背景:2019年冠状病毒病(COVID-19)大流行导致了一系列独特的情况,使卫生保健系统紧张并影响世界各地社会的生活方式。社会隔离等措施,旅行限制,和工作场所的关闭导致摩托车的使用增加。因此,在此期间,摩托车事故已成为一个重大问题。这项研究提供了详细的研究,以检查COVID-19大流行期间的摩托车事故,并了解这些事故增加的原因和后果。
方法:这项研究评估了一次健康检查的记录,并使用各种模型分析了指定时间段内的摩托车Acci-dents。此外,我们进行了回顾性分析,以研究我国在大流行前后使用摩托车和撞车事故之间的关联.386名在摩托车事故中受伤的病人的记录和随访,接受治疗,并在2015年11月至2023年4月期间在Biruni大学医院进行了回顾性检查.注意到的细节包括受害者的年龄,性别,损伤机制,损伤部位,损伤严重程度,头盔的使用,骨折的存在和位置,事故的时间分布,以及其他重要组织损伤的严重程度。损伤部位之间的关系,骨折,和事故细节,并对“伤害严重度评分”(ISS)进行了调查。
结果:在386名摩托车事故中受伤的受害者中,男性333人,女性53人。其中,168名(43.5%)是摩托车司机,137名(35.5%)是摩托车快递员,行人为81人(21%)。大流行前(2015年11月至2020年3月)共有186人(48%)受伤,而200人(52%)在大流行期间持续。研究表明,摩托车受伤人数明显增加,特别是在汽车快递公司中,特别是在大流行检疫期间。事后分析显示,与其他职业相比,运动快递员的ISS显着降低(分别为p=0.009和p=0.045)。发现戴头盔的摩托车手的ISS明显低于不戴头盔的摩托车手(p<0.05)。此外,发现ISS与骨折数量呈正相关,总软组织损伤,和显着的临床特征(分别为r=0.758,r=0.756和p<0.001)。
结论:这项临床研究的结果表明,在大流行期间采取的限制社会流动性的措施导致摩托车事故的增加。值得注意的是,事故数量大幅增加,特别是涉及个人使用摩托车和摩托车快递服务。
BACKGROUND: The Coronavirus Disease 2019 (COVID-19) pandemic has led to a unique set of circumstances, straining health-care systems and affecting the way of life in societies around the world. Measures such as social isolation, travel restrictions, and workplace closures have led to an increase in motorcycle use. Consequently, motorcycle accidents have become a significant problem during this period. This
study presents detailed research conducted to examine motorcycle accidents during the COVID-19 pandemic and to understand the causes and consequences of the increase in these accidents.
METHODS: This research evaluated records from a single health examination and used various models to analyze motorcycle acci-dents within a specified time period. Additionally, retrospective analyses were conducted to examine associations between motorcycle use and crashes in our country before and after the pandemic. The records of 386 patients who were injured in motorcycle accidents and followed up, received treatment, and were recorded at Biruni University Hospital between November 2015 and April 2023 were retrospectively examined. Noted details included the victims\' age, gender, injury mechanism, injury site, injury severity, helmet use, presence and location of fractures, time distribution of the accident, and the severity of other important tissue injuries. The relationship between the injury site, fractures, and accident details, and the \"Injury Severity Score\" (ISS) was also investigated.
RESULTS: Among the 386 injured victims in motorcycle accidents, 333 were male and 53 were female. Of these, 168 (43.5%) were motorcycle drivers, 137 (35.5%) were motorcycle couriers, and 81 (21%) were pedestrians. A total of 186 (48%) injuries occurred before the pandemic (November 2015-March 2020), while 200 (52%) were sustained during the pandemic. The
study indicates a noticeable increase in motorcycle injuries, particularly among motor couriers, especially during the pandemic quarantine periods. Post hoc analysis revealed that motor couriers had significantly lower ISS compared to other professions (p=0.009 and p=0.045, respectively). Motorcyclists who wore helmets were found to have significantly lower ISS than those who did not wear helmets (p<0.05). Furthermore, it was found that the ISS was positively correlated with the number of bone fractures, total soft tissue injury, and significant clinical characteristics (r=0.758, r=0.756, and p<0.001, respectively).
CONCLUSIONS: This clinical
study\'s findings demonstrate that the measures implemented during the pandemic to limit society\'s mobility have led to an increase in motorcycle accidents. Notably, there has been a significant rise in the number of accidents, particularly involving individual motorcycle use and motorcycle courier services.