Alcohol-related hospitalizations of adult motorcycle riders

World Journal of Emergency Surgery

Ching-Hua Hsieh²  Shiun-Yuan Hsu²  Cheng-Shyuan Rau¹  Chi-Cheng Liang²  Hang-Tsung Liu² 

[1] Department of Neurosurgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123, Ta-Pei Road, Niao-Song District, Kaohsiung City 833, Taiwan;Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 123, Ta-Pei Road, Niao-Song District, Kaohsiung City 833, Taiwan

关键词: Helmet;    Motorcycle;    Injury severity score (ISS);    Blood alcohol concentration (BAC);    Trauma;   

Others  :  1140133
DOI  :  10.1186/1749-7922-10-2

 received in 2014-09-16, accepted in 2014-12-26,  发布年份 2015

【 摘 要 】

Objective

To provide an overview of the demographic characteristics of adult motorcycle riders with alcohol-related hospitalizations.

Methods

Data obtained from the Trauma Registry System were retrospectively reviewed for trauma admissions at a level I trauma center between January 1, 2009 and December 31, 2013. Out of 16,548 registered patients, detailed information was retrieved regarding 1,430 (8.64%) adult motorcycle riders who underwent a blood alcohol concentration (BAC) test. A BAC level of 50 mg/dL was defined as the cut-off value for alcohol intoxication.

Results

In this study, alcohol consumption was more frequently noted among male motorcycle riders, those aged 30–49 years, those who had arrived at the hospital in the evening or during the night, and those who did not wear a helmet. Alcohol consumption was associated with a lower percentage of sustained severe injury (injury severity score ≥25) and lower frequencies of specific body injuries, including cerebral contusion (0.6; 95% confidence interval [CI] = 0.42–0.80), lung contusion (0.5; 95% CI = 0.24–0.90), lumbar vertebral fracture (0.1; 95% CI = 0.01–0.80), humeral fracture (0.5; 95% CI = 0.27–0.90), and radial fracture (0.6; 95% CI = 0.40–0.89). In addition, alcohol-intoxicated motorcycle riders who wore helmets had significantly lower frequencies of cranial fracture (0.4; 95% CI = 0.29–0.67), epidural hematoma (0.5; 95% CI = 0.29–0.79), subdural hematoma (0.4; 95% CI = 0.28–0.64), subarachnoid hemorrhage (0.5; 95% CI = 0.32–0.72), and cerebral contusion (0.4; 95% CI = 0.25–0.78).

Conclusions

Motorcycle riders who consumed alcohol presented different characteristics and bodily injury patterns relative to sober patients, suggesting the importance of helmet use to decrease head injuries in alcohol-intoxicated riders.

【 授权许可】

   
2015 Liu et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

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