Singh Neerja, Joe Natalie, Amey Janet, Smith Alastair, Christey Grant
Midland Trauma System, Waikato Hospital, Hamilton.
Midland Trauma System, Waikato Hospital, Hamilton; Waikato Clinical School, University of Auckland, Auckland.
N Z Med J. 2019 May 3;132(1494):41-48.
Current policy direction seeks to promote participation in both recreational and active transport cycling. We evaluate cycling-related injuries resulting in hospital admission across the Midland Region of New Zealand to establish injury trends.
A retrospective review of anonymised prospectively-collected trauma registry data from 1 June 2012 to 31 July 2016 in the Midland Region. Cases include patients hospitalised with cycling-related injuries.
Nine hundred and ninety-eight cyclists were admitted to hospital (2012-2016). Admission volumes increased approximately 16.8% per year, major trauma by 11.9% and non-major trauma by 17.8%. Overall, 66.7% of admissions were for people aged over 20 years and 73.4% were for males. The participation-adjusted annual injury rate was 78.4 per 100,000. This masked considerable variation by gender, age group and injury severity.
Hospital admission volumes and rates are rising with underlying variation in patient demography, place and severity of injury. Current policy direction to grow cycling participation based on the health, environmental and economic benefits is ahead of the implementation of safer cycling infrastructure, creating a timing lag. From a regional hospital-based trauma service perspective, this timing lag needs due consideration if the full benefits of increasing participation are to be realised.
当前的政策方向旨在促进人们参与休闲骑行和主动式骑行通勤。我们评估了新西兰中部地区因骑行导致入院治疗的损伤情况，以确定损伤趋势。
对2012年6月1日至2016年7月31日在中部地区前瞻性收集的匿名创伤登记数据进行回顾性分析。病例包括因骑行相关损伤而住院的患者。
998名骑行者入院治疗（2012 - 2016年）。入院人数每年约增加16.8%，严重创伤增加11.9%，非严重创伤增加17.8%。总体而言，66.7%的入院患者年龄超过20岁，73.4%为男性。经参与度调整后的年损伤率为每10万人78.4例。这掩盖了性别、年龄组和损伤严重程度方面的显著差异。
入院人数和发生率在上升，同时患者人口统计学特征、受伤地点和严重程度存在潜在差异。基于健康、环境和经济效益来增加骑行参与度的当前政策方向，在更安全的骑行基础设施实施之前，造成了时间滞后。从地区医院创伤服务的角度来看，如果要实现增加骑行参与度的全部益处，这种时间滞后需要得到充分考虑。
