Analysis of Patients with Extremity Fractures Admitted to the Emergency Department Due to Motorcycle, Bicycle and Scooter Accidents

Ramazan Peker; Ozlem Koksal; Vahide Aslıhan Durak; Göksel Aydoğan

Article Details

Analysis of Patients with Extremity Fractures Admitted to the Emergency Department Due to Motorcycle, Bicycle and Scooter Accidents

Authors:

Ramazan Peker | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan

Publisher:

Bursa Uludağ University

Main Topics:

Acil Tıp

Journal:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 3, pp.435-441

Document Type:

Article

Publication Date:

12/2025

Document Language:

Turkish

Document ID (Org No.):

2001338891

pISSN:

1300-414X

Keywords:

Abstract:

 The aim of this study is to evaluate the clinical characteristics of patients who applied to the emergency department after motorcycle, bicycle and scooter accidents between 2018 and 2022 and were found to have extremity injuries. The records of the cases who applied to the emergency department of an university hospital due to motorcycle, bicycle and scooter accidents between 01.10.2018 and 31.10.2022 were examined retrospectively. A total of 1900 traffic accident cases, including 1204 motorcycles, 573 bicycles and 123 scooters, who were admitted to the emergency department, were included in the study. 87.7 of the cases were male and the average age was 27.911.4 years. It was observed that accidents occurred most frequently 40.7 in the summer months and between 17:00 and 00:00 40.8, which are after working hours. Upper extremity fractures were detected in 13.5 of the cases and lower extremity fractures in 10.6. The most common bones with fractures in the upper extremity are; radius 4.2, humerus 2.1 and clavicle 2.1, while the most common bones with lower extremity fractures are tibia 4.1, fibula 2.7 and metatarsal bones. 1.9. While 81.4 of the cases were discharged, 3.2 were admitted to the intensive care unit and 0.4 died. According to the results of multivariate logistic regression analysis; Presence of fracture in any lower extremity bone OR: 2.250 95 CI: 1.211 - 4.180, p 0.012 and request for consultation OR: 2.004 95 CI: 1.180 - 3.404, p 0.011 independently of other variables A relationship was detected with ICU admissionexit. The risk of admission to the intensive care unitexit was higher among cases in which fractures were detected in the lower extremity bones and consultation was requested for any reason. In cases with these risk factors, faster planning and early appropriate intervention may help reduce morbidity and mortality rates.

 The aim of this study is to evaluate the clinical characteristics of patients who applied to the emergency department after motorcycle, bicycle and scooter accidents between 2018 and 2022 and were found to have extremity injuries. The records of the cases who applied to the emergency department of an university hospital due to motorcycle, bicycle and scooter accidents between 01.10.2018 and 31.10.2022 were examined retrospectively. A total of 1900 traffic accident cases, including 1204 motorcycles, 573 bicycles and 123 scooters, who were admitted to the emergency department, were included in the study. 87.7 of the cases were male and the average age was 27.911.4 years. It was observed that accidents occurred most frequently 40.7 in the summer months and between 17:00 and 00:00 40.8, which are after working hours. Upper extremity fractures were detected in 13.5 of the cases and lower extremity fractures in 10.6. The most common bones with fractures in the upper extremity are; radius 4.2, humerus 2.1 and clavicle 2.1, while the most common bones with lower extremity fractures are tibia 4.1, fibula 2.7 and metatarsal bones. 1.9. While 81.4 of the cases were discharged, 3.2 were admitted to the intensive care unit and 0.4 died. According to the results of multivariate logistic regression analysis; Presence of fracture in any lower extremity bone OR: 2.250 95 CI: 1.211 - 4.180, p 0.012 and request for consultation OR: 2.004 95 CI: 1.180 - 3.404, p 0.011 independently of other variables A relationship was detected with ICU admissionexit. The risk of admission to the intensive care unitexit was higher among cases in which fractures were detected in the lower extremity bones and consultation was requested for any reason. In cases with these risk factors, faster planning and early appropriate intervention may help reduce morbidity and mortality rates.

 The aim of this study is to evaluate the clinical characteristics of patients who applied to the emergency department after motorcycle, bicycle and scooter accidents between 2018 and 2022 and were found to have extremity injuries. The records of the cases who applied to the emergency department of an university hospital due to motorcycle, bicycle and scooter accidents between 01.10.2018 and 31.10.2022 were examined retrospectively. A total of 1900 traffic accident cases, including 1204 motorcycles, 573 bicycles and 123 scooters, who were admitted to the emergency department, were included in the study. 87.7 of the cases were male and the average age was 27.911.4 years. It was observed that accidents occurred most frequently 40.7 in the summer months and between 17:00 and 00:00 40.8, which are after working hours. Upper extremity fractures were detected in 13.5 of the cases and lower extremity fractures in 10.6. The most common bones with fractures in the upper extremity are; radius 4.2, humerus 2.1 and clavicle 2.1, while the most common bones with lower extremity fractures are tibia 4.1, fibula 2.7 and metatarsal bones. 1.9. While 81.4 of the cases were discharged, 3.2 were admitted to the intensive care unit and 0.4 died. According to the results of multivariate logistic regression analysis; Presence of fracture in any lower extremity bone OR: 2.250 95 CI: 1.211 - 4.180, p 0.012 and request for consultation OR: 2.004 95 CI: 1.180 - 3.404, p 0.011 independently of other variables A relationship was detected with ICU admissionexit. The risk of admission to the intensive care unitexit was higher among cases in which fractures were detected in the lower extremity bones and consultation was requested for any reason. In cases with these risk factors, faster planning and early appropriate intervention may help reduce morbidity and mortality rates.

 Bu çalışmanın amacı 2018-2022 yılları arasında motosiklet, bisiklet ve scooter kazaları sonrası acil servise başvuran ve ekstremite yaralanması saptanan hastaların klinik özelliklerinin değerlendirilmesidir.01.10.2018 - 31.10.2022 tarihleri arasında bir üniversite hastanesi acil servisine motosiklet, bisiklet ve scooter kazası nedeniyle başvuran olguların kayıtları retrospektif olarak incelenmiştir. Acil servise başvuran 1204 motosiklet, 573 bisiklet ve 123 scooter olmak üzere toplam 1900 trafik kazası olgusu çalışmaya alındı. Olguların 87,7si erkekti ve yaş ortalaması 27,911,4 yıldı. Kazaların en sık 40,7 yaz aylarında ve mesai sonrası saatler olan 17:0000:00 arasında 40,8 meydana geldiği görüldü. Olguların 13,5inde üst ekstremite, 10,6sında alt ekstremite fraktürü saptandı. Üst ekstremitede en sık fraktür saptanan kemikler sırasıyla; radius 4,2, humerus 2,1 ve klavikula 2,1 iken, en sık alt ekstremite fraktürü saptanan kemikler tibia 4,1, fibula 2,7 ve metatarsal kemikler 1,9 idi. Olguların 81,4ü taburcu olurken, 3,2si yoğun bakım ünitesi YBÜne yatırıldı ve 0,4ü ise eksitus oldu. Çok değişkenli lojistik regresyon analizi sonuçlarına göre; herhangi bir alt ekstremite kemiğinde fraktür varlığı OR: 2,250 95 GA: 1,211 - 4,180, p 0,012 ve konsültasyon istenmesi OR: 2,004 95 GA: 1,180 - 3,404, p 0,011 diğer değişkenlerden bağımsız olarak yoğun bakım ünitesine yatışeksitus ile ilişki saptandı. Alt ekstremite kemiklerinde fraktür saptanan ve herhangi bir nedenle konsültasyon istenen olgular arasında yoğun bakım ünitesine yatış eksitus riski daha yüksekti. Bu risk faktörlerine sahip olgularda, daha hızlı planlama ve uygun müdahalenin erken dönemde yapılması ile morbidite ve mortalite oranları azaltmada yardımcı olabilir.

Article Details

Analysis of Patients with Extremity Fractures Admitted to the Emergency Department Due to Motorcycle, Bicycle and Scooter Accidents

Authors:

Ramazan Peker | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan

Publisher:

Bursa Uludağ University

Main Topics:

Acil Tıp

Journal:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 3, pp.435-441

Document Type:

Article

Publication Date:

12/2025

Document Language:

Turkish

Document ID (Org No.):

2001338891

pISSN:

1300-414X

emergency department

motorcycle accident

scooter accident.acil servis

motosiklet kazası

scooter kazası

Issues

Article Details

Analysis of Patients with Extremity Fractures Admitted to the Emergency Department Due to Motorcycle, Bicycle and Scooter Accidents

Authors: Ramazan Peker | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan

Publisher: Bursa Uludağ University

Main Topics: Acil Tıp

Journal: Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 3, pp.435-441

Document Type: Article

Publication Date: 12/2025

Document Language: Turkish

Document ID (Org No.): 2001338891

pISSN: 1300-414X

emergency department

motorcycle accident

scooter accident.acil servis

motosiklet kazası

scooter kazası

Issues

Authors:

Ramazan Peker | Ozlem Koksal | Vahide Aslıhan Durak | Göksel Aydoğan

Publisher:

Bursa Uludağ University

Main Topics:

Acil Tıp

Journal:

Uludağ Üniversitesi Tıp Fakültesi Dergisi Vol.50 Issue 3, pp.435-441

Document Type:

Article

Publication Date:

12/2025

Document Language:

Turkish

Document ID (Org No.):

2001338891

pISSN:

1300-414X