Disability from Bicycle-Related Injuries in Children

Nakayama, Don K.; Gardner, Mary J.; Rogers, Kenneth D.

doi:10.1097/00005373-199011000-00012

Cited by 28 publications

(19 citation statements)

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“…On the other hand, national studies focusing solely on pediatric trauma centers have found that about half of all bicycle-related hospitalizations were due to a TBI 18 – 20. The higher proportion of head injury in our sample of hospitalized patients and in pediatric trauma centers may reflect the disproportionate number of TBI cases that require hospitalization and that are more severe compared with other types of bicycle-related injury 5 20…”

Section: Discussionmentioning

confidence: 99%

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Pediatric hospitalizations for bicycle-related injuries

et al. 2007

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Objectives:To determine the incidence of bicycle-related injury hospitalizations among children and adolescents 20 years of age and younger and to examine the associated use of healthcare resources.Design:Nationally representative data from the 2003 Healthcare Cost and Utilization Project’s Kids’ Inpatient Database (KID).Outcome measures:National estimates of hospitalization for bicycle-related injuries according to patient demographics, type of injury, total hospital charges, and length of hospital stay.Results:In 2003, an estimated 10 700 children were hospitalized for a bicycle-related injury in the USA. Inpatient charges totaled nearly $200 million with a mean charge of $18 654 per hospitalization. The national rate was 12.7 hospitalizations per 100 000 children. Young adolescents aged 10–13 years accounted for the highest percentage of cases (36.6%) followed by children aged 6–9 years (25.1%). Most patients were male (76.7%) and resided in an urban area (94.4%). A head injury was diagnosed in one out of three hospitalized bicyclists; 30% were due to a motor vehicle collision.Conclusions:Pediatric bicycle-related hospitalizations are a significant public health problem. The morbidity and mortality among children and the economic costs to society are large. The patient characteristics and injury types identified by this study should be used to develop targeted prevention strategies.

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Section: Discussionmentioning

confidence: 99%

“…In addition to long-term disabilities suffered by child and adult bicyclists, bicycle-related injury events are associated with more than 700 annual deaths and cost more than US$8 billion each year 5 – 7. Injuries to bicyclists are a serious problem not only in the USA, but have been established as a worldwide public health burden.…”

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confidence: 99%

Pediatric hospitalizations for bicycle-related injuries

et al. 2007

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“…Head trauma includes injuries such as eye trauma from airborne objects as well as severe brain damage and fractures. Such injuries occur in 22-47% of injured cyclists and are responsible for over 60% of all bicycle-related deaths as well as the majority of long-term disabilities (Li et al, 1995;Nakayama et al, 1990;Thompson and Rivara, 2001). The incidence of head injuries in children and adolescents decreases with increasing age, whereas lesions of the upper extremity increase (Linn et al, 1998).…”

Section: Injuries Of the Head And Neckmentioning

confidence: 99%

Trauma injuries sustained by cyclists

Kloss¹,

Tuli²,

Haechl³

et al. 2006

Trauma

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The aim of this article is to review the pertinent literature and to analyse our own data on facial trauma related to bicycling and mountain-biking. This article focuses on the mechanisms and the variety of bicycle related injuries and addresses the advantages of wearing protection clothes. Within the world of bicycling, the popularity of mountain-biking has increased the most dramatically. The main risk factors for the growing number of bicycle-related injuries are not wearing a helmet, age, male sex, unsafe riding techniques and intoxication. Bikers most commonly collide or fall in daily traffic whereas mountain-bikers get hurt whilst descending. The most common types of injury apart from superficial lesions are dentoalveolar trauma and facial fractures. Wearing protective clothing such as a helmet is demonstrably beneficial and so we suggest that the obligatory use of protective wear should be introduced. For a better insight into overall cycling-related trauma further research will be required.

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“…However, it is only in the past decade that the nonfatal outcome of young traffic injury victims has been addressed in the international literature. [2][3][4][5][6][7][8][9][10] Most of these studies [4][5][6][7][8][9][10] have focused on the psychologic effects and, mainly, on posttraumatic stress reactions. Despite this growing interest in the outcome of young traffic victims, the effects on the long-term health-related quality of life (HRQOL) have received little or no attention.…”

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confidence: 99%

Young traffic victims' long-term health-related quality of life: Child self-reports and parental reports

Sturms¹,

Sluis²,

Groothoff³

et al. 2003

Archives of Physical Medicine and Rehabilitation

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Young traffic victims' long-term health-related quality of life Sturms, LM; van der Sluis, Corry K.; Groothoff, J.W.; ten Duis, HJ; Eisma, WH Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Objectives: To describe the long-term health-related quality of life (HRQOL) reported by young traffic injury victims and to assess the child-parent agreement on the child's HRQOL.Design: Cohort study with a mean follow-up of 2.4 years. Setting: Traumatology department in a university hospital in The Netherlands.Participants: All traffic injury victims treated at the traumatology department in 1996 -1997 and aged 8 to 15 years at follow-up (Nϭ254). The data of 157 child-parent pairs were available for analysis (mean follow-up age, 12Ϯ2.4y; 57% boys; 24% hospitalized).Interventions: Not applicable. Main Outcome Measure: TNO-AZL Children's Quality of Life parent and child questionnaires.Results: Young traffic injury victims reported a significantly lower HRQOL in the motor and autonomy scales compared with contemporaries in the reference group. The child-parent agreement ranged from low to moderate (intraclass correlations, .35-.67). A comparison made between the children and their parents found that the children were more negative regarding the physical complaints and the motor, autonomy, and positive-emotion scales.Conclusions: Young traffic injury victims reported a reasonably good long-term HRQOL, and, surprisingly, few psychologic problems were revealed. Physicians who rely only on parental reports may overestimate the child's HRQOL, especially when assessing the physical functioning. The child's own reports should not be neglected in the assessment of a comprehensive picture of the child's HRQOL.

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Disability from Bicycle-Related Injuries in Children

Cited by 28 publications

References 0 publications

Pediatric hospitalizations for bicycle-related injuries

Pediatric hospitalizations for bicycle-related injuries

Trauma injuries sustained by cyclists

Young traffic victims' long-term health-related quality of life: Child self-reports and parental reports

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