Bicycle-related injuries among children treated in US emergency departments, 2006-2015

McAdams, Rebecca; Swidarski, Katherine; Clark, Roxanne; Roberts, Kristin; Yang, Jingzhen; McKenzie, Lara B.

doi:10.1016/j.aap.2018.05.019

Cited by 41 publications

(38 citation statements)

References 33 publications

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“…One of the leading causes of non-fatal injury among children is bicycle-riding related injuries. A popular recreation for people of all ages is bike riding, with related injuries causing significant morbidity and mortality 1. Children are especially at risk given the popularity of bicycle riding within this age group.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Manual versus Electric Bicycle Injuries Presenting to a Pediatric Emergency Department

Capua¹,

Glatstein²,

Hermon³

et al. 2019

Rambam Maimonides Med J

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Background The use of electric bicycles (E-bikes) has dramatically increased over the last decade. E-bikes offer an inexpensive, alternative form of transport, but also pose a new public health challenge in terms of safety and injury prevention. Objective The aim of this study was to describe the epidemiology and severity of E-bike related injuries among children treated in the emergency department (ED) and to compare these to manual bicycle related injuries. Methods A retrospective observational study of all pediatric patients presenting to the ED between December 2014 and November 2015 with an injury related to E-bike or manual bicycle use. Data including demographics, diagnosis, injury severity score (ISS), and outcome were compared. Results A total of 196 cyclist injuries presented to the ED; 85 related to E-bike use and 111 to manual bicycle riders. The mean age of E-bikers was 13.7 years (7.5–16 years) and of manual bicycle riders was 9.9 years (3–16 years). Injuries to the head and the extremities were common in both groups. E-bikers had significantly more intra-abdominal organ injury ( P =0.047). Injury severity scores were low overall, but injuries of higher severity (ISS>9) only occurred among the E-bikers. Conclusions Pediatric E-bike injuries tend to be more severe than those sustained during manual bicycle riding. Further research into bicycle and other road and pavement users could lead to enhanced regulation regarding E-bike usage.

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Section: Introductionmentioning

confidence: 99%

A Comparison of Manual versus Electric Bicycle Injuries Presenting to a Pediatric Emergency Department

Capua¹,

Glatstein²,

Hermon³

et al. 2019

Rambam Maimonides Med J

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“…The flow chart for literature selection process is shown in Fig. 1 39,62,63 (n = 3), emergency room and police database 6, 10, 17, 24−26, 29, 31, 38, 41, 42, 48, 51, 57, 58 (n = 15) hospital (n = 34) hospital and emergency room 5 , 37 (n = 2) and research institute 36 (n = 1). The number of studies reported the data about children, 16, 31, 35, 40−44, 48, 49, 51, 53, 55, 62 adults, 18−20, 30, 45, 46, 61 and all ages are 14, 7, and 32, respectively.…”

Section: Resultsmentioning

confidence: 99%

Cumulative evidence of helmet effects on bicycle injuries

Chen¹,

Shan

Cui³

et al. 2020

Preprint

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Background: With widely-used use of bicycles, studies of helmet effects on bicycle injuries were intensively conducted after the problem of bicycle injuries emerged. This study aims to justify whether current evidence is sufficient to manifest the effects of helmets. Methods：We exhaustively searched the articles in the databases of Medline, Scopus, and Embase by the term of (helmet* AND (cycl* OR bicycle* OR bike*)) AND injur* by the time of April 10, 2019. The meta-analysis and SSA (study sequential analysis) were conducted. Results：A total of 55 studies are eligible for meta-analysis. The OR (odds ratio) of helmet effect on head injuries compared with other injuries is 0·50 (0·43, 0·59) and effect of helmets on serious head injuries compared with other injuries are protective with OR of 0·34 (0·28, 0·43). Compared with control injuries, the OR of helmet effect on facial injuries is 0·63 (0·45, 0·88). Helmets is not associated with protective effects of neck injuries and OR is 0·98 (0·82, 1·17). SSA results of head injuries, serious head injuries, and face injuries showed, the cumulative Z-curve crossed both the conventional and the trial sequential monitoring boundary. SSA results of neck injuries showed the cumulative Z-curve does not cross both the conventional and the trial sequential monitoring boundary. Conclusions：The helmet has protection effects on head injuries, serious head injuries, and face injuries. The SSA showed the current evidence was sufficient to support the results. More studies of helmet promotion are warranted in the future. Key words: helmet; bicycle injuries; head injuries; face injuriesKey words: helmet; bicycle injuries; head injuries; face injuries

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“…The latter appears to be the result of indifference by parents allowing their underage children to operate motor vehicles without a licence, and indifference by the relevant authorities to enforcing licensing laws. These views suggest that there is a lack of skill, inexperience and risktaking behaviour, the 'dangerous triad', that results in RTCs, especially in the young [41].…”

Section: Discussionmentioning

confidence: 99%

Prevention of road traffic collisions and associated neurotrauma in Colombia: An exploratory qualitative study

et al. 2021

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Introduction Neurotrauma is an important but preventable cause of death and disability worldwide, with the majority being associated with road traffic collisions (RTCs). The greatest burden is seen in low -and middle- income countries (LMICs) where variations in the environment, infrastructure, population and habits can challenge the success of conventional preventative approaches. It is therefore necessary to understand local perspectives to allow for the development and implementation of context-specific strategies which are effective and sustainable. Methods This study took place in Colombia where qualitative data collection was carried out with ten key informants between October and November 2019. Semi-structured interviews were conducted and explored perceptions on RTCs and neurotrauma, preventative strategies and interventions, and the role of research in prevention. Interview transcripts were analysed by thematic analysis using a framework approach. Results Participants’ confirmed that RTCs are a significant problem in Colombia with neurotrauma as an important outcome. Human and organisational factors were identified as key causes of the high rates of RTCs. Participants described the current local preventative strategies, but were quick to discuss limitations and challenges to their success. Key barriers reported were poor attitudes and knowledge, particularly in the community. Suggestions were provided on ways to improve prevention through better education and awareness, stricter enforcement and new policies on prevention, proper budgeting and resource allocation, as well as through collaboration and changes in attitudes and leadership. Participants identified four key research areas they felt would influence prevention of RTCs and associated neurotrauma: causes of RTCs; consequences and impact of RTCs; public involvement in research; improving prevention. Conclusion RTCs are a major problem in Colombia despite the current preventative strategies and interventions. Findings from this study have a potential to influence policy, practice and research by illustrating different solutions to the challenges surrounding prevention and by highlighting areas for further research.

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Bicycle-related injuries among children treated in US emergency departments, 2006-2015

Cited by 41 publications

References 33 publications

A Comparison of Manual versus Electric Bicycle Injuries Presenting to a Pediatric Emergency Department

A Comparison of Manual versus Electric Bicycle Injuries Presenting to a Pediatric Emergency Department

Cumulative evidence of helmet effects on bicycle injuries

Prevention of road traffic collisions and associated neurotrauma in Colombia: An exploratory qualitative study

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