Bicycle related injuries presenting to a trauma centre in Hong Kong

Yeung, John H.K.; Leung, Constant; Poon, Wai-sang; Cheung, Nicole W. T.; Graham, Colin A.; Rainer, Timothy Hudson

doi:10.1016/j.injury.2008.08.015

Cited by 39 publications

(29 citation statements)

References 22 publications

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“…Several studies have reported the effectiveness of bicycle helmets in reducing the risk of head, brain, and severe brain injury by 63 to 88 % (Thompson et al 2000; American Academy of Pediatrics & Committee on Injury and Poison Prevention 2001; Mattei et al 2012; Yeung et al 2009) and facial trauma by 65 % (Thompson et al 2000). Our study supports the higher likelihood of brain injury among children not using bicycle helmets.…”

Section: Resultsmentioning

confidence: 99%

Pediatric bicycle-related head injuries: a population-based study in a county without a helmet law

et al. 2015

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BackgroundHead injuries are the leading cause of death among cyclists, 85 % of which can be prevented by wearing a bicycle helmet. This study aims to estimate the incidence of pediatric bicycle-related injuries in Olmsted County and assess differences in injuries between those wearing helmets vs. not.MethodsOlmsted County, Minnesota residents 5 to 18 years of age with a diagnostic code consistent with an injury associated with the use of a bicycle between January 1, 2002, and December 31, 2011, were identified. Incidence rates were calculated and standardized to the age and sex distribution of the 2000 US white population. Type of injuries, the percentage requiring head CT or X-ray, and hospitalization were compared using a chi-square test. Pediatric intensive care unit (PICU) admission, permanent neurologic injury, seizure, need for mechanical ventilation, and mortality were compared using Fisher’s exact test.ResultsA total of 1189 bicycle injuries were identified. The overall age-adjusted incidence rate of all injuries was 278 (95 % CI, 249 to 306) per 100,000 person-years for females and 589 (95 % CI, 549 to 629) for males. The corresponding rates for head injuries were 104 (95 % CI, 87 to 121) for females and 255 (95 % CI, 229 to 281) for males. Of patients with head injuries, 17.4 % were documented to have been wearing a helmet, 44.8 % were documented as not wearing a helmet, and 37.8 % had no helmet use documentation. Patients with a head injury who were documented as not wearing a helmet were significantly more likely to undergo imaging of the head (32.1 percent vs. 11.5 %; p < 0.001) and to experience a brain injury (28.1 vs. 13.8 %; p = 0.008).ConclusionsChildren and adolescents continue to ride bicycles without wearing helmets, resulting in severe head and facial injuries and mortality.

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Section: Resultsmentioning

confidence: 99%

Pediatric bicycle-related head injuries: a population-based study in a county without a helmet law

et al. 2015

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“…Literatüre bakıldığında, bisiklet kazalarında yüksek oranda erkek hakimiyeti ve kaza sonucu oluşan travmaların %33 ile %70 oranında kafa travmalarını içerdiği görülmekte-dir. [17,18,21,22] Bizim çalışmamızda, bisiklet kazası nedeniyle kafa travması geçiren hastaların %72'si erkek olup, %47'si okul çocuğu dönemindeydi. İlgi çe-ken bir başka konu ise, hastaların hiçbiri kaza anında kask ya da diğer koruyucu bir aparat kullanmıyor olmasıydı.…”

Section: Bulgularunclassified

Pediatric head injuries, retrospective analysis of 851 patients: An epidemiological study

Işik

Gökyar²,

Yildiz³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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AMAÇBu çalışmanın amacı, çocukluk çağı kafa travmaları konusunda ülkemizin epidemiyolojik verilerine katkıda bulunmaktır. GEREÇ VE YÖNTEM Ocak 2003 ile Haziran 2008 tarihleri arasında SamsunMehmet Aydın Eğitim ve Araştırma Hastanesi Nöroşirürji Kliniğinde yatarak tedavi edilen 0-14 yaşları arasında toplam 851 hasta geriye dönük olarak incelendi. BULGULARHastaların 550'si (%65) erkek, 301'i (%35) kadındı. Travma nedenleri arasında düşme (%70) ilk sırada yer alıyor-du. Giriş Glasgow Koma Skalasına (GKS) göre %74 hafif (GKS 13-15), %22 orta (GKS 9-12) ve %4 ağır (GKS 3-8) kafa travmalı olgu mevcuttu. Seksen yedi hastaya toplam 92 operasyon uygulandı. Operasyon nedenleri arasında açık depresyon kırıkları ve epidural hematomlar ilk sıraday-dı. Toplam 33 (%3,8) hasta hayatını kaybetti. En sık tespit edilen ölüm nedeni, trafik kazaları ve yüksekten düşmelerdi. SONUÇBu çalışma ve yapılan diğer çalışmalar, çocukluk çağı kafa travmalarının çoğu önlenebilir nedenlerden kaynaklandığı-nı göstermiştir. Kafa travmaları ile ilgili epidemiyolojik ça-lışma ve verilerin artması, travmanın oluşmadan engellenebilmesi açısından önem arz etmektedir.Anahtar Sözcükler: Çocukluk çağı; epidemiyoloji; kafa travması.

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“…The retruded position of the face relative to the protecting skull is an important reason for the lower incidence of facial fractures in children. 3,5 Overall, facial bone fractures are considerably less common in children then adults. This lower incidence partially reflects the underdeveloped facial skeleton and paranasal sinuses of preadolescent child it gives additional strength to maxilla and mandible unerupted dentition.…”

Section: Introductionmentioning

confidence: 99%

Frequency of paediatric facial trauma in a tertiary care dental hospital

Khan¹,

Ishfaq²,

Akhtar³

et al. 2017

Int Surg J

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Background: The objective of the study was to determine the frequency of various patterns of pediatric facial trauma in the patients attending a tertiary care hospital.Methods: After written informed consent, 191 cases were taken using non- probability purposive sampling. Demographic profile (age, gender, address) was taken. Diagnoses of the distribution of facial fracture were made with help of history, clinical and radiological examination, plain radiographs, OPG (Orthopantomogram), Occipitomental, PA view of face and CT scan, according to the requirement. Pattern of facial trauma i.e. upper third of face (frontal bone, orbital bone), mid facial bones (Maxilla, Zygomatic, NOE noso-orbito-ethmodial complex), dentoalveolar and mandible was noted on the proforma attached. Data was entered and analysed using SPSS 20.0.Results: The mean age of the patients was 6.50±3.72 years. In this study, 112 (58.63%) were males and 79 (41.37%) were females. So, the male to female ratio were 1.41:1. The mandible was the most commonly fractured bone 58 (30.36%) followed by dentoalveolar, maxilla, zygomatic, NOE complex, orbital and frontal bones fractures.Conclusions: Mandible is the most prone to fracture in paediatric patients.

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Bicycle related injuries presenting to a trauma centre in Hong Kong

Cited by 39 publications

References 22 publications

Pediatric bicycle-related head injuries: a population-based study in a county without a helmet law

Pediatric bicycle-related head injuries: a population-based study in a county without a helmet law

Pediatric head injuries, retrospective analysis of 851 patients: An epidemiological study

Frequency of paediatric facial trauma in a tertiary care dental hospital

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