ANALYSIS OF THE MOTORCYCLE ACCIDENTS IN KIRIKHAN, ANTAKYA

Aim: The aim of this study is to evaluate both wounding of people who were hurt by motorcycle accidents and the rate of mortality. We also tried to uncover the factors which were supposed to take role in the motorcycle accidents, and presented our treatments in Kýrýkhan State Hospital of Ministry of Health to the injuries occured in those accidents. Material and Methods: 110 victims who were appointed to the emergency service of Kýrýkhan State Hospital of Ministry of Health following a motorcycle accident between 1.1.1997 and 6.1.1998 were included to the study. A standard form prepared for the motorcycle accidents was filled out for each case. Some of the parameters that were included in the form were as follows: Was the victim a rider or a passenger or a pedestrian, how did the accident happen, was the rider or passenger using a helmet, was the rider drunk, were there any established pathologies in the victims, what was the injury severity score (ISS) ?Results: 110 victims were accepted to the emergency room following 93 motorcycle accidents. Of these. 96 (87.27 %) were male and 14 (12.73 %) were female. Victims were grouped as driver ( n: 65), passenger and pillon passenger ( n: 25) and pedestrian (n: 20). The average ages were found as 30.9 + 12.7(min: 15, med: 27, max: 69) for drivers, 28.9 + 17.3(min: 10, med: 23, max: 65) for passengers and 20.7 + 20.6 (min: 3, med: 12.5, max: 68) for pedestrians. Only3%of the drivers and none of the passengers were using helmet. 13 drivers were found not having driver's license and the occurrence of motorcycle accidents was more likely in summer. Fractures of the clavicle, distal end of the radius and ulna and ankle were mostly diagnosed in the drivers; open fractures of the tibia and fibula were seen frequently in the pedestrians. 77 pathologies were diagnosed in 65 drivers, 25 pathologies were found in 25 passengers and 22 pathologies were seen in 20 pedestrians. Of those pathologies ( n: 124), 85.5 % were treated in the outpatient clinic and 5.6% were treated in the hospital by surgical operation. 3 patients were directed to the neurosurgery specialist and 2 died due to the trauma of the brain. Conclusion: Education and strictly control of the drivers and better road conditions will decrease the rate of accidents. The use of helmet both by drivers and passengers will reduce the risk of brain injury and consequent fatal cases.

ANTAKYA ÝLÝ KIRIKHAN ÝLÇESÝNDEKÝ MOTORSÝKLET KAZALARININ ANALÝZÝ

Amaç: Bu çalýþmanýn amacý, Kýrýkhan ilçesindeki motorsiklet ve moped kazalarý sonucu ortaya çýkan yaralanma örneklerini, mortalite oranlarýný deðerlendirmek, motorsiklet kazalarýnýn ortaya çýkmasýnda rolü olabileceði düþünülen faktörleri ortaya koymak ve Saðlýk Bakanlýðý (S.B.) Kýrýkhan Devlet Hastanesinde motorsiklet kazalarý sonucu ortaya çýkan yaralanmalara uyguladýðýmýz tedavi sunmaktýr. Hastalar ve Yöntem: Çalýþmaya 01.01.1997 06.01.1998 tarihleri arasýnda S.B. Kýrýkhan Devlet Hastanesi Acil Polikliniðini baþvuran motorsiklet kazasý sonucu travma geçirmiþ 110 olgu prospektif olarak incelendi. Her olgu için ýnotorsiklet kazalarýna yönelik olarak hazýrlanmýþ bir form dolduruldu. Form içeriðinde, yaralýnýn yolcu, sürücü veya yaya mý olduðu, kazanýn oluþ þekli, yolcu veya sürücünün kask takýp takmadýðý, kazaya sebep olan sürücünün alkollü olup olmadýðý, kazazede de saptanan patolojiler, yaralanma þiddeti skoru (YÞS) (1) deðerleri gibi bilgiler yer aldý. Bulgular: 93 motorsiklet kazasý sonucu travma geçiren 110 olgunun 96'sý (% 87.27) erkek, 14'ü (%12.73) kadýndý. Olgular sürücü (n: 65), yolcu (n: 25) veya (n: 20) olarak gruplandýrýldý. Sürücülerin yaþ ortalamasý 30.9 ± 12.7 (min: 15, med: 27, maks: 69); yolcularýn yaþ ortalamasý 28.6 ± 17.3 (min: 10, med: 23, maks: 65); yayalarýn yaþ ortalamasý 20.7 + 20.6 (min: 3, med: 12.5, maks: 68) þeklindeydi. Sürücülerin % 3'ünün kask kullandýðý.yolcularýn ise hiç birisinin kask kullanmadýðý; sürücülerin 13 tanesinin (%20) ehliyetsiz olduðu, yaz mevsiminde kazalarýn daha fazla olduðu saptandý. Sürücülerde en fazla klavikula, radius-ulna distal uç, ayak bileði kýrýklarý; yayalarda ise tibia-fibula açýk kýrýklarýnýn daha sýk görüldüðü belirlendi.65 sürücüde 77 patoloji, 25 yolcuda 25 patoloji ve 20 yayada 22 patoloji saptandý. Bu patolojilerin (n: 124) % 85.5'i ayaktan, % 5.6 si yatarak operasyonla tedavi edildi. 3 olgu nöroþirurji uzmanýna sevk edilirken 2 olgu ise kafa travmasý sonucu kaybedildi. Sonuç: Sürücülerin eðitimi ve daha sýký denetimi ile, daha iyi yol koþullarý oluþturulmasýnýn kaza oranlarýný düþüreceði; yolcu ve sürücülerin kask kullanýmýnýn kafa travmasý ve buna baðý olarak geliþen ölümleri azaltacaðý sonucuna varýldý.