Burden of hospitalizations for bicycling injuries by motor vehicle involvement

Hamann, Cara; Peek‐Asa, Corinne; Lynch, Charles F.; Torner, James C.

doi:10.1097/ta.0b013e3182a74a3f

Cited by 27 publications

(27 citation statements)

References 13 publications

(10 reference statements)

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“…The main mechanism leading to death is the development of multiple organ failure (MOF) despite progress of intensive care management of patients [1]. Management of patients is linked with huge hospitalization costs due to the occupancy of beds in Intensive Care Units (ICUs) of tertiary hospitals [2,3].…”

Section: Introductionmentioning

confidence: 99%

Defective cytokine production early after multiple traumas: Modulation in severe sepsis

Paraschos¹,

Patrani²,

Pistiki

et al. 2015

Cytokine

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Section: Introductionmentioning

confidence: 99%

Defective cytokine production early after multiple traumas: Modulation in severe sepsis

Paraschos¹,

Patrani²,

Pistiki

et al. 2015

Cytokine

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“…Approximately one-fifth (19.3%) of the injured patients were elderly, and male sex was predominant (75.2%) [5, 13, 14]. Although we did not include pediatric and adolescent patients (<20 years), many previous studies demonstrated that pediatric and elderly patients were vulnerable to bicycle injuries and prone to fatal outcomes [5, 7, 8, 13, 15–17]. In our study, the overall proportion of serious outcomes decreased during the study period, but elderly patients consistently had a higher frequency of serious outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the mainstay of injury prevention approaches is public education and legislation, as well as the design and implementation of a bicycle-specific infrastructure [7, 8, 13, 18, 21]. Controversy over whether bicycle helmet legislation deters bicycle riders persists despite a lack of strong evidence; however, studies with improved designs have indicated that bicycle helmet legislation is a non-factor, but rather a lack of infrastructure or concern for safety are the main deterrents of riding a bicycle [22, 23].…”

Section: Discussionmentioning

confidence: 99%

Trends in the incidence and outcomes of bicycle-related injury in the emergency department: A nationwide population-based study in South Korea, 2012-2014

et al. 2017

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ObjectiveThis study aimed to examine trends in the incidence and outcomes of bicycle-related injuries in emergency departments (ED) in South Korea.MethodsWe analysed data from the National Emergency Department Information System database for adult patients (≥20 years) with bicycle-related injuries presenting to EDs in South Korea between January 2012 and December 2014. Riders and bicycle passengers whose injuries were associated with bicycle use were included. Serious outcomes were defined as death at the ED, need for emergency operation, or intensive care unit admission.ResultsThe number of people who commute to work by bicycle increased by 36% from 205,100 in 2005 to 279,544 in 2015. Of 529,278 traffic-related trauma cases, 58,352 (11.0%) were bicycle-related, which increased from 7,894 (10.2%) in the first half of 2012 to 12,882 (12.2%) in the second half of 2014 (p < 0.001). However, the proportion of serious outcomes decreased from 5.0% to 4.2% during the study period (p < 0.001). Serious outcomes were most frequent in the elderly (65–74 years) and older elderly (≥75 years) groups and decreased for all but the elderly age group from 10.3% to 9.8% (p = 0.204). The helmet use rate increased from 14.2% to 20.3% (p < 0.001) but was the lowest in the older elderly group (3.6%) without change during the study period (from 4.7% to 3.7%, p = 0.656). A lack of helmet use was significantly associated with serious outcomes (odds ratio, 1.811; 95% confidence interval, 1.576–2.082).ConclusionsAlthough the incidence of bicycle-related injuries increased, the proportion of serious outcomes decreased, possibly due to increased helmet use. Public education on safety equipment use is required, especially in elderly populations.

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“…Bicycle‐related fatalities are more likely to be because of head injuries, with one report that 70% of bicycle‐related fatalities are associated with head injuries . The wearing of helmets was made mandatory across all Australian jurisdictions between 1990 and 1992 and the law is referenced in the Australian Road Rules .…”

Section: Introductionmentioning

confidence: 99%

Value of emergency department triage data to describe and understand patterns and mechanisms of cycling injuries

Eley

Vallmuur

Catchpoole

2018

Emerg Medicine Australasia

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Burden of hospitalizations for bicycling injuries by motor vehicle involvement

Abstract: Epidemiologic study, level III.

Cited by 27 publications

References 13 publications

Defective cytokine production early after multiple traumas: Modulation in severe sepsis

Defective cytokine production early after multiple traumas: Modulation in severe sepsis

Trends in the incidence and outcomes of bicycle-related injury in the emergency department: A nationwide population-based study in South Korea, 2012-2014

Value of emergency department triage data to describe and understand patterns and mechanisms of cycling injuries

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