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595 Helmet use and severity of injury in motorcyclist patients in Khon Kaen Hospital, Thailand
  1. Porntipa Tantibundit,
  2. Arun Woranuch
  1. Emergency Department, Khon Kaen Hospital, Thailand


Background Motorcycle is the most common vehicle use in Thailand because of topography, traffic jam problem and income of the owner. The percentage of motorcyclists lower than 20 years and over 60 years are increase every year. Among traffic accidents, increasing numbers of motorcycle accidents have been observed and it is the common cause of death in Thai population. This study aimed to identify severity of injury and helmet use in motorcycle patients in Khon Kaen hospital among teenage, adult and elderly groups.

Methods This was the retrospective cohort study . The data was extracted from the Electronic Injury Surveillance System that identified the patients who visited emergency department Khon Kaen hospital to treat injuries resulting from motorcycle accident in 1st January 2013–31th December 2104. Helmet use and severity of injuries sustained among those age lower than 20 years, 20–59 years, 60 years and older were compared.

Results 3,265 patients were lower than 20 years, 8,510 patients were 20–59 years and 737 patients were 60 years and older. All were treated at emergency department. The helmet used in lower than 20 years group and 60 years and older group were lower than 20–59 years group (RR 0.73; 95% CI: 0.68–0.79) and (RR 0.76; 95% CI: 0.66–0.88). Glasgow coma scale ≤ 7 in lower than 20 years group and 60 years and older group were higher than 20–59 years group (RR 1.64; 95% CI: 1.33–2.08) and (RR 4.16; 95% CI: 3.44–5.00). Admission rate in 60 years and older group was higher when compared to 20–59 years group (RR 1.38; 95% CI: 1.29–1.47 p-value <0.00001) and also in hospital mortality in oldest group was about 1.7 fold when compared to 20–59 years group (RR 1.7; 95% CI: 1.15–2.51 p value = 0.00074).

Conclusions The helmet used in younger and older patients were low and because of the older with motorcycle accident were prone to more severe injuries than younger adults. In future, the injury and prevention program should focus on this aged group.

  • Motorcycle accident
  • Helmet use
  • Severity of injury
  • Age group

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