@article{ref1,
title="Demographic variation in the injury patterns of adult cyclists admitted to a large US healthcare network: a five-year review",
journal="Trauma (Sage)",
year="2019",
author="Williams, Shanna E. and Nelson, Rachel and Kashif, Reema and Goff, Tyler and Simon, Laura and Janse, Melissa",
volume="21",
number="3",
pages="184-191",
abstract="Background Despite considerable health and environmental benefits, cycling is also associated with a risk of injury. Yet, variation in the patterns of cycling trauma which manifests by gender, age, and race/ethnicity is ill-defined. This retrospective study aims to characterize injury patterns in different demographic groups of bicyclists admitted to the Greenville Health System in South Carolina.  Patients and methods In this IRB-approved, retrospective study, five years of patient data (2010–2014) were gathered from seven emergency departments associated with the Greenville Health System. A total of 155 adult patients hospitalized for bicycle-related trauma were examined in terms of demographics (age, gender, and race) and injury. Injuries were categorized by type, region, and severity. Non-parametric tests were performed to study the effect of demographic characteristics on injury presentation.  Results Spinal cord (p = 0.003) and internal organ injuries (p = 0.000) were significantly more common in men. External body injuries were also more prevalent and severe in men (p = 0.05), while injury to the extremities and pelvic region was more common and severe in women (p = 0.02). Herniations (p = 0.028), internal organ injuries (p = 0.000), and abrasions (p = 0.04) occurred more often in White cyclists. This group was also more likely to be wearing a helmet at the time of accident (p = 0.00). Finally, while hematomas were more prevalent in older adults (≥55 years) cyclists (p = 0.01), this population was also more also likely to wear a helmet than young adults (18–34 years) cyclists (p = 0.025).  Conclusion Demographic differences exist in the types and severity of cycling trauma. These differences should be considered during the identification and management of bicycle-related trauma.  Keywords Cycling, demographics, trauma<p /> <p>Language: en</p>",
language="en",
issn="1460-4086",
doi="10.1177/1460408617740903",
url="http://dx.doi.org/10.1177/1460408617740903"
}