%0 Journal Article
%T Demographic variation in the injury patterns of adult cyclists admitted to a large US healthcare network: A five
%A Laura Simon
%A Melissa Janse
%A Rachel Nelson
%A Reema Kashif
%A Shanna E Williams
%A Tyler Goff
%J Trauma
%@ 1477-0350
%D 2019
%R 10.1177/1460408617740903
%X Despite considerable health and environmental benefits, cycling is also associated with a risk of injury. Yet, variation in the patterns of cycling trauma which manifests by gender, age, and race/ethnicity is ill-defined. This retrospective study aims to characterize injury patterns in different demographic groups of bicyclists admitted to the Greenville Health System in South Carolina. In this IRB-approved, retrospective study, five years of patient data (2010¨C2014) were gathered from seven emergency departments associated with the Greenville Health System. A total of 155 adult patients hospitalized for bicycle-related trauma were examined in terms of demographics (age, gender, and race) and injury. Injuries were categorized by type, region, and severity. Non-parametric tests were performed to study the effect of demographic characteristics on injury presentation. Spinal cord (p£¿=£¿0.003) and internal organ injuries (p£¿=£¿0.000) were significantly more common in men. External body injuries were also more prevalent and severe in men (p£¿=£¿0.05), while injury to the extremities and pelvic region was more common and severe in women (p£¿=£¿0.02). Herniations (p£¿=£¿0.028), internal organ injuries (p£¿=£¿0.000), and abrasions (p£¿=£¿0.04) occurred more often in White cyclists. This group was also more likely to be wearing a helmet at the time of accident (p£¿=£¿0.00). Finally, while hematomas were more prevalent in older adults (¡Ý55 years) cyclists (p£¿=£¿0.01), this population was also more also likely to wear a helmet than young adults (18¨C34 years) cyclists (p£¿=£¿0.025). Demographic differences exist in the types and severity of cycling trauma. These differences should be considered during the identification and management of bicycle-related trauma
%K Cycling
%K demographics
%K trauma
%U https://journals.sagepub.com/doi/full/10.1177/1460408617740903