Loder Randall T, Yaacoub Alan P
Department of Orthopaedic Surgery, Indiana University School of Medicine and James Whitcomb Riley Children's Hospital, Indianapolis, Indiana, United States.
School of Medicine, Indiana University, Indianapolis, Indiana, United States.
Vet Comp Orthop Traumatol. 2018 May;31(3):170-175. doi: 10.1055/s-0038-1631879. Epub 2018 Apr 21.
Both dogs and bicycles are common in our society and thus a dog-bicycle interaction resulting in an injury to a cyclist is possible. It was the purpose of this study to investigate such injuries.
The National Electronic Injury Surveillance System (NEISS) data for the 10-year period from 2006 through 2015 associated with bicycles were accessed. Injuries involving dogs were identified and the mechanism of injury determined. Due to the stratified and weighted nature of the NEISS data, statistical analyses were performed with SUDAAN 10 software (RTI International, Research Triangle Park, North Carolina, United States). A < 0.05 was considered statistically significant.
There were 5,184,057 emergency department visits for bicycle-associated injuries; dogs were involved in 35,254 (0.67%) cases. The average age for those involved with a dog was 33.2 years and it was 25.5 years for those in which dogs were not involved. There were more females in the dog group (34.1 vs. 27.6%). Dog involvement increased from ages 0 to 14 years, then decreased until the age of 20 years and then progressively increased. Dog-associated injuries most frequently occurred away from home, involved the knee and distal lower extremity, 49.1% sustaining dog bites. Dog bites were more common in younger individuals. Four injury mechanisms (chased by a dog, hit/collided with a dog, swerved/tried to avoid a dog or riding with a dog) accounted for 97.5% of the injuries. Those chased by a dog were younger, more commonly released from the emergency department, had an injury involving the lower extremity and frequently sustained a bite. The most severe injuries were in those who swerved/tried to avoid a dog or hit a dog.
Approximately 1% of injuries to bicyclists are associated with dogs; one-half sustained a bite. Potential/proposed prevention strategies could be educational materials regarding bicycles and dogs to owners, dog restraint, student/parent education and educational materials in waiting rooms of veterinarians, paediatricians, family practice physicians and emergency rooms.
狗和自行车在我们的社会中都很常见，因此狗与自行车之间的相互作用导致骑自行车的人受伤是有可能的。本研究的目的是调查此类伤害。
获取了2006年至2015年这10年间国家电子伤害监测系统（NEISS）中与自行车相关的数据。确定了涉及狗的伤害，并确定了伤害机制。由于NEISS数据的分层和加权性质，使用SUDAAN 10软件（美国北卡罗来纳州三角研究园RTI国际公司）进行统计分析。P < 0.05被认为具有统计学意义。
因自行车相关伤害而到急诊科就诊的有5184057人次；狗涉及其中35254例（0.67%）。涉及狗的受伤者的平均年龄为33.2岁，未涉及狗的受伤者的平均年龄为25.5岁。狗组中的女性更多（34.1%对27.6%）。狗的参与度从0岁到14岁增加，然后在20岁之前下降，然后逐渐增加。与狗相关的伤害最常发生在离家较远的地方，累及膝盖和下肢远端，49.1%的人遭受狗咬伤。狗咬伤在年轻人中更常见。四种伤害机制（被狗追赶；与狗碰撞；转弯/试图避开狗；或与狗一起骑行）占伤害的97.5%。被狗追赶的人更年轻，更常从急诊科出院，下肢受伤且经常被咬伤。最严重的伤害发生在转弯/试图避开狗或撞到狗的人身上。
骑自行车者受伤中约1%与狗有关；其中一半人被咬伤。潜在的/提议的预防策略可以是向狗主人提供有关自行车和狗的教育材料、狗的约束、学生/家长教育以及在兽医、儿科医生、家庭医生和急诊室的候诊室提供教育材料。
