Eid H O, Bashir M M, Muhammed O Q, Abu-Zidan F M
Trauma Group, Faculty of Medicine and Health Sciences, United Arab Emirates University, PO Box 17666, Al-Ain, United Arab Emirates.
Singapore Med J. 2007 Oct;48(10):884-6.
This study aims to evaluate the magnitude, mechanism, distribution and outcome of bicycle-related injuries managed at the Emergency Department, Al-Ain Hospital, United Arab Emirates.
200 patients, who were treated at the emergency department of Al-Ain Hospital during the period of October 2001 to January 2003, were prospectively studied. A hard copy protocol was designed and data was collected on a daily basis.
175 patients (87.5 percent) were males. The average age was 16.1 +/- 13.7 years. Only two were wearing helmets (one percent). The majority of injuries occurred in the evening and was due to a fall from a bicycle in 163 patients (81.5 percent). 88 patients had lower limb injuries (44 percent), and 72 had head and neck injuries (36 percent). Only 31 patients (15.5 percent) needed hospitalisation. Of these, four (12.9 percent) were admitted to the intensive care unit. The mean (range) hospital stay was 6.3 (1-23) days. Patients who were admitted to the hospital were older males, involved in motor vehicle collisions, and had more head injuries. Three patients (1.5 percent) died.
Bicyclists' head injuries, caused by a motor vehicle collision, are a main cause of hospital admission. Helmet compliance in our community is alarmingly low, indicating the need for legislation and education on the use of helmets.
本研究旨在评估阿联酋艾因医院急诊科处理的自行车相关损伤的严重程度、机制、分布及结果。
对2001年10月至2003年1月期间在艾因医院急诊科接受治疗的200例患者进行前瞻性研究。设计了一份纸质记录方案,并每日收集数据。
175例患者(87.5%)为男性。平均年龄为16.1±13.7岁。仅2例(1%)佩戴头盔。大多数损伤发生在晚上,163例患者(81.5%)因从自行车上跌落受伤。88例患者有下肢损伤(44%),72例有头颈部损伤(36%)。仅31例患者(15.5%)需要住院治疗。其中,4例(12.9%)入住重症监护病房。平均(范围)住院时间为6.3(1 - 23)天。住院患者为年龄较大的男性,涉及机动车碰撞,且头部受伤较多。3例患者(1.5%)死亡。
机动车碰撞导致的骑自行车者头部损伤是住院的主要原因。我们社区的头盔佩戴率低得惊人,这表明需要制定关于头盔使用的法规并开展相关教育。