P < 0.05) compared to MC crash patients despite similar injury patterns. Conclusions: Our data demonstrate that patients sustaining UORV injuries were younger and less likely to be helmeted but have a lower mortality rate after a crash, despite sustaining similar injuries as motorcyclists. This study provides an overview of how crashes involving UORV usage is a unique phenomenon and not entirely comparable to MC crashes.",
author = "Butts, {Christopher A.} and Roberto Gonzalez and Gaughan, {John P.} and {San Roman}, Janika and Steven Ross and John Porter and Joshua Hazelton",
year = "2020",
month = "1",
day = "1",
doi = "10.1016/j.jss.2019.07.069",
language = "English (US)",
volume = "245",
pages = "373--376",
journal = "Journal of Surgical Research",
issn = "0022-4804",
publisher = "Academic Press Inc.",

}

Comparison of Urban Off-Road Vehicle and Motorcycle Injuries at a Level 1 Trauma Center. / Butts, Christopher A.; Gonzalez, Roberto; Gaughan, John P.; San Roman, Janika; Ross, Steven; Porter, John; Hazelton, Joshua.

In: Journal of Surgical Research, Vol. 245, 01.01.2020, p. 373-376.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparison of Urban Off-Road Vehicle and Motorcycle Injuries at a Level 1 Trauma Center

AU - Butts, Christopher A.

AU - Gonzalez, Roberto

AU - Gaughan, John P.

AU - San Roman, Janika

AU - Ross, Steven

AU - Porter, John

AU - Hazelton, Joshua

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Background: Recently, there has been an increase in the usage of dirt bikes and all-terrain vehicles in urban environments. Previously, it has been shown that crashes involving these urban off-road vehicles (UORVs) resulted in different injury patterns from crashes that occurred in rural environments. The aim of this study was to compare injury patterns of patients involved in crashes while riding UORVs versus motorcycles (MCs). Methods: A retrospective review (2005-2016) of patients who presented to our urban level I trauma center as a result of any MC or UORV crash was performed. Patients who presented after 48 h from the time of accident were excluded. A P < 0.05 was considered significant. Results: We identified 1556 patients who were involved in an MC or UORV crash resulting in injury (MC: n = 1324 [85%]; UORVs: n = 232 [15%]). Patients in UORV crashes were younger (26.2 y versus 39.6 y), less likely to be helmeted (39.6% versus 90.2%), required fewer emergent trauma bay procedures (28.4% versus 36.7%), and needed fewer operative interventions (45.9% versus 54.2%) (all P < 0.05). Both groups had a similar Injury Severity Score (12.2 versus 12.6; P = 0.54) and Glasgow Coma Score (13.8 versus 13.5; P = 0.46). UORV patients had a lower mortality (0.9% versus 4.7%; P < 0.05) compared to MC crash patients despite similar injury patterns. Conclusions: Our data demonstrate that patients sustaining UORV injuries were younger and less likely to be helmeted but have a lower mortality rate after a crash, despite sustaining similar injuries as motorcyclists. This study provides an overview of how crashes involving UORV usage is a unique phenomenon and not entirely comparable to MC crashes.

AB - Background: Recently, there has been an increase in the usage of dirt bikes and all-terrain vehicles in urban environments. Previously, it has been shown that crashes involving these urban off-road vehicles (UORVs) resulted in different injury patterns from crashes that occurred in rural environments. The aim of this study was to compare injury patterns of patients involved in crashes while riding UORVs versus motorcycles (MCs). Methods: A retrospective review (2005-2016) of patients who presented to our urban level I trauma center as a result of any MC or UORV crash was performed. Patients who presented after 48 h from the time of accident were excluded. A P < 0.05 was considered significant. Results: We identified 1556 patients who were involved in an MC or UORV crash resulting in injury (MC: n = 1324 [85%]; UORVs: n = 232 [15%]). Patients in UORV crashes were younger (26.2 y versus 39.6 y), less likely to be helmeted (39.6% versus 90.2%), required fewer emergent trauma bay procedures (28.4% versus 36.7%), and needed fewer operative interventions (45.9% versus 54.2%) (all P < 0.05). Both groups had a similar Injury Severity Score (12.2 versus 12.6; P = 0.54) and Glasgow Coma Score (13.8 versus 13.5; P = 0.46). UORV patients had a lower mortality (0.9% versus 4.7%; P < 0.05) compared to MC crash patients despite similar injury patterns. Conclusions: Our data demonstrate that patients sustaining UORV injuries were younger and less likely to be helmeted but have a lower mortality rate after a crash, despite sustaining similar injuries as motorcyclists. This study provides an overview of how crashes involving UORV usage is a unique phenomenon and not entirely comparable to MC crashes.

UR - http://www.scopus.com/inward/record.url?scp=85070624009&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070624009&partnerID=8YFLogxK

U2 - 10.1016/j.jss.2019.07.069

DO - 10.1016/j.jss.2019.07.069

M3 - Article

C2 - 31425878

AN - SCOPUS:85070624009

VL - 245

SP - 373

EP - 376

JO - Journal of Surgical Research

JF - Journal of Surgical Research

SN - 0022-4804

ER -