Bicyclists injured by automobiles: helmet use and the burden of injury

Trauma Surgery & Acute Care Open

article

Amory de Roulet¹  Omar Font Torres¹  Arturo Torices-Dardon¹  Eric Zimmerman¹  Konstantin Khariton¹  Pierre Saldinger¹ 

[1] Surgery

关键词: Automobile;    helmet;    TBI;   

DOI  :  10.1136/tsaco-2021-000875

学科分类：社会科学、人文和艺术（综合）

来源: BMJ Publishing Group

【 摘 要 】

Background Given the widespread use of bicycles on public roadways, bicyclists injured in automobile collisions present a familiar problem to trauma centers worldwide. The aims of this study are to characterize the current injury patterns and to quantify independent risk factors for preventable injury and death, with a focus on helmet utilization and traumatic brain injuries.Methods This is a retrospective study using the American College of Surgeons Trauma Quality Improvement Program database for the period 2010 to 2016. Data were abstracted for bicyclists ≥16 years of age injured by an automobile. The primary outcome of interest was mortality. The secondary outcomes included intracranial, facial, and cervical spine injuries, as well as polytrauma. We used multivariate logistic regression to identify risk factors associated with outcomes.Results65, lack of helmet use, head injury, and abdominal injury.Discussion Bicyclists injured in collisions with an automobile are at high risk of severe injury and mortality. Preventive strategies should target older bicyclists, helmet utilization, and increasing helmet accessibility for all bicyclists using roadways.

【 授权许可】

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