| 제주도 내에서 발생한 사륜 오토바이와 이륜 오토바이의 탑승자 손상의 비교 |
| 이진구1, 강영준2, 송성욱1, 김우정3, 강경원3, 박현수3, 박창배1, 강정호1, 부지환1, 이성근1 |
1제주대학교병원 응급의학과
2제주대학교 의학전문대학원 의학교육학교실
3제주대학교 의학전문대학원 응급의학교실 |
| Comparison of Injury Patterns between All-terrain Vehicles and Motorbike Riders in Jeju Island |
| Jin Koo Lee1, Young Joon Kang2, Sung Wook Song1, Woo Jung Kim3, Kyongwon Kang3, Hyun Soo Park3, Chang Bae Park1, Jeong Ho Kang1, Ji Whan Boo1, Sung Geun Lee1 |
1Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
2Department of Medical Education, Jeju National University School of Medicine, Jeju, Korea
3Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea |
| Correspondence |
Young Joon Kang ,Tel: 064) 717-1921, Fax: 064) 717-1131, Email: lovesuhi@daum.net,
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Received: September 14, 2015; Revised: September 15, 2015 Accepted: October 19, 2015. Published online: February 29, 2016. |
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| ABSTRACT |
Purpose:
As the usage rate of all-terrain vehicles (ATV) the number of injuries caused by ATVs is also surging. This has led to an increase in social attention to the safety of ATVs and the law for ATV safety standards was revised in 2009 and 2011. The purpose of this study was to evaluate the characteristics of ATV injury compared with motorbike injury after implementation of the ATV safety policy.
Method:
A retrospective cross-sectional observation study was conducted using emergent department (ED)-based in-depth injury surveillance system data from 2011 January to 2014 December. Demographics, injury-related characteristics, injury severity, and outcomes of patients related to ATV and motorbike injury visiting our ED were analyzed. Multivariate logistic regression was used for major adverse event (MAE), which was defined as any intensive care, emergent operation, or death between ATV and motorbike related injury adjusted for covariates.
Results:
During the study period, there were 101 ATV- and 584 motorbike-related injuries. Females had more ATV-related injuries (63.4% vs 32.9%, p<0.001) during leisure activities (93.1%) with higher helmet usage (73.3% vs 62.0%, p=0.01) and lower usage in terms of emergency medical service (23.8% vs 46.4%, p<0.001), automobile insurance (10.9% vs 54.1%, p<0.001) compared with motorbike-related injuries. MAE in ATV-related injuries was less likely in a univariate logistic model (unadjusted odd ratios [ORs] 0.489, 95% confidential intervals [Cis] 0.282 to 0.848), but the multivariate logistic model showed no significant difference (adjusted ORs 1.018, 95% CIs 0.376 to 1.414).
Conclusion:
Results of this study showed no significant difference in occurrence of clinical major adverse events between motorbikes and ATVs-related injury on Jeju Island. However, considering the high injury prevalence in young age, female, and passengers during leisure activities, development of an education and injury prevention program will be needed for this vulnerable population. |
| Key words:
Off-road motor vehicles, Motorcycles, Wounds and injuries |
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