title: Motorcycle-related injuries at a university teaching hospital in north central Nigeria.
abstract: BACKGROUND
  Motorcycle-related injuries lead to considerable morbidity and mortality. The aim of this study is to determine the pattern and outcome of motorcycle-related injuries at Benue State University Teaching Hospital, Makurdi, Nigeria.
  
  
  METHODS
  Case records of all patients who presented to the accident and emergency department with motorcycle-related injuries between July 2012 and June 2013 were analysed for age, gender, injury host status (i.e. rider, pillion or pedestrian), nature of collision (motorcycle versus other vehicles, motorcycle versus motorcycle, motorcycle versus pedestrian or lone riders), body region injured, injury severity score (ISS) at arrival, length of hospital stay (LOS) and mortality.
  
  
  RESULTS
  Seventy - nine patients with motorcycle-related injuries were included in the study. They consisted of 63 males (61.8%) and 16 females (15.7%). The age range was 5-65 years with a mean of 32.4 ± 14.0. Motorcycle versus vehicle collisions were the most common mechanism of injury (n = 46, 58.2%). Musculoskeletal injuries constituted the most common injuries sustained (n = 50, 47.6%) and the tibia was the most frequently fractured bone (n = 14, 35.9%). The majority of patients (57.0%) sustained mild/moderate injuries (ISS ≤ 15). There was no statistically significant difference between the sexes for sustaining mild/moderate injuries or severe/profound injuries (P > 0.05). Mortality rate was 6.3% with head injuries being involved in all cases.
  
  
  CONCLUSIONS
  Young males were mostly injured in motorcycle-related trauma. Musculoskeletal injuries were the most common injuries sustained and head injuries were involved in all the deaths. Enforcement of motorcycle crash bars and helmet usage is recommended.
authors.affiliation: Department of Surgery, Benue State University, Markurdi, Benue, Nigeria.
authors.forename: Itodo C
authors.initials: IC
authors.lastname: Elachi
authors.affiliation: Depatment of Clinical Services, 45 Nigerian Air Force Hospital, Makurdi, Benue, Nigeria.
authors.forename: Benjamin B
authors.initials: BB
authors.lastname: Okunola
authors.affiliation: Department of Surgery, Benue State University, Markurdi, Benue, Nigeria.
authors.forename: Williams T
authors.initials: WT
authors.lastname: Yongu
authors.affiliation: Department of Surgery, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
authors.forename: Ndubuisi Oc
authors.initials: NO
authors.lastname: Onyemaechi
authors.affiliation: Department of Surgery, Delta State University, Abraka, Delta, Nigeria.
authors.forename: Odoyoh D
authors.initials: OD
authors.lastname: Odatuwa-Omagbemi
authors.affiliation: Department of Surgery, Benue State University, Markurdi, Benue, Nigeria.
authors.forename: Chukwukadibia N
authors.initials: CN
authors.lastname: Ahachi
authors.affiliation: Department of Surgery, Benue State University, Markurdi, Benue, Nigeria.
authors.forename: Daniel D
authors.initials: DD
authors.lastname: Mue
keywords: Motorcycle injury; nigeria; north central; pattern