University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
Center for Biostatistics, Department of Biomedical Informatics, The Ohio State University, Columbus, OH 43210, USA.
Int J Environ Res Public Health. 2023 Apr 14;20(8):5515. doi: 10.3390/ijerph20085515.
Bicycling is a common childhood activity that is associated with significant injury risk. This study's aim was to assess pediatric bicycle injury epidemiology and impacts of the COVID-19 pandemic. We conducted a cross-sectional evaluation of patients age < 18 years presenting with bicycle injury to a pediatric trauma center. A pre-pandemic period (1 March 2015-29 February 2020) was compared to the pandemic period (1 March 2020-28 February 2021). A total of 611 injury events for children < 18 years were included (471 pre-pandemic events and 140 pandemic events). The relative frequency of pandemic injuries was greater than pre-pandemic injuries ( < 0.001), resulting in a 48% increase in pandemic period injuries versus the pre-pandemic average (141 pandemic vs. 94.4/year pre-pandemic). Individuals of female sex represented a larger proportion of injuries in the pandemic period compared to the pre-pandemic period (37% pandemic vs. 28% pre-pandemic, = 0.035). Injuries were more common on weekends versus weekdays ( = 0.01). Time series analysis showed a summer seasonality trend. Localizing injury events to ZIP codes showed regional injury density patterns. During COVID-19, there was an increase in bicycle injury frequency and proportional shift toward more injuries involving individuals of female sex. Otherwise, injury patterns were largely unchanged. These results demonstrate the necessity of safety interventions tailored to community needs.
骑自行车是一种常见的儿童活动，但与重大受伤风险相关。本研究旨在评估儿科自行车伤害的流行病学情况以及 COVID-19 大流行的影响。我们对一家儿科创伤中心因自行车受伤就诊的 <18 岁患者进行了横断面评估。将 2015 年 3 月 1 日至 2020 年 2 月 29 日的大流行前时期与 2020 年 3 月 1 日至 2021 年 2 月 28 日的大流行时期进行了比较。共纳入了 <18 岁儿童的 611 例伤害事件（大流行前 471 例，大流行期 140 例）。大流行期伤害的相对频率高于大流行前（<0.001），与大流行前平均水平相比，大流行期伤害增加了 48%（大流行期 141 例，大流行前 94.4/年）。与大流行前时期相比，女性在大流行时期的伤害比例更大（大流行期 37%，大流行前 28%，=0.035）。与工作日相比，周末的伤害更为常见（=0.01）。时间序列分析显示出季节性趋势。将伤害事件定位到邮政编码区域显示出区域伤害密度模式。在 COVID-19 期间，自行车伤害的频率增加，涉及女性的伤害比例呈上升趋势。否则，伤害模式基本保持不变。这些结果表明需要根据社区需求制定有针对性的安全干预措施。
