Citation

Reitano E, Cioffi SPB, Virdis F, Altomare M, Spota A, Chiara O, Cimbanassi S. J. Pers. Med. 2022; 12(11): e1936.

Copyright

(Copyright © 2022, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/jpm12111936

PMID

36422112

PMCID

PMC9695191

Abstract

BACKGROUND: Bicycle-related trauma has increased during the last decades, mainly due to the antipollution environmental policies. This study investigates the outcome of bicycle-related trauma in our level-one trauma center over a period of eight years.

METHODS: Data from 446 consecutive bicycle-related trauma patients admitted to our trauma center from 2011 to 2019 were selected and retrospectively analyzed. The sample was divided into three age groups: <18 years, 18-54 years, and ≥55 years. Mortality rates were obtained for the overall population and patients with an Injury Severity Score (ISS) ≥ 25. Month and seasonal patients' distribution was described to provide an epidemiological overview of bike-related trauma over the years.

RESULTS: Patients ≥ 55 years showed a lower pre-hospital and in-hospital GCS (p ≤ 0.001), higher levels of lactates (p < 0.019) and higher ISS (p ≤ 0.001), probability of death (p ≤ 0.001), and overall mortality (p ≤ 0.001). The head and chest Abbreviated Injury Scale (AIS) ≥ 3 injuries were predictors of mortality, especially in patients over 55 years (p < 0.010). Bicycle-related trauma was more frequent during the summer (34%), particularly in July and August.

CONCLUSIONS: Age over 55 years old, head and chest injuries, and an ISS > 25 were independent predictors of mortality.

Language: en

Keywords

trauma; emergency surgery; emergency medicine; trauma center