E-bike-related cranial injuries in pediatric population

Karepov, Yevgeny; Kozyrev, Danil A.; Benifla, Moni; Shapira, Vladimir; Constantini, Shlomi; Roth, Jonathan

doi:10.1007/s00381-019-04146-8

Cited by 13 publications

(8 citation statements)

References 16 publications

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“…In a research study conducted on pediatric head injuries following EB trauma in two tertiary hospitals in Israel and published in 2019, 10 neurosurgical interventions were presented. The group consisted of 20 children with head injuries, 17 cyclists and 3 pedestrians injured during accidents.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of EBs are classified as nonmotorized vehicles and regulated as classic bicycles (CBs), although their speed can be similar to that of a motor vehicles. 6,10 As a growing mode of transport, EBs have rapidly become a substantial contributor to road accidents.…”

Section: Introductionmentioning

confidence: 99%

“…The majority of EBs are classified as nonmotorized vehicles and regulated as classic bicycles (CBs), although their speed can be similar to that of a motor vehicles. 6 10…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Electrical Bicycle Road Accidents

2022

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Introduction The use of electric bicycles (EBs) among children younger than 18 years of age is rapidly increasing worldwide and becoming a substantial contributor to road accidents. We analyzed patterns and severity of pediatric bicycle-related injuries, comparing children riding EBs and classic bicycles (CBs). Materials and Methods This was a retrospective study (January 2016–December 2018) of patients arriving at our medical center due to a bicycle accident. Data were collected from medical records and included demographics, injury characteristics, treatment, and outcomes. Results Of 561 children, 197 (35%) were EB riders and 364 (65%) were CB riders. Injury severity score (ISS) of EB cyclists was significantly higher than CB cyclists (mean 4.08 ± 4.67 and 3.16 ± 2.84, respectively, p = 0.012). The rate of accidents involving motorized vehicles was higher in the EB versus CB group (25.9 vs. 11.3%, p < 0.001). Head injuries were the most common type of injury in both groups; incidence was higher in CB than in EB cyclists. However, loss of consciousness was more common in the EB group (18.3 and 12.1%, respectively, p = 0.057). Lower extremity injuries were more common in EBs versus CBs (55.8 and 37.6%, respectively, p < 0.001). Orthopaedic surgical interventions were significantly higher in the EB group (49.2 vs. 33.2%, p < 0.001), and length of stay in hospital and admission to pediatric intensive care unit were more common in EB compared with CB, although not significantly. Conclusion Injury severity of EB patients was significantly higher than that of CB patients. Accidents involving motorized vehicles were more common in the EB group. Head injury associated with loss of consciousness was significantly higher in EB patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pediatric Electrical Bicycle Road Accidents

2022

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“…It is already well-known that protective headgear can reduce the risk of head trauma in sports or transportation. 5 8 9 16) Our case could have been prevented if the patient had worn a protective headgear.…”

Section: Discussionmentioning

confidence: 92%

Fencing Knife-Induced Transorbital Penetrating Brain Injury: A Case Report

Kim,

Jung,

Chung

2023

Korean J Neurotrauma

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Penetrating brain injury (PBI) is a rare type of traumatic brain injury, which accounts for 0.4% of all head trauma cases. In this study, we describe a 14-year-old male adolescent who sustained a transorbital penetrating injury caused by a fencing knife. Although the patient visited the hospital after the foreign body had been removed, we diagnosed a PBI based on identification of a linear injury trajectory extending from an orbital roof fracture to the contralateral parietal lobe, using three-dimensional reconstruction of the hemorrhage. The patient fully recovered after conservative treatment. We hope that sharing our experience will serve as a guideline for the clinical management of PBI.

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“…Children’s skulls are thin and pliable in early development, providing less protection to the underlying brain ( 19 , 20 ). As such, brain injuries can occur with or without an actual bony fracture; however, it has been suggested that the presence of skull fractures increases the possibility of underlying intracranial injury ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population

Gober,

Shapiro,

Tiozzo

et al. 2023

Front. Neurol.

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IntroductionDual diagnosis (DD) with traumatic brain injury (TBI) and spinal cord injury (SCI) poses clinical and rehabilitation challenges. While comorbid TBI is common among adults with SCI, little is known about the epidemiology in the pediatric population. The primary objective of this study was to evaluate the prevalence of TBI among children in the United States hospitalized with SCI. Secondary objectives were to compare children hospitalized with DD with those with isolated SCI with regards to age, gender, race, hospital length of stay, and hospital charges.MethodsA retrospective analysis of hospital discharges among children aged 0–18 years occurring between 2016–2018 from U.S. hospitals participating in the Kids’ Inpatient Database. ICD-10 codes were used to identify cases of SCI, which were then categorized by the presence or absence of comorbid TBI.Results38.8% of children hospitalized with SCI had a co-occurring TBI. While DD disproportionately occurred among male children (67% of cases), when compared with children with isolated SCI, those with DD were not significantly more likely to be male. They were more likely to be Caucasian. The mean age of children with DD (13.2 ± 5.6 years) was significantly less than that of children with isolated SCI (14.4 ± 4.3 years). DD was associated with longer average lengths of stay (6 versus 4 days) and increased mean total hospital charges ($124,198 versus $98,089) when compared to isolated SCI.ConclusionComorbid TBI is prevalent among U.S. children hospitalized with SCI. Future research is needed to better delineate the impact of DD on mortality, quality of life, and functional outcomes.

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E-bike-related cranial injuries in pediatric population

Cited by 13 publications

References 16 publications

Pediatric Electrical Bicycle Road Accidents

Pediatric Electrical Bicycle Road Accidents

Fencing Knife-Induced Transorbital Penetrating Brain Injury: A Case Report

Dual diagnosis of TBI and SCI: an epidemiological study in the pediatric population

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