Riding into the golden years: injury patterns and outcomes of advanced-age motorcycle trauma

Am J Surg. 2016 Oct;212(4):670-676. doi: 10.1016/j.amjsurg.2016.06.011. Epub 2016 Jul 18.

Abstract

Background: Our objectives were to characterize injury, complications, and outcomes for older riders after motorcycle accidents due to the rising trend in advanced-age motorcyclists.

Methods: From 2008 to 2013, injured motorcyclists were compared by age group: younger (0 to 54 years) vs older (≥55 years) in a retrospective review of the trauma databank at North Memorial Medical Center, a Level-1 trauma center.

Results: Of 432 patients, the older group (n = 100) had more fractures (60% vs 42%), injuries per patient (2 vs 1), intensive care unit admissions (48% vs 32%), ventilator days (8 vs 5), in-hospital complications (16% vs 8%), and hospital days (5.5 vs 3) than the younger group (n = 332), P < .01. The older group was also more likely to be discharged to a destination other than home, 35% vs 18%, P < .01.

Conclusions: Older riders are at risk for more severe injury, longer and more complex hospitalizations, and higher care demands after discharge. Both age-specific treatment and care systems will need to evolve to accommodate the needs of the aging trauma population.

Keywords: Advanced age; Elderly; Geriatric; Motor vehicle accident; Motorcycle; Trauma.

Publication types

  • Comparative Study

MeSH terms

  • Accidents, Traffic / statistics & numerical data*
  • Adult
  • Female
  • Fractures, Bone / epidemiology
  • Humans
  • Injury Severity Score
  • Intensive Care Units / statistics & numerical data
  • Length of Stay / statistics & numerical data
  • Long-Term Care
  • Male
  • Middle Aged
  • Minnesota / epidemiology
  • Motorcycles*
  • Patient Discharge
  • Pneumothorax / epidemiology
  • Respiration, Artificial / statistics & numerical data
  • Retrospective Studies
  • Skilled Nursing Facilities
  • Trauma Centers
  • Wounds and Injuries / epidemiology