Citation

Leijdesdorff HA, Siegerink B, Sier CF, Reurings MC, Schipper IB. Ned. Tijdschr. Geneeskd. 2012; 156(44): A5165.

Vernacular Title

Ongelukken met gemotoriseerde tweewielers*

Affiliation

*Dit onderzoek werd eerder gepubliceerd in the Journal of Trauma and Acute Care Surgery (2012;72:1363-8) met als titel 'Injury pattern, injury severity, and mortality in 33,495 hospital-admitted victims of motorized two-wheeled vehicle crashes in The Netherlands'. Afgedrukt met toestemming.

Copyright

(Copyright © 2012, Erven Bohn)

DOI

unavailable

PMID

23114176

Abstract

OBJECTIVE: To analyze the influence of the type of involved motorized two-wheeled vehicle (MTV) on the patient injury severity and mortality on hospitalization, after MTV accidents in The Netherlands. DESIGN: Retrospective descriptive study METHOD: Data from the nationwide Hospital In-patient Registration (LMR) and the Database Registered Crashes in The Netherlands (BRON) were combined to create the most complete and largest medical database of surviving casualties of accidents with motorized two-wheeled vehicles admitted to hospitals in the Netherlands. RESULTS: From 1993-2008, 10,607 motorcycle riders, 19,708 moped riders and 3,180 light-moped riders were admitted to hospitals in the Netherlands. Of these casualties, 13.1% of the motorcyclists sustained severe multiple injuries (Injury Severity Score ≥ 16); this was 11.8% for moped riders and 17.1% for light-moped riders. At 4.2% mortality was highest among the light-moped riders. Young motorcyclists (< 25 years) and older light-moped riders (> 55 years) had the highest chance of dying in hospital (relative risks 1.64 (95% CI: 1.24-2.16) and 1.45 (95%CI: 1.06-1.99), respectively). CONCLUSION: Accidents involving motorized two-wheeled vehicles are associated with severe morbidity and mortality, especially among the younger (< 25 years) and older (> 55 years) drivers. Young motorcyclists have the highest chance of dying in hospital after an accident. The apparently low energetic accidents with light-mopeds appear to result in severe injury and mortality more often than accidents with the other two groups of vehicles. Despite light-moped riders having the lowest absolute risk of dying and severe injury, the question of whether wearing a motorcycle helmet should be compulsory in this group should be considered.

Language: nl