Pattern of Head Injury and Recovery in First and Second Rider in Motor Bike Accidents

  • Yasir Shehzad Department of Neurosurgery, DHQ Hospital and Rawalpindi Medical College,, Rawalpindi
Keywords: Head Injury, Motor Bike, Helmet

Abstract

To compare the rate and pattern of
head injury sustained by the first vs. second rider
and mortality rate and functional outcome of the two
groups.
Methods: In this cross sectional study all adult
patients presenting with head injury resulting from
a motorcycle accident, during the study period were
enrolled.Proforma’s were filled by the on-duty
doctor, including the demographic details, details
regarding helmet and first or second rider,
neurological status, additional injuries and
radiological pattern of injury. These patients were
divided into two groups: Group-1 (First riders) and
Group-2 (Second riders) and both groups were
compared for the above details, and followed. All
patients received the standard treatment for their
respective injuries and the two groups were
compared for the mortality and neurological and
functional outcome, assessed by using the Extended
Glascow Outcome Scale. (EGOS).
Results: A total of 360 patients were included in the
study. Of these,65% patients were in group-1 and
35% were in group-2. The mean age of the two
groups was 27.86 and 30.12 years respectively. All
patients in group-1 were males while 61.9% in
group-2 were males. Majority of the riders in both
groups were not wearing helmets at the time of
accident. Major injury in both the groups was facial
injury but the frequency of facial injury was
significantly higher in group-1 as compared to
group-2 i.e. 20.5% vs. 11.9% (p = 0.040). CT brain
showed normal scan in 15.4% patients in group-1
and in 2.4% patients in group-2. In group-1, CT brain
showed highest frequency of traumatic brain
contusions (24.4%) followed by Extradural
hematomas (14.1%) and cranium fracture (12.8%). In
group-2, CT brain showed highest frequency of
traumatic brain contusions (35.7%) followed by
cranium fracture (16.7%), ASDH (9.5%) and TSAH
(9.5%). Complete recovery was significantly higher
in group-1 as compared to group-2 (p = 0.011).
Conclusion: In motor bike riding head injury is a
potential threat not only to the 1st rider but also to
the 2nd rider as well. By using helmets head injury,
which is fatal in most of the instances, can be
avoided.

Published
2017-03-30
How to Cite
1.
Shehzad Y. Pattern of Head Injury and Recovery in First and Second Rider in Motor Bike Accidents. JRMC [Internet]. 30Mar.2017 [cited 9May2021];21(1):33-6. Available from: https://journalrmc.com/index.php/JRMC/article/view/100
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Articles