Ueblacker P, Rathmann W, Rueger J M, Püschel K
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg.
Unfallchirurg. 2008 Jun;111(6):414-20. doi: 10.1007/s00113-008-1410-3.
Few data on risks and injury patterns of road cycling events are available. The aim of our study was to evaluate all injured participants in the 2006 Hamburg "Cyclassics".
Injuries of the 182 professional and 18,788 recreational participants were registered with the help of the emergency medical services, the promoter and the hospitals.
A total of 193 injuries were registered in 70 participants; the mean age was 44 years (range: 19-72). The injury rate amounted to 0.37%. Extremities were affected in 94.4%, and 32 fractures were registered. The MAIS amounted to 1.34+/-0.73 (range: 1-4), and the mean ISS was 2.86 +/- 3.61 (range: 1-20). The region affected most frequently was the shoulder girdle. Of the participants, 10% sustained serious injuries (AIS> or =3), which were significantly more frequent in women than in men (p<0.01). Based on 100,000 km most accidents occurred in the 55-km distance (p<0.01); 84.4% of the accidents occurred in groups. The mean speed at the time of the crash was 37.3 km/h (range: 0-57).
In conclusion, accidents were more likely to occur in inexperienced drivers, in the shortest distance, with straight conditions and in well-known dangerous areas.
关于公路自行车赛事风险和损伤模式的数据很少。我们研究的目的是评估2006年汉堡“环赛经典赛”中所有受伤的参与者。
在紧急医疗服务机构、赛事主办方和医院的帮助下，对182名职业选手和18788名业余选手的损伤情况进行了登记。
共70名参与者登记有193处损伤；平均年龄为44岁（范围：19 - 72岁）。损伤率为0.37%。四肢损伤占94.4%，登记有32处骨折。简明损伤定级（MAIS）为1.34±0.73（范围：1 - 4），平均损伤严重度评分（ISS）为2.86±3.61（范围：1 - 20）。最常受影响的部位是肩胛带。参与者中10%受重伤（AIS≥3），女性重伤发生率显著高于男性（p<0.01）。以每100,000公里计，大多数事故发生在55公里赛程段（p<0.01）；84.4%的事故发生在集体骑行中。事故发生时的平均速度为37.3公里/小时（范围：0 - 57）。
总之，事故更易发生在经验不足的车手身上，发生在最短赛程段、路况笔直且是知名危险区域的情况下。
