Eley Rob, Vallmuur Kirsten, Catchpoole Jesani
Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Institute of Health and Biomedical Innovation and School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.
Emerg Med Australas. 2019 Apr;31(2):234-240. doi: 10.1111/1742-6723.13124. Epub 2018 Jul 15.
To characterise patients presenting to EDs for a bicycle-related injury, identify contributing factors to the injuries and describe the data gaps.
A retrospective study of bicycle-related injury presentations over the 5 year period 2010-2014 to two major metropolitan EDs. Data collected from the emergency presentation database consisted of patient demographics, presenting complaint, discharge diagnosis and details about the circumstances and mechanism of the accident.
Bicycle injuries (n = 4144) increased from 20.0 to 25.2 per 1000 injury presentations over 5 years. Patients were 80% male across all age groups and 35% of presentations occurred at the weekend. Fractures accounted for one-third (34%) of all injuries, while injuries to the upper extremities and head resulted in 36% and 19% of cases, respectively. Admission rate was 17%. The number of falls exceeded collisions (1611 vs 937), and in the 13.3% of the fall cases where documentation was present for which how the fall occurred, over half were attributed to bike handling errors. Information related to type of bicycle, accident location, type of activity, protective clothing worn (including helmets) and visibility aids was not recorded for over 95% of the cases.
Bicycle injuries carry a considerable burden to the ED and the incidence of presentations appears to be rising. The current triage data, designed to provide a rapid assessment for medical urgency, are limited to describing broad demographics, trends and causes.
对因自行车相关损伤就诊于急诊科的患者进行特征描述，确定损伤的促成因素并描述数据缺口。
对2010年至2014年这5年期间两个主要大城市急诊科的自行车相关损伤就诊情况进行回顾性研究。从急诊就诊数据库收集的数据包括患者人口统计学信息、就诊主诉、出院诊断以及事故情况和机制的详细信息。
5年间，自行车损伤（n = 4144）在每1000例损伤就诊中的比例从20.0上升至25.2。所有年龄组中80%的患者为男性，35%的就诊发生在周末。骨折占所有损伤的三分之一（34%），而上肢损伤和头部损伤分别占病例的36%和19%。入院率为17%。摔倒的数量超过碰撞（1611例对937例），在13.3%有摔倒发生方式记录的摔倒病例中，超过一半归因于自行车操作失误。超过95%的病例未记录与自行车类型、事故地点、活动类型、所穿防护服（包括头盔）和可视辅助设备相关的信息。
自行车损伤给急诊科带来了相当大的负担，就诊发生率似乎在上升。当前旨在对医疗紧急情况进行快速评估的分诊数据仅限于描述广泛的人口统计学特征、趋势和原因。
