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Journal Article

Citation

Lustenberger T, Inaba K, Talving P, Barmparas G, Schnüriger B, Green D, Plurad D, Demetriades D. J. Trauma 2010; 69(5): 1120-1125.

Affiliation

Department of Surgery, Division of Trauma & Critical Care, Keck School of Medicine, University of Southern California, Los Angeles, California.

Copyright

(Copyright © 2010, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e3181d0f68b

PMID

20526215

Abstract

BACKGROUND:: Bicycle riding is a popular recreational activity and a common mode of transportation. Impact with a motor vehicle, however, has the potential to result in significant injury to the rider. The magnitude of this problem, the incidence and types of injuries, and the effect of age on these variables are poorly defined in the literature. METHODS:: This was a National Trauma Databank study during a 5-year period. Injury Severity Score (ISS), specific injuries sustained by riders, and outcomes were analyzed according to age groups (65 years). RESULTS:: During the study period, there were 12,429 admissions as a result of bicycle-related injuries involving motor vehicles (0.7% of all trauma admissions). There were 4,095 patients (32.9%) 65 years. The incidence of severe or critical trauma (ISS >/=16) in the five age strata was 20.3%, 19.2%, 26.4%, 33.4%, and 38.2%, respectively (p < 0.001). The most commonly encountered injuries consisted of extremity fractures (34.9%). Patients 65 years, p < 0.001. The overall mortality was 3.7% and ranged from 2.4% in the age stratum 65 years. After adjusting for differences in age groups, there was a stepwise increase in the risk of death for bicyclists >65 years old who were 10-fold more likely to die than those

Language: en

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