{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:01:43Z","timestamp":1764720103602,"version":"3.46.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Road traffic accidents are a significant cause of mortality and morbidity worldwide, with traumatic brain injury (TBI) being a common consequence. Pillion riders on motorized two-wheelers (MTWs) represent a vulnerable group, often with inadequate protective measures.<\/jats:p>\n                  <jats:p>To assess the pattern and severity of brain injury in pillion riders of MTWs, evaluate the mechanism and type of injury, highlight the importance of helmet use, and study associated injuries and outcomes.<\/jats:p>\n                  <jats:p>This cross-sectional observational study was conducted at a tertiary care center from August 2022 to January 2024, including 120 pillion riders presenting with TBI. Data regarding demographics, injury characteristics, helmet use, clinical findings, radiological parameters, management, and outcomes were collected and analyzed.<\/jats:p>\n                  <jats:p>The mean age of patients was 38.59\u2009\u00b1\u200915.35 years, with males comprising 59.2%. Motorcycles were the predominant vehicle (90%), and cross-saddle was the common seating position (70%). Only 6.7% of pillion riders used helmets. Skull fractures were observed in 68.3%, subarachnoid hemorrhage in 59.2%, subdural hemorrhage in 50%, and contusions in 69.2% of cases. Based on the Glasgow Coma Scale, 47.5% had mild, 16.7% had moderate, and 35.8% had severe TBI. The mortality rate was 35.8%, with craniocerebral injury being the cause of all deaths. None of the helmet users succumbed to injuries.<\/jats:p>\n                  <jats:p>Pillion riders sustain serious TBIs comparable to or more severe than riders. The mortality rate is substantial, particularly among those not wearing helmets. Mandatory helmet use for pillion riders could significantly reduce mortality and injury severity. Further comparative studies between riders and pillion riders are warranted to better understand injury patterns and develop targeted preventive strategies.<\/jats:p>","DOI":"10.1055\/s-0045-1809623","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T20:14:13Z","timestamp":1749586453000},"page":"739-745","source":"Crossref","is-referenced-by-count":0,"title":["Riding at Risk: The Lifesaving Role of Helmets for Motorcycle Pillion Riders"],"prefix":"10.1055","volume":"20","author":[{"given":"Nikhil","family":"Magre","sequence":"additional","affiliation":[{"name":"Department of General Surgery, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Patni","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. S.","family":"Narshetty","sequence":"additional","affiliation":[{"name":"MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronan","family":"Valia","sequence":"additional","affiliation":[{"name":"Department of General Surgery, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amol","family":"Sudke","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1596\/978-1-4648-0522-6_ch3","volume-title":"Road traffic injuries","author":"A M Bachani","year":"2017"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"476","DOI":"10.4066\/AMJ.2013.1839","article-title":"Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India","volume":"6","author":"J M Farooqui","year":"2013","journal-title":"Australas Med J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jsr.2014.09.004","article-title":"A data mining approach to investigate the factors influencing the crash severity of motorcycle pillion passengers","volume":"51","author":"A Tavakoli Kashani","year":"2014","journal-title":"J Safety Res"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0973-0508(10)80026-7","article-title":"Patterns of head injury among drivers and pillion riders of motorised two-wheeled vehicles in Bangalore","volume":"7","author":"N Pruthi","year":"2010","journal-title":"Indian J Neurotrauma"},{"volume-title":"Road accidents in India 2015","year":"2016","author":"Ministry of Road Transport & Highways Transport Research Wing","key":"ref6"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/0971097320080102","article-title":"Profile of road traffic accidents & head injury in Jaipur (Rajasthan)","volume":"30","author":"A Pathak","year":"2008","journal-title":"J Ind Acad Forensic Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1186\/s12889-015-2290-4","article-title":"A prospective pilot cohort analysis of crash characteristics and pattern of injuries in riders and pillion passengers involved in motorcycle crashes in an urban area in Cameroon: lessons for prevention","volume":"15","author":"A Chichom-Mefire","year":"2015","journal-title":"BMC Public Health"},{"issue":"45","key":"ref9","doi-asserted-by":"crossref","first-page":"29","DOI":"10.15272\/ajbps.v5i45.715","article-title":"A descriptive study of pattern of injuries in driver and pillion rider victims of fatal two wheeler accidents","volume":"5","author":"K Prasannan","year":"2015","journal-title":"Asian J Biomed Pharm Sci"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1177\/0971097320110312","article-title":"Patterns of head injuries in fatal road traffic accidents in a rural district of Maharashtra-autopsy based study","volume":"33","author":"R M Tandle","year":"2011","journal-title":"J Ind Acad Forensic Sci"},{"issue":"05","key":"ref11","first-page":"11","article-title":"Patterns of head injuries among pillion riders -a retrospective study","volume":"5","author":"M Ramesh","year":"2016","journal-title":"Int J Gen Med Pharm"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/1471-2458-9-11","article-title":"Crash characteristics and patterns of injury among hospitalized motorised two-wheeled vehicle users in urban India","volume":"9","author":"M Fitzharris","year":"2009","journal-title":"BMC Public Health"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"116","DOI":"10.5958\/0973-9130.2019.00178.6","article-title":"Pattern of head injuries in motorised two-wheeler riders involved in fatal road traffic accidents: a retrospective autopsy based study","volume":"13","author":"S Sukumar","year":"2019","journal-title":"Indian J Forensic Med Toxicol"},{"issue":"04","key":"ref16","doi-asserted-by":"crossref","first-page":"54","DOI":"10.5958\/0974-0848.2022.00109.9","article-title":"A study on pillion rider fatalities in motorised two-wheeler road traffic accidents","volume":"44","author":"S Ayyappan","year":"2022","journal-title":"J Ind Acad Forensic Med"},{"volume-title":"Head Injuries and Helmets: Helmet Legislation and Enforcement in Karnataka and India","year":"2005","author":"G Gururaj","key":"ref17"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1809623.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:47Z","timestamp":1764720047000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1809623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,10]]},"references-count":14,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,12,2]]},"published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1809623","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"type":"print","value":"1793-5482"},{"type":"electronic","value":"2248-9614"}],"subject":[],"published":{"date-parts":[[2025,6,10]]}}}