@article{ref1,
title="Predictors of mortality in bicycle-related trauma: an eight-year experience in a level one trauma center",
journal="Journal of personalized medicine",
year="2022",
author="Cimbanassi, Stefania and Chiara, Osvaldo and Spota, Andrea and Altomare, Michele and Virdis, Francesco and Cioffi, Stefano Piero Bernardo and Reitano, Elisa",
volume="12",
number="11",
pages="e1936-e1936",
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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: Age over 55 years old, head and chest injuries, and an ISS > 25 were independent predictors of mortality.<p /> <p>Language: en</p>",
language="en",
issn="2075-4426",
doi="10.3390/jpm12111936",
url="http://dx.doi.org/10.3390/jpm12111936"
}