Cycling related major trauma in Ireland

Foley, James; Cronin, Marina; Brent, Louise; Lawrence, Tom; Simms, Ciaran; Gildea, Kevin; Ryan, John; Deasy, Conor; Cronin, John

doi:10.1016/j.injury.2019.11.025

Cited by 15 publications

(14 citation statements)

References 47 publications

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“…In this study, the number of these fractures increased by 9.09%,13.33%, 7.14 %, and 88.88%, respectively. Of note, the numbers of cycling-related major trauma in Ireland has been growing in recent years (8,17). The number of long bone fractures such as humerus, femur and tibia fractures documented also fell ; possibly because these fracture types usually require high energy trauma (5), accounted for mostly by Road Traffic Accidents (3).…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on the trauma and orthopaedic department at level one Major Trauma Centre in the republic of Ireland

Elbardesy¹,

Meagher²,

Guerin³

2021

Acta Orthop Belg

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The Coronavirus Disease (COVID-19) has been identified as the cause of a rapidly spreading respira- tory illness in Wuhan, Hubei Province, China in early December 2019. Since then, the free movement of people has decreased. The trauma-related injuries and the demand on the trauma and orthopaedic service would be expected to fall. The aim of this study to examine the impact of the COVID-19 pandemic on a level 1 Trauma Centre in the Republic of Ireland (ROI). Patients admitted to the Trauma & Orthopaedic (T&O) Department at Cork University Hospital (CUH) and the South Infirmary Victoria University Hospital (SIVUH), and their associated fracture patterns and management, between 01/03/20 and the 15/04/20 were documented and compared to the patient admissions from the same time period one year earlier in 2019. The total number of T&O operations performed decreased by 10.15% (P= 0.03)between the two time periods. The number of paediatric procedures fell by 40.32% (P= 0.15). Adult Distal radius and paediatric elbow fractures (excluding supracondylar fracture) increased by 88% and 13% (P= 0.19), (P= 0.04) respectively. Hip fractures remained the most common fracture-type admitted for surgery. The COVID-19 crisis has to lead to a decrease in the total numbers of trauma surgeries in a major trauma centre in the ROI. This decline is most evident in the number of paediatric and male adult patients presenting with fractures requiring operative management. Interestingly, fractures directly related to solo outdoor activities, such as running or cycling, as well as simple mechanical falls like ankle, distal radius, elbow, and hand fractures all increased. Irish males were more compliant with outdoors restrictions than females.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on the trauma and orthopaedic department at level one Major Trauma Centre in the republic of Ireland

Elbardesy¹,

Meagher²,

Guerin³

2021

Acta Orthop Belg

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“…This adds to evidence from other studies that falls and single bicycle crashes are an under‐recognized but significant cause of bicycling injuries (Teschke et al 2014; Myhrmann et al 2021). In part, lack of data has made it difficult to quantify the impact of falls and single bicycle incidents (Foley et al 2020; Meuleners et al 2020; Utriainen 2020). For example, several reports outline how transitions on and off bicycle infrastructure can be problematic.…”

Section: Discussionmentioning

confidence: 99%

“…All but one of the hot spots were within 5 km of the downtown core. In part, lack of data has made it difficult to quantify the impact of falls and single bicycle incidents (Foley et al 2020;Meuleners et al 2020;Utriainen 2020). For example, several reports outline how transitions on and off bicycle infrastructure can be problematic.…”

Section: Figurementioning

confidence: 99%

Spatial variation in bicycling risk based on crowdsourced safety data

Fischer

Sersli

Nelson

et al. 2022

Canadian Geographies / Géographies canadiennes

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Falls and single bicycle incidents with infrastructure, roads, and railroads are relatively frequent incidents and lead to injury.• Crowdsourced data can supplement official reports to improve bicycling safety analysis.• Narrative and contextual details help inform interventions that can reduce injury for bicyclists.Bicycling-related injury data are difficult to obtain from official reports, which capture only about 20% of crashes and often lack coordinates, injury outcomes, and narratives needed for understanding where and why incidents occurred. Crowdsourced data on bicycling safety provides new opportunities for the study of bicycling injury and risk. Our goal was to quantify factors that influence the spatial variation in unsafe bicycling across a city, based on self-reports of bicycling incidents. To meet this goal, we leveraged BikeMaps.org, a global tool for reporting bicycling safety incidents, drawing on data from Metro Vancouver. We summarized incident conditions that led to injury, developed a model to identify predictors of injury using random forest regression, and mapped bicycling incident hot spots. Our results

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“…As incidence rates were highest in the oldest age group, investigation regarding adherence to helmet laws amongst moped drivers could be helpful. Helmet use could potentially prevent TBI or at least lower the chances of severe TBI and seems to protect against skull fractures (20)(21)(22). In another study from Nottingham, none J o u r n a l P r e -p r o o f of the 22 children who were admitted with primarily head injuries to a paediatric ICU wore a helmet (23).…”

Section: Discussionmentioning

confidence: 99%

“…RTAs were the most common trauma mechanism, falls accounted for 30% (n=98). Median AIShead was 3 (SD: 3-4), median ISS 13 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) and 40% of children had an ISS higher than 16 (n=141). Most children had a GCS of 15 if they had an AIShead of 3 (65%), this dropped to 50% if the AIShead was 5 (Table 1).…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%