Kotlyar Simon
Telluride Medical Center, Telluride, CO.
Wilderness Environ Med. 2016 Jun;27(2):316-20. doi: 10.1016/j.wem.2016.01.007. Epub 2016 Apr 20.
To describe the epidemiology of injuries sustained in cyclists and compare the injury patterns in road vs trail biking accidents.
A retrospective chart review was performed of injured road and trail cyclists presenting to a rural mountain resort-based medical center during a 3-year study period.
Of 304 patients, 70% were male, with 67% sustaining trail injuries and 33% sustaining road cycling injuries. There was a bimodal age distribution. Prehospital care was activated in 16% of patients. The most common injuries were lacerations and abrasions (64%), upper extremity fractures (26%), head injuries (9%), and thoracic trauma (6%). Head injury was more common in road- vs trail-related trauma (16% vs 6%; P = .005), whereas thoracic injury was more common in trail riders (7% vs 2%; P = .053). Head injury and lower extremit y fracture were the most common reasons for patient transfer. Patients with head injuries who did not use a helmet were more likely to require transfer to a neurosurgical unit (38% vs 17%; P = .296); however, this difference did not meet statistical significance.
Lacerations and abrasions are the most common injuries sustained in cycling. Quantifying the role of protective extremity gear in reducing these injury patterns may be of interest for future studies. Protective helmet use may be important in reducing morbidity from cycling-related head trauma; however, more data are needed. Prehospital care providers responding to the injured trail cyclist should be equipped to manage laceration, fracture, head injury, and thoracic trauma in the field.
描述骑自行车者受伤的流行病学特征，并比较公路自行车事故和越野自行车事故中的损伤模式。
对在一个以乡村山区度假胜地为基础的医疗中心就诊的受伤公路自行车和越野自行车骑行者进行了为期3年的回顾性病历审查。
在304例患者中，70%为男性，67%的患者有越野损伤，33%的患者有公路自行车骑行损伤。年龄分布呈双峰型。16%的患者接受了院前护理。最常见的损伤是撕裂伤和擦伤（64%）、上肢骨折（26%）、头部损伤（9%）和胸部创伤（6%）。头部损伤在公路相关创伤中比在越野相关创伤中更常见（16%对6%；P = .005），而胸部损伤在越野骑行者中更常见（7%对2%；P = .053）。头部损伤和下肢骨折是患者转诊的最常见原因。未戴头盔的头部受伤患者更有可能需要转至神经外科病房（38%对17%；P = .296）；然而，这种差异未达到统计学意义。
撕裂伤和擦伤是骑自行车时最常见的损伤。量化防护性肢体装备在减少这些损伤模式中的作用可能对未来的研究有意义。使用防护头盔可能对降低与自行车相关的头部创伤的发病率很重要；然而，还需要更多的数据。应对受伤的越野自行车骑行者的院前护理人员应具备在现场处理撕裂伤、骨折、头部损伤和胸部创伤的能力。
