Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles
Purpose Two-wheeled motor vehicles are dichotomized into mopeds and motorcycles (MCs) based on their engine capacity. While efforts have been made, mostly by European researchers, to evaluate the possible difference in the frequency/severity of riders’ traumatic brain injury (TBI) between the two ca...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2021-10, Vol.47 (5), p.1477-1482 |
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| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
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| creator | Inamasu, Joji Nakatsukasa, Masashi |
| description | Purpose
Two-wheeled motor vehicles are dichotomized into mopeds and motorcycles (MCs) based on their engine capacity. While efforts have been made, mostly by European researchers, to evaluate the possible difference in the frequency/severity of riders’ traumatic brain injury (TBI) between the two categories, the results have been inconsistent.
Methods
To evaluate whether such differences exist in Japan, a single-center, retrospective observational study was conducted on two-wheeled motor vehicle riders wearing a helmet during high-energy road traffic accident (RTA). Between January 2011 and December 2017, 127 moped and 128 MC helmeted riders involved in RTAs had been treated in our institution.
Results
Moped riders were significantly older than MC riders (50.7 ± 25.0 years vs. 35.1 ± 18.6 years,
p
= 0.04). The frequency of TBI was significantly higher in moped riders than in MC riders (21.3% vs. 10.9%;
p
= 0.03). However, the frequency of other bodily injuries did not differ significantly. Among the riders with TBI, neither injury severity nor outcomes differed significantly. Multivariate regression analysis showed that the presence of altered mental status was predictive of TBI (OR 23.398; 95% CI 9.187–59.586;
p
|
| doi_str_mv | 10.1007/s00068-019-01259-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2312273594</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2312273594</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-592a95d3d36fa17080e42f7a6294ee8bea8f093af3b83438e995fac7388e8e8a3</originalsourceid><addsrcrecordid>eNp9kU1LxDAQhoMouK7-AU8BLx6spkk_Em8ifrLgZfccZtupZmmTmrQue_KvG11R8CDDTObwvO8EXkKOU3aeMlZeBMZYIROWqtg8VwnfIZNUFiJRKkt3f3Yh9slBCKtIsyLnE_I-9zB2MJiKLj0YS41djX5DoXP2mQ5rl6xfEFusaecG5-kbvpiqRepNjT5Emi6GMFrXmQ2c0UfowV5SoJXrevAmOEuXOKwRbdT3WAcK9tuq2kSfcEj2GmgDHn2_U7K4vZlf3yezp7uH66tZUomcD0muOKi8FrUoGkhLJhlmvCmh4CpDlEsE2TAloBFLKTIhUam8gaoUUmIsEFNyuvXtvXsdMQy6M6HCtgWLbgyai5TzUuQqi-jJH3TlRm_j7zTPy6IUGY9jSviWqrwLwWOje2868BudMv2Zid5momMm-iuTeGNKxFYUImyf0f9a_6P6AP44kNI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2576734267</pqid></control><display><type>article</type><title>Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles</title><source>SpringerLink Journals</source><creator>Inamasu, Joji ; Nakatsukasa, Masashi</creator><creatorcontrib>Inamasu, Joji ; Nakatsukasa, Masashi</creatorcontrib><description>Purpose
Two-wheeled motor vehicles are dichotomized into mopeds and motorcycles (MCs) based on their engine capacity. While efforts have been made, mostly by European researchers, to evaluate the possible difference in the frequency/severity of riders’ traumatic brain injury (TBI) between the two categories, the results have been inconsistent.
Methods
To evaluate whether such differences exist in Japan, a single-center, retrospective observational study was conducted on two-wheeled motor vehicle riders wearing a helmet during high-energy road traffic accident (RTA). Between January 2011 and December 2017, 127 moped and 128 MC helmeted riders involved in RTAs had been treated in our institution.
Results
Moped riders were significantly older than MC riders (50.7 ± 25.0 years vs. 35.1 ± 18.6 years,
p
= 0.04). The frequency of TBI was significantly higher in moped riders than in MC riders (21.3% vs. 10.9%;
p
= 0.03). However, the frequency of other bodily injuries did not differ significantly. Among the riders with TBI, neither injury severity nor outcomes differed significantly. Multivariate regression analysis showed that the presence of altered mental status was predictive of TBI (OR 23.398; 95% CI 9.187–59.586;
p
< 0.001). Moped riders trended to have a higher likelihood of sustaining TBI (OR 2.122; 95% CI 0.870–5.178;
p
= 0.098).
Conclusions
Mopeds are frequently utilized by elderly in Japan, which may have been causally associated with the higher frequency of TBI in moped riders, while other causes, including the difference in helmet type, may also be involved. This study is limited by its small sample size and retrospective design, and multi-center prospective studies are warranted.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-019-01259-2</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Critical Care Medicine ; Emergency medical care ; Emergency Medicine ; Epidemiology ; Intensive ; Medicine ; Medicine & Public Health ; Motorcycles ; Original Article ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Traffic accidents & safety ; Traumatic brain injury ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2021-10, Vol.47 (5), p.1477-1482</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-592a95d3d36fa17080e42f7a6294ee8bea8f093af3b83438e995fac7388e8e8a3</citedby><cites>FETCH-LOGICAL-c352t-592a95d3d36fa17080e42f7a6294ee8bea8f093af3b83438e995fac7388e8e8a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-019-01259-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-019-01259-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Inamasu, Joji</creatorcontrib><creatorcontrib>Nakatsukasa, Masashi</creatorcontrib><title>Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Purpose
Two-wheeled motor vehicles are dichotomized into mopeds and motorcycles (MCs) based on their engine capacity. While efforts have been made, mostly by European researchers, to evaluate the possible difference in the frequency/severity of riders’ traumatic brain injury (TBI) between the two categories, the results have been inconsistent.
Methods
To evaluate whether such differences exist in Japan, a single-center, retrospective observational study was conducted on two-wheeled motor vehicle riders wearing a helmet during high-energy road traffic accident (RTA). Between January 2011 and December 2017, 127 moped and 128 MC helmeted riders involved in RTAs had been treated in our institution.
Results
Moped riders were significantly older than MC riders (50.7 ± 25.0 years vs. 35.1 ± 18.6 years,
p
= 0.04). The frequency of TBI was significantly higher in moped riders than in MC riders (21.3% vs. 10.9%;
p
= 0.03). However, the frequency of other bodily injuries did not differ significantly. Among the riders with TBI, neither injury severity nor outcomes differed significantly. Multivariate regression analysis showed that the presence of altered mental status was predictive of TBI (OR 23.398; 95% CI 9.187–59.586;
p
< 0.001). Moped riders trended to have a higher likelihood of sustaining TBI (OR 2.122; 95% CI 0.870–5.178;
p
= 0.098).
Conclusions
Mopeds are frequently utilized by elderly in Japan, which may have been causally associated with the higher frequency of TBI in moped riders, while other causes, including the difference in helmet type, may also be involved. This study is limited by its small sample size and retrospective design, and multi-center prospective studies are warranted.</description><subject>Critical Care Medicine</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Epidemiology</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Motorcycles</subject><subject>Original Article</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Traffic accidents & safety</subject><subject>Traumatic brain injury</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1LxDAQhoMouK7-AU8BLx6spkk_Em8ifrLgZfccZtupZmmTmrQue_KvG11R8CDDTObwvO8EXkKOU3aeMlZeBMZYIROWqtg8VwnfIZNUFiJRKkt3f3Yh9slBCKtIsyLnE_I-9zB2MJiKLj0YS41djX5DoXP2mQ5rl6xfEFusaecG5-kbvpiqRepNjT5Emi6GMFrXmQ2c0UfowV5SoJXrevAmOEuXOKwRbdT3WAcK9tuq2kSfcEj2GmgDHn2_U7K4vZlf3yezp7uH66tZUomcD0muOKi8FrUoGkhLJhlmvCmh4CpDlEsE2TAloBFLKTIhUam8gaoUUmIsEFNyuvXtvXsdMQy6M6HCtgWLbgyai5TzUuQqi-jJH3TlRm_j7zTPy6IUGY9jSviWqrwLwWOje2868BudMv2Zid5momMm-iuTeGNKxFYUImyf0f9a_6P6AP44kNI</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Inamasu, Joji</creator><creator>Nakatsukasa, Masashi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20211001</creationdate><title>Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles</title><author>Inamasu, Joji ; Nakatsukasa, Masashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-592a95d3d36fa17080e42f7a6294ee8bea8f093af3b83438e995fac7388e8e8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Critical Care Medicine</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Epidemiology</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Motorcycles</topic><topic>Original Article</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Traffic accidents & safety</topic><topic>Traumatic brain injury</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inamasu, Joji</creatorcontrib><creatorcontrib>Nakatsukasa, Masashi</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inamasu, Joji</au><au>Nakatsukasa, Masashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><date>2021-10-01</date><risdate>2021</risdate><volume>47</volume><issue>5</issue><spage>1477</spage><epage>1482</epage><pages>1477-1482</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Purpose
Two-wheeled motor vehicles are dichotomized into mopeds and motorcycles (MCs) based on their engine capacity. While efforts have been made, mostly by European researchers, to evaluate the possible difference in the frequency/severity of riders’ traumatic brain injury (TBI) between the two categories, the results have been inconsistent.
Methods
To evaluate whether such differences exist in Japan, a single-center, retrospective observational study was conducted on two-wheeled motor vehicle riders wearing a helmet during high-energy road traffic accident (RTA). Between January 2011 and December 2017, 127 moped and 128 MC helmeted riders involved in RTAs had been treated in our institution.
Results
Moped riders were significantly older than MC riders (50.7 ± 25.0 years vs. 35.1 ± 18.6 years,
p
= 0.04). The frequency of TBI was significantly higher in moped riders than in MC riders (21.3% vs. 10.9%;
p
= 0.03). However, the frequency of other bodily injuries did not differ significantly. Among the riders with TBI, neither injury severity nor outcomes differed significantly. Multivariate regression analysis showed that the presence of altered mental status was predictive of TBI (OR 23.398; 95% CI 9.187–59.586;
p
< 0.001). Moped riders trended to have a higher likelihood of sustaining TBI (OR 2.122; 95% CI 0.870–5.178;
p
= 0.098).
Conclusions
Mopeds are frequently utilized by elderly in Japan, which may have been causally associated with the higher frequency of TBI in moped riders, while other causes, including the difference in helmet type, may also be involved. This study is limited by its small sample size and retrospective design, and multi-center prospective studies are warranted.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00068-019-01259-2</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2021-10, Vol.47 (5), p.1477-1482 |
| issn | 1863-9933 1863-9941 |
| language | eng |
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| source | SpringerLink Journals |
| subjects | Critical Care Medicine Emergency medical care Emergency Medicine Epidemiology Intensive Medicine Medicine & Public Health Motorcycles Original Article Sports Medicine Surgery Surgical Orthopedics Traffic accidents & safety Traumatic brain injury Traumatic Surgery |
| title | Traumatic brain injury among two-wheeled motor vehicle riders in Utsunomiya, Japan: a comparison between mopeds and motorcycles |
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