Yanturali Sedat, Canacik Omer, Karsli Emre, Suner Selim
a Department of Emergency Medicine , Dokuz Eylül University Hospital , Izmir , Turkey.
b Department of Emergency Medicine , The Warren Alpert Medical School of Brown University , Providence , Rhode Island , USA.
Phys Sportsmed. 2015 Nov;43(4):348-54. doi: 10.1080/00913847.2015.1096182. Epub 2015 Oct 15.
Although road bicycle races have been held for more than a century, injury and illness patterns during multi-day bicycle events have not been widely studied. The aim of this study was to determine the incidence of injury and illness among riders and describe the medical care interventions provided to participants of cycling road races.
A prospective observational study was conducted on the Presidential Cycling Tour of Turkey, which was held between April 26 and May 3, 2015. The race lasted 8 days and covered 1258 km of road. There were 166 elite cycling athletes representing 21 teams from various countries. Data collected pertaining to incidents involving injury or illness included the following: type of injury; anatomical location of injury; details of the medical encounter; location of the intervention; treatment provided; medication administered and disposition of the rider. An injury was defined as a physical complaint or observable damage to the body produced by the transfer of energy of the rider. An illness was defined as a physical complaint or presentation not related to injury.
The overall incidence (injury and illness) was 5.83 per 1000 cycling hours. (Injury incidence was 2.82 vs illness incidence of 3.01 per 1000 hours cycling). A total of 31 incidents occurred. Of these, 15 were injuries, while 16 were complaints of a non-traumatic nature. A total of 43 interventions were made in the 15 cases of injury. The most commonly injured body regions were limbs; the majority of injuries involved the skin and soft tissue. The most common medical intervention was wound care (64% of all interventions). Two riders had to withdraw from the race, and one was hospitalized due to a traumatic pneumothorax. None of the non-traumatic cases resulted in withdrawal from the race.
A broad spectrum of illness and injury occurs during elite multi-day road races, ranging from simple skin injuries to serious injuries requiring hospital admission. Most injuries and illnesses are minor; however, medical teams must be prepared to treat life-threatening trauma.
尽管公路自行车赛已经举办了一个多世纪，但多日自行车赛事期间的伤病模式尚未得到广泛研究。本研究的目的是确定车手伤病的发生率，并描述为自行车公路赛参与者提供的医疗护理干预措施。
对2015年4月26日至5月3日举行的土耳其总统自行车巡回赛进行了一项前瞻性观察研究。比赛持续8天，赛程1258公里。有来自21个不同国家的166名精英自行车运动员参赛。收集的与伤病事件相关的数据包括：损伤类型；损伤的解剖位置；医疗接触的细节；干预位置；提供的治疗；给予的药物以及车手的处置情况。损伤定义为车手因能量转移对身体造成的身体不适或可观察到的损伤。疾病定义为与损伤无关的身体不适或表现。
总体发病率（伤病）为每1000骑行小时5.83例。（损伤发生率为每1000小时骑行2.82例，疾病发生率为每1000小时骑行3.01例）。共发生31起事件。其中，15起为损伤，16起为非创伤性不适。在15例损伤病例中总共进行了43次干预。最常受伤的身体部位是四肢；大多数损伤涉及皮肤和软组织。最常见的医疗干预是伤口护理（占所有干预的64%）。两名车手不得不退出比赛，一名因创伤性气胸住院。所有非创伤性病例均未导致退出比赛。
在精英多日公路赛期间会发生各种各样的伤病，从简单的皮肤损伤到需要住院治疗的严重损伤。大多数伤病较轻；然而，医疗团队必须做好治疗危及生命创伤的准备。
