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J Head Trauma Rehabil. 2015 May-Jun;30(3):175-84. doi: 10.1097/HTR.0000000000000096.

Motorcycle crash-related emergency department visits and hospitalizations for traumatic brain injury in North Carolina.

Author information

1
Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina-Chapel Hill, Chapel Hill, North Carolina (Ms Harmon, Ms Naumann, and Dr Marshall); Injury and Violence Prevention Branch, North Carolina Division of Public Health, Raleigh, North Carolina (Mr Proescholdbell); Department of Emergency Medicine, UNC School of Medicine, The University of North Carolina-Chapel Hill, Chapel Hill, North Carolina (Dr Waller).

Abstract

OBJECTIVE:

To examine statewide emergency department (ED) visit data for motorcycle crash morbidity and healthcare utilization due to traumatic brain injuries (TBIs) and non-TBIs.

SETTING:

North Carolina ED data (2010-2012) and hospital discharge data (2009-2011).

POPULATION:

Statewide ED visits and hospitalizations due to injuries from traffic-related motorcycle crashes stratified by TBI status.

DESIGN:

Descriptive study.

MAIN MEASURES:

Descriptive statistics include age, sex, mode of transport, disposition, expected source of payment, hospital length of stay, and hospital charges.

RESULTS:

Over the study period, there were 18 780 ED visits and 3737 hospitalizations due to motorcycle crashes. Twelve percent of ED visits for motorcycle crashes and 26% of hospitalizations for motorcycle crashes had a diagnosis of TBI. Motorcycle crash-related hospitalizations with a TBI diagnosis had median hospital charges that were nearly $9000 greater than hospitalizations without a TBI diagnosis.

CONCLUSIONS:

Emergency department visits and hospitalizations due to motorcycle crashes with a TBI diagnosis consumed more healthcare resources than motorcycle crash-related ED visits and hospitalizations without a TBI diagnosis. Increased awareness of motorcyclists by other road users and increased use of motorcycle helmets are 2 strategies to mitigate the incidence and severity of motorcycle crash injuries, including TBIs.

PMID:
25955704
DOI:
10.1097/HTR.0000000000000096
[Indexed for MEDLINE]

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