Munema Khan, Muhammad Motism Shah, Yasir Shahzad, Maryam Khan.
Motorbike-Related Neurotrauma at a Neurosurgical Unit.
J Rawal Med Uni Jan ;22(3):231-5.

Background :. To analyze patterns of motorbikerelated neurotrauma and to decipher where the current scenario can be best optimized. Methods : In this descriptive, prospective, crosssectional study, cases of motorcycle-accidents with neurotraumatic injuries were included .Variables noted were , age, mode of presentation, gender, type of head-injury, associated injury,outcome,type of rider, socioeconomic status, helmet-use, educationlevel, residence, mode of treatment, duration of hospitalization and permanent-disability. All patients were treated for their respective injuries and complications and were managed as per standard protocols. Results : In 100 patients predominant age group was 14-29 years. Worse outcome was seen in rural residents and first-riders. Bleeds outnumbered fractures and concomitant orthopaedic injuries were the most common associated injury . Helmet use rate of only 8% and an expiry rate of 11% along with permanent disability in 3 patients was noted. Significantly higher fatality rate was seen in subdural-hematomas. Conclusion : Road traffic accident (RTA)- Associated neurotrauma is a pressing problem in young males and the high disability and injury rate can be accounted to non-compliance with helmet-use and ignorance of road-safety. Worse outcome is associated with subdural-haematomas (SDH), firstriders, referred-cases and rural residence. Effective legislation and collective community effort is needed to counter the dilemma.

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