Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea

Purpose We analyzed the characteristics and outcomes of patients with bicycle-related injuries at a regional trauma center in northern Gyeonggi Province as a first step toward the development of improved prevention measures and treatments. Methods The records of 239 patients who were injured in diff...

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Main Authors: Yoonhyun Lee, Min Ho Lee, Dae Sang Lee, Maru Kim, Dae Hyun Jo, Hyosun Park, Hangjoo Cho
Format: Article
Language:English
Published: Korean Society of Traumatology 2021-09-01
Series:Journal of Trauma and Injury
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Online Access:http://jtraumainj.org/upload/pdf/jti-2020-0066.pdf
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author Yoonhyun Lee
Min Ho Lee
Dae Sang Lee
Maru Kim
Dae Hyun Jo
Hyosun Park
Hangjoo Cho
author_facet Yoonhyun Lee
Min Ho Lee
Dae Sang Lee
Maru Kim
Dae Hyun Jo
Hyosun Park
Hangjoo Cho
author_sort Yoonhyun Lee
collection DOAJ
description Purpose We analyzed the characteristics and outcomes of patients with bicycle-related injuries at a regional trauma center in northern Gyeonggi Province as a first step toward the development of improved prevention measures and treatments. Methods The records of 239 patients who were injured in different types of bicycle-related accidents and transported to a single regional trauma center between January 2017 and December 2018 were examined. This retrospective single-center study used data from the Korea Trauma Database. Results In total, 239 patients experienced bicycle-related accidents, most of whom were males (204, 85.4%), and 46.9% of the accidents were on roads for automobiles. Forty patients (16.7%) had an Injury Severity Score (ISS) of 16 or more. There were 125 patients (52.3%) with head/neck/face injuries, 97 patients (40.6%) with injuries to the extremities, 59 patients (24.7%) with chest injuries, and 21 patients (8.8%) with abdominal injuries. Patients who had head/neck/face injuries and an Abbreviated Injury Score (AIS) ≥3 were more likely to experience severe trauma (ISS ≥16). In addition, only 13 of 125 patients (10.4%) with head/neck/face injuries were wearing helmets, and patients with injuries in this region who were not wearing helmets had a 3.9-fold increased odds ratio of severe injury (AIS ≥2). Conclusions We suggest that comprehensive accident prevention measures, including safety training and expansion of safety facilities, should be implemented at the governmental level, and that helmet wearing should be more strictly enforced to prevent injuries to the head, neck, and face.
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spelling doaj-art-134224ea6a4d4b5e9c7d342b4275cc4a2025-01-16T02:21:32ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832021-09-0134314715410.20408/jti.2020.00661068Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in KoreaYoonhyun Lee0Min Ho Lee1Dae Sang Lee2Maru Kim3Dae Hyun Jo4Hyosun Park5Hangjoo Cho6 Department of General Surgery, Armed Forces Capital Hospital, Seongnam, Korea Department of Neurosurgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea Department of Trauma Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, KoreaPurpose We analyzed the characteristics and outcomes of patients with bicycle-related injuries at a regional trauma center in northern Gyeonggi Province as a first step toward the development of improved prevention measures and treatments. Methods The records of 239 patients who were injured in different types of bicycle-related accidents and transported to a single regional trauma center between January 2017 and December 2018 were examined. This retrospective single-center study used data from the Korea Trauma Database. Results In total, 239 patients experienced bicycle-related accidents, most of whom were males (204, 85.4%), and 46.9% of the accidents were on roads for automobiles. Forty patients (16.7%) had an Injury Severity Score (ISS) of 16 or more. There were 125 patients (52.3%) with head/neck/face injuries, 97 patients (40.6%) with injuries to the extremities, 59 patients (24.7%) with chest injuries, and 21 patients (8.8%) with abdominal injuries. Patients who had head/neck/face injuries and an Abbreviated Injury Score (AIS) ≥3 were more likely to experience severe trauma (ISS ≥16). In addition, only 13 of 125 patients (10.4%) with head/neck/face injuries were wearing helmets, and patients with injuries in this region who were not wearing helmets had a 3.9-fold increased odds ratio of severe injury (AIS ≥2). Conclusions We suggest that comprehensive accident prevention measures, including safety training and expansion of safety facilities, should be implemented at the governmental level, and that helmet wearing should be more strictly enforced to prevent injuries to the head, neck, and face.http://jtraumainj.org/upload/pdf/jti-2020-0066.pdftrauma centersbicyclinghead protective devicesinjury severity scoreepidemiology
spellingShingle Yoonhyun Lee
Min Ho Lee
Dae Sang Lee
Maru Kim
Dae Hyun Jo
Hyosun Park
Hangjoo Cho
Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea
Journal of Trauma and Injury
trauma centers
bicycling
head protective devices
injury severity score
epidemiology
title Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea
title_full Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea
title_fullStr Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea
title_full_unstemmed Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea
title_short Characteristics and Outcomes of Patients with Bicycle-Related Injuries at a Regional Trauma Center in Korea
title_sort characteristics and outcomes of patients with bicycle related injuries at a regional trauma center in korea
topic trauma centers
bicycling
head protective devices
injury severity score
epidemiology
url http://jtraumainj.org/upload/pdf/jti-2020-0066.pdf
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