Department of Pediatric Surgery, Galilee Medical Center, Nahariya, Azrieli Faculty of Medicine, Bar-Ilan University, Israel.
Eur J Pediatr Surg. 2022 Feb;32(1):120-126. doi: 10.1055/s-0041-1741545. Epub 2022 Jan 10.
The use of electric bicycles (EBs) among children younger than 18 years of age is rapidly increasing worldwide and becoming a substantial contributor to road accidents. We analyzed patterns and severity of pediatric bicycle-related injuries, comparing children riding EBs and classic bicycles (CBs).
This was a retrospective study (January 2016-December 2018) of patients arriving at our medical center due to a bicycle accident. Data were collected from medical records and included demographics, injury characteristics, treatment, and outcomes.
Of 561 children, 197 (35%) were EB riders and 364 (65%) were CB riders. Injury severity score (ISS) of EB cyclists was significantly higher than CB cyclists (mean 4.08 ± 4.67 and 3.16 ± 2.84, respectively, = 0.012). The rate of accidents involving motorized vehicles was higher in the EB versus CB group (25.9 vs. 11.3%, < 0.001). Head injuries were the most common type of injury in both groups; incidence was higher in CB than in EB cyclists. However, loss of consciousness was more common in the EB group (18.3 and 12.1%, respectively, = 0.057). Lower extremity injuries were more common in EBs versus CBs (55.8 and 37.6%, respectively, < 0.001). Orthopaedic surgical interventions were significantly higher in the EB group (49.2 vs. 33.2%, < 0.001), and length of stay in hospital and admission to pediatric intensive care unit were more common in EB compared with CB, although not significantly.
Injury severity of EB patients was significantly higher than that of CB patients. Accidents involving motorized vehicles were more common in the EB group. Head injury associated with loss of consciousness was significantly higher in EB patients.
电动自行车（EBs）在 18 岁以下儿童中的使用在全球范围内迅速增加，成为道路事故的一个重要原因。我们分析了儿童骑 EB 和经典自行车（CB）时的损伤模式和严重程度。
这是一项回顾性研究（2016 年 1 月至 2018 年 12 月），研究对象为因自行车事故而到我们医疗中心就诊的患者。数据来自病历，包括人口统计学、损伤特征、治疗和结局。
561 名儿童中，197 名（35%）是 EB 骑手，364 名（65%）是 CB 骑手。EB 自行车骑手的损伤严重程度评分（ISS）明显高于 CB 自行车骑手（分别为 4.08±4.67 和 3.16±2.84， = 0.012）。涉及机动车辆的事故发生率在 EB 组高于 CB 组（25.9%比 11.3%， < 0.001）。头部损伤是两组中最常见的损伤类型；CB 组的发生率高于 EB 组。然而，EB 组中意识丧失更为常见（分别为 18.3%和 12.1%， = 0.057）。下肢损伤在 EB 组中比 CB 组更常见（分别为 55.8%和 37.6%， < 0.001）。EB 组的骨科手术干预明显更高（49.2%比 33.2%， < 0.001），EB 组的住院时间和儿科重症监护病房的入住率也高于 CB 组，但差异无统计学意义。
EB 患者的损伤严重程度明显高于 CB 患者。涉及机动车辆的事故在 EB 组更为常见。EB 患者的头部损伤伴意识丧失明显更高。
