{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:51:13Z","timestamp":1782489073420,"version":"3.54.5"},"reference-count":10,"publisher":"Pan African Medical Journal","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pan Afr Med J"],"abstract":"<jats:p>As motorcycle use increases across Africa, hospitals face rising clinical demands to treat injuries from motorcycle crashes. This study assesses the burden of motorcycle-related injuries on a faith-based hospital in rural Kenya, focusing on unreimbursed care. A retrospective review was conducted of patients presenting for care from September 2023 to May 2024 at Maua Methodist Hospital. Case-finding utilized International Classification of Diseases-10 (ICD-10) injury codes and the handwritten Casualty Department log; patient encounters were included in the analysis if clinical documentation confirmed a motorcycle injury. Of the 225 patients identified who presented for motorcycle-related injuries, the median age was 32 years, 35 (16%) were children, 20 (9%) were aged \u226565 years, and 18% (17 of 95 in the Casualty Department log) were pedestrians hit by motorcycles. Thirty-one percent (29 of 95) of patients who presented to the Casualty Department were referred for higher-level care, primarily for head injuries. Four patients died on presentation. Of the 23 hospitalizations, 15 (65%) included surgery, the primary driver of costs. Fifty-two percent of the 290 patient encounters were uninsured; reimbursements were especially poor for hospitalizations. In conclusion, multiple persons with motorcycle injuries presented each week for care at this faith-based hospital, incurring &gt;1,755,000 KES (&gt;13,500 USD) in unreimbursed charges over the nine months. Due to limitations in documentation and differences in healthcare costs between countries, this underestimates the burden of motorcycle-related injuries. Improving ICD-10-coded data for traffic accident injuries, as has been utilized by some trauma registries in Africa, can help monitor cases and costs, and advocate for motorcycle safety.<\/jats:p>","DOI":"10.11604\/pamj.2026.53.89.50174","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:20:43Z","timestamp":1782487243000},"source":"Crossref","is-referenced-by-count":0,"title":["Estimating the clinical and financial burden of motorcycle injuries on a rural faith-based hospital in Kenya: a 9-month retrospective review"],"prefix":"10.11604","author":[{"given":"Isaac Batian","family":"Mikanatha","sequence":"first","affiliation":[{"name":"Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ntonja Kenneth","family":"Gitonga","sequence":"additional","affiliation":[{"name":"Information Technology, Maua Methodist Hospital, Maua, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Griffins","family":"Omondi","sequence":"additional","affiliation":[{"name":"Office of Medical Director, Maua Methodist Hospital, Maua, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Muthuri","family":"Mibuari","sequence":"additional","affiliation":[{"name":"4School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen Glenda","family":"Julian","sequence":"additional","affiliation":[{"name":"Department of Medicine, Penn State Health Hershey Medical Center, Penn State, Hershey, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4870","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"ref0","unstructured":"World Health Organization. Road safety in the WHO African Region 2023. Accessed on November 2, 2025."},{"key":"ref1","unstructured":"Transaid. A fare price: an investigation into the health costs of motorcycle taxi crashes in Kenya. 2024. Accessed on November 2, 2025."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Konlan KD, Hayford L. Factors associated with motorcycle-related road traffic crashes in Africa, a Scoping review from 2016 to 2022. BMC Public Health. 2022 Apr 5;22(1):649. PubMed | Google Scholar","DOI":"10.1186\/s12889-022-13075-2"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Makwaga O, Adungo F, Mokaya T, Echoka E, Mwau M. Opportunities and challenges on hospital preparedness to handle motorcycle accidents in Busia County, Kenya: an exploratory qualitative study. Pan Afr Med J. 2024 Mar 4; 47:101. PubMed | Google Scholar","DOI":"10.11604\/pamj.2024.47.101.40829"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Cholo W, Odero W, Ogendi J. 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PubMed | Google Scholar","DOI":"10.1016\/j.injury.2025.112799"}],"container-title":["Pan African Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:20:58Z","timestamp":1782487258000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.panafrican-med-journal.com\/content\/article\/53\/89\/full\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,17]]},"references-count":10,"URL":"https:\/\/doi.org\/10.11604\/pamj.2026.53.89.50174","relation":{},"ISSN":["1937-8688"],"issn-type":[{"value":"1937-8688","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,17]]}}}