Epidemiology of Nonfatal Bicycle Injuries Presenting to United States Emergency Departments, 2001–2008

Chen, William S.; Dunn, Roger; Chen, Allison J.; Linakis, James G.

doi:10.1111/acem.12146

Cited by 58 publications

(50 citation statements)

References 22 publications

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“…Notable subtypes of this type of trauma are incidents involving bicycles or motorcycles, which are represented at a significant percentage as etiological agents. In our sample, these specific agents accounted for over 20% of reported causes of facial trauma, corroborating the findings of other studies [13,[17][18][19]21,22].…”

Section: Discussionsupporting

confidence: 92%

“…Among these 202 cases, of the 154 patients involved in a motorcycle crash, only 20 were women; of the 48 bicycle accidents, only four involved women (Table 4). A study [22] of the epidemiology of bicycle crash in the United States between 2001 and 2008 found that 73% of cases involved men. Conversely, another study [19] showed that Dutch women accounted for nearly half of all cases of facial fractures secondary to bicycle accidents; in Italy, 26 of 105 victims were women.…”

Section: Discussionmentioning

confidence: 99%

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Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

Pacheco

Paes

Oliveira

et al. 2016

Rev. Odonto Ciênc. (Online)

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Purpose: Epidemiological studies exhibit regional variation patterns as the result of local demographic and socioeconomic factors. This study assessed the epidemiology of maxillofacial fractures treated at a trauma center in Southern Brazil to identify the importance of motorcycle and bicycle crashes. Methods: The records of 2261 patients admitted between April 2003 and March 2013 were reviewed. Results: The male-to-female ratio was 5.6:1. The peak incidence occurred in the third decade of life. Bicycle and motorcycle crashes accounted for 20% of all reported etiologies. Mandibular and orbitozygomatic complex fractures were most prevalent. The most common treatments were open reduction with rigid internal fixation and conservative therapy. Overall, 1248 patients (55.9% of recorded admissions) had a length of stay of 7 days or less. Conclusion: Countrywide prevention projects and the use of alternative transportation should be encouraged.Key words: Epidemiology; Face; Wounds and injuries Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil Resumo Objetivo: Pesquisas epidemiológicas têm padrões de variações como resultado de fatores demográficos e socioeconômicos locais. Para identificar a importância dos acidentes de motocicletas e bicicletas, foram avaliadas as características epidemiológicas de fraturas maxilofaciais em um hospital público referência de trauma no sul do Brasil. Metodologia: A avaliação foi realizada através da análise de 2261 prontuários de pacientes internados entre abril de 2003 e março de 2013. Resultados: A razão entre homens e mulheres foi de 5,6:1. O pico de incidência foi observado na terceira década de vida e os acidentes de bicicleta e motocicleta atingiram 20% dentre os agentes etiológicos informados. As fraturas de mandíbula e do complexo zigomático-orbitário foram as mais prevalentes. Os tratamentos mais realizados foram: a redução cruenta com fixação interna rígida e o método conservador, sendo que 1248 pacientes (55,9% dos períodos de internação registrados) passaram até sete dias no hospital. Conclusão: Concluiu-se que projetos de prevenção contra acidentes e uso de transportes alternativos em todo país são necessários.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

Pacheco

Paes

Oliveira

et al. 2016

Rev. Odonto Ciênc. (Online)

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“…Previous studies have demonstrated the NEISS's accuracy in identifying injuries. 3,4,11 The NEISS database is updated daily and allows estimation of the epidemiology of injury-related ED visits. Data regarding tricycle (product code: 1301) injuries among children ,18 years of age were retrospectively analyzed from calendar years 2012 to 2013 using the NEISS database.…”

Section: Data Sourcementioning

confidence: 99%

“…3,4 These measures have had a dramatic impact on bicycle safety. 5 However, little attention has been given to the characteristics of tricycle injuries.…”

mentioning

confidence: 99%

Tricycle Injuries Presenting to US Emergency Departments, 2012–2013

et al. 2015

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OBJECTIVE: To investigate the characteristics of tricycle-related injuries in children presenting to US emergency departments (EDs).METHODS: Data regarding tricycle injuries in children younger than 18 years of age were obtained from the National Electronic Injury Surveillance System for calendar years 2012 and 2013. Data included body regions injured, ED disposition, and demographics.RESULTS: There were an estimated 9340 tricycle-related injuries treated in US EDs from 2012 to 2013. The average age was 3 years. Children 2 years of age had the highest frequency of injuries. Boys accounted for 63.6% of all injuries. Children 1 to 2 years of age represented 51.9% of all injuries. Lacerations were the most common type of injury. Internal organ damage was the most common type of injury in 3-and 5-year-olds. Contusions were the most common type of injury in 1-and 7-year-olds. The head was the most commonly injured region of the body and the most common region to endure internal damage. The elbows were the most commonly fractured body part. The upper extremity was more frequently fractured than the lower extremity. Approximately 2.4% of all injured children were admitted to the hospital. CONCLUSIONS:The upper extremity of children, particularly the elbow, was more frequently fractured than the lower extremity. The head was the most common body part to endure internal damage. By elucidating the characteristics of tricycle-related injuries, preventive measures can be implemented to decrease the incidence of tricycle-related injuries and ED visits. WHAT'S KNOWN ON THIS SUBJECT:Tricycle riding is a common activity in children. In calendar year 2012, tricycle accidents were the most common cause of reported toy-related deaths in children. Little research has been conducted regarding tricycle-related injuries and how to counsel parents appropriately. WHAT THIS STUDY ADDS:This study uses nationally representative data to investigate various characteristics of tricycle-related injuries in children to better counsel parents. This study highlights the importance of helmet and elbow pad use and parental supervision.

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“…Many of these studies focus on just one human-powered vehicle such as bicycles, [2] skateboards, [3,4] roller skates, [5] or scooters. [6][7][8] Each of these studies enhances our understanding of the injury risks associated with a particular type of vehicle but inherently precludes direct comparisons across types of vehicles, particularly since the analyses generally rest on different databases, encompass different time frames, and/or cover different geographic locations.…”

Section: Introductionmentioning

confidence: 99%

Injury-related falls from bicycles, skateboards, roller skates, and non-motorized scooters in the United States: 2005 - 2014

Milczarski

Tuckel

Maisel

2017

JER

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Purpose: To provide an updated and comparative analysis of injury-related falls from bicycles, skateboards, roller skates and non-motorized scooters in the United States. Methods: The study used two national databases -the Nationwide Emergency Department Sample and the Nationwide Inpatient Sample -and subnational databases for New York, California, and Maryland covering the time span from 2005 to 2014. Univariate and multivariate analyses (negative binomial regression) were performed to identify effects of age, gender, racial-ethnic background, and region on the incidence of injury-related falls from each of the four devices. Results: The rate of injuries due to falls from bicycles far surpassed the rates due to falls from the other devices. When a measure of "exposure" is taken into consideration, however, the rate of injuries from skateboards outstripped the rates from bicycles or roller skates. The profile of patients who were injured from falls from each of the four devices was distinctive. Asian-Americans were greatly underrepresented among those who suffer a fall-related injury from any of the four devices. The incidence of injuries attributable to falls varied considerably by geographic region. Conclusion: Public health officials need to be mindful that while certain activities such as scootering might be gaining in popularity, the number of injuries sustained from bicycles still dwarfs the number attributable to falls from skateboards, roller skates, and scooters combined. Thus special attention needs to be paid to both prevent falls from bicycles and specific treatment modalities. It is important for public health officials to gather injury data at the local level to allocate prevention and treatment resources more efficiently.

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Epidemiology of Nonfatal Bicycle Injuries Presenting to United States Emergency Departments, 2001–2008

Cited by 58 publications

References 22 publications

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

Importância epidemiológica de acidentes com motocicletas e bicicletas no contexto atual do trauma bucomaxilofacial no sul do Brasil

Tricycle Injuries Presenting to US Emergency Departments, 2012–2013

Injury-related falls from bicycles, skateboards, roller skates, and non-motorized scooters in the United States: 2005 - 2014

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