Mumtaz Shadaab, Cymerman James, Komath Deepak
Department of Oral and Maxillofacial Surgery, Royal Free London Foundation Trust, London, UK.
Craniomaxillofac Trauma Reconstr. 2022 Mar;15(1):46-50. doi: 10.1177/19433875211007008. Epub 2021 Mar 30.
There has been a notable surge in cycling injuries during the COVID-19(SARS-CoV-2 virus) pandemic. Cycling in general increased during lockdown as a leisure & fitness activity along with reduction in the use of public transport for commuting. We investigated the bicycle-related maxillofacial injuries & associations presenting through our emergency department(ED) which covers more than 1.6 million of London population.
STUDY DESIGN/METHODS: A retrospective observational study was undertaken in the Barnet General Hospital ("hub") which receives all maxillofacial referrals from 6 "spoke" hospitals & other urgent primary/community care practices in North London area between 16 March 2020 & 16 July 2020. All data corresponding to cycling injuries during the lockdown period was analyzed with the aid of trauma database/trust-wide electronic patient records.
Twenty-two patients (6.7%) with cycling-related injuries out of a total of 322 patients who attended during the 4 months study period with maxillofacial emergencies were identified. Average age of patient cohort was 35.4 years, mainly consisting of adult males (77%). Seven patients had minor head injury and 1 patient suffered traumatic brain injury. About 59% patients did not wear a protective helmet & 3 patients had heavy alcohol/recreational drug intoxication during the accidents. Four patients needed inpatient admission and treatment under general anesthesia.
Based on our humble study, we advocate the need for robust road & personal safety measures with mandatory government legislations, policing of drug intoxication & encouragement of physical & mental health improvement measures during these unprecedented times & beyond.
在新冠疫情（严重急性呼吸综合征冠状病毒2病毒）大流行期间，自行车骑行受伤情况显著激增。在封锁期间，作为一种休闲和健身活动，自行车骑行总体上有所增加，同时通勤使用公共交通的情况减少。我们调查了通过我们急诊科就诊的与自行车相关的颌面损伤及相关情况，我们的急诊科覆盖伦敦超过160万人口。
研究设计/方法：在巴尼特综合医院（“中心医院”）进行了一项回顾性观察研究，该医院接收了2020年3月16日至2020年7月16日期间来自伦敦北部地区6家“分支”医院及其他紧急初级/社区护理机构的所有颌面转诊病例。借助创伤数据库/全信托电子病历对封锁期间所有与自行车骑行受伤相关的数据进行了分析。
在4个月研究期间因颌面急诊前来就诊的322名患者中，确定了22名（6.7%）与自行车骑行相关受伤的患者。患者队列的平均年龄为35.4岁，主要为成年男性（77%）。7名患者有轻度头部损伤，1名患者患有创伤性脑损伤。约59%的患者未佩戴防护头盔，3名患者在事故发生时重度酒精/娱乐性药物中毒。4名患者需要住院并接受全身麻醉治疗。
基于我们这项规模不大的研究，我们主张在这些前所未有的时期及以后，需要通过强有力的道路和个人安全措施、政府强制立法、对药物中毒进行监管以及鼓励身心健康改善措施。
