Ulus Travma Acil Cerrahi Derg. 2013; 19(5): 423-428 | DOI: 10.5505/tjtes.2013.06767

Motorsiklet kazalarý detaylarý ve saðlýk maliyetleri üzerine etkileri

Serkan Emre Eroðlu¹, Sýddýka Nihal Toprak², Ebru Akoðlu³, Özge Ecmel Onur¹, Arzu Denizbaþý¹, Çiðdem Özpolat¹, Haldun Akoðlu^1
1Marmara Üniversitesi Pendik Eðitim Ve Araþtýrma Hastanesi, Acil Týp Kliniði, Ýstanbul
²Mersin Toros Devlet Hastanesi, Acil Servis, Mersin
³Atatürk Devlet Hastanesi,Acil Servis, Zonguldak

AMAÇ: Türkiyede 2011 yýlýndaki tüm trafik kazalarýnýn %7.58’ini (n=21107) motorsiklet kazalarý oluþturmaktadýr. Çalýþmamýzda, motorsiklet kazalarý ve bu kazalara ait detaylarýn, saðlýk maliyetlerindeki rolleri araþtýrýldý.
GEREÇ VE YÖNTEM: 1 Temmuz 2010-30 Haziran 2011 tarihleri arasýnda çarpýþmalý ya da çarpýþmasýz motorsiklet kazalarý ile acil servise gelen hastalar ileriye dönük olarak incelendi. Kazazede ve kazaya ait detaylý bilgileri içeren formlar motorsiklet kazasý ile getirilen tüm yaralýlara doldurularak saðlýk maliyetleri araþtýrýldý. Veriler, SPSS v16 programýnda frekans, Kolmogorov-Smirnov, Mann-Whitney U ve ki-kare testleri kullanýlarak analiz edildi.
BULGULAR: Deðerlendirmeye alýnan 91 kazazedenin, yaþ ortalamasý 28.47. Deðerlendirmeye alýnan 91 kazazedenin baþvurusundan taburculuðuna kadar olan saðlýk maliyetleri ortalamasý 253.02$, ortancasý 55.90$ idi (daðýlým, 11.52- 7137.19$). Çalýþmaya göre, saðlýk maliyetleri ile kaza saati, motorsiklet tipi, yolun yüzeyi, koruyucu ekipman, hava ya da gün ýþýðý arasýnda kesin bir korelasyon yoktu.
TARTIÞMA: Çalýþmaya göre, kaza riski genç eriþkinlerle artmaktadýr. Buna baðlý olarak da, saðlýk maliyetleri artmaktadýr. Bu sebeple, yasal kurallarý yeniden belirlenmesi ve gerekiyorsa motorsiklet ehliyeti alma yaþý ve de eðitimleri düzenlenmelidir.

Anahtar Kelimeler: Acil servis, saðlýk maliyetleri, motorsiklet kazalarý, travma.

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Details of motorcycle accidents and their impact on healthcare costs

Serkan Emre Eroðlu¹, Sýddýka Nihal Toprak², Ebru Akoðlu³, Özge Ecmel Onur¹, Arzu Denizbaþý¹, Çiðdem Özpolat¹, Haldun Akoðlu^1
1Marmara University Pendik Training And Research Hospital, Department Of Emergency Medicine, Istanbul, Turkey
²Mersin Toros State Hospital, Emergency Service, Mersin, Turkey
³Ataturk State Hospital, Emergency Service, Zonguldak, Turkey

BACKGROUND: Of overall traffic accidents in 2011 in Turkey, 7.58% (n=21,107) were motorcycle accidents. Motorcycle accidents and their impact on healthcare costs are investigated in our study.
METHODS: Motorcycle accidents that occurred with/without a collision between 1 July 2010 and 30 June 2011 were studied prospectively through the inspection of patients visiting the Emergency Service. The healthcare costs relevant to each person injured in a motorcycle accident were investigated via forms. Data were analyzed using frequencies, Kolmogorov-Smirnov, Mann-Whitney U, and chi-square tests on the SPSS v16.0 program.
RESULTS: Ninety-one people involved in accidents, with a mean age of 28.47 years, were studied. The average healthcare expenditure for the 91 patients studied between reception and discharge was US$253.02 (median, US$55.90; range, US$11.52 - 7137.19). According to our study, there was no definitive correlation between the healthcare costs and the time of the accident, motorcycle type, nature of the road surface, protective equipment, weather, or daylight.
CONCLUSION: According to the current study, the risk of an accident increases with young adults. Concordantly, healthcare costs increase. Thus, it is important that the legal rules with respect to the age and education necessary for receiving a license to operate a motorcycle should be redefined, and if necessary, regulated.

Keywords: Emergency department, healthcare costs, motorcycle accidents, trauma.

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ATIF KOPYALA