Abstract
BackgroundE-bike usage is increasingly popular and concerns about e-bike-related injuries and safety have risen as more injured e-bikers attend the emergency department (ED). Traumatic brain injury (TBI) is the main cause of severe morbidity and mortality in bicycle-related accidents. This study compares the frequency and severity of TBI after an accident with an e-bike or classic bicycle among patients treated in the ED.MethodsThis was a prospective cohort study of patients with bicycle-related injuries attending the ED of a level 1 trauma centre in the Netherlands between June 2016 and May 2017. The primary outcomes were frequency and severity of TBI (defined by the Abbreviated Injury Scale head score ≥1). Injury Severity Score, surgical intervention, hospitalisation and 30-day mortality were secondary outcomes. Independent risk factors for TBI were identified with multiple logistic regression.ResultsWe included 834 patients, of whom there were 379 e-bike and 455 classic bicycle users. The frequency of TBI was not significantly different between the e-bike and classic bicycle group (respectively, n=56, 15% vs n=73, 16%; p=0.61). After adjusting for age, gender, velocity, anticoagulation use and alcohol intoxication the OR for TBI with an e-bike compared with classic bicycle was 0.90 (95% CI 0.56 to 1.45). Independent of type of bicycle, TBI was more likely if velocity was 26–45 km/hour, OR 8.14 (95% CI 2.36 to 28.08), the patient was highly alcohol intoxicated, OR 7.02 (95% CI 2.88 to 17.08) or used anticoagulants, OR 2.18 (95% CI 1.20 to 3.97). TBI severity was similar in both groups (p=0.65): eight e-bike and seven classic bicycle accident victims had serious TBI.ConclusionThe frequency and severity of TBI among patients treated for bicycle-related injuries at our ED was similar for e-bike and classic bicycle users. Velocity, alcohol intoxication and anticoagulant use were the main determinants of the risk of head injury regardless of type of bicycle used.
Subject
Critical Care and Intensive Care Medicine,General Medicine,Emergency Medicine
Reference23 articles.
1. The Royal Society for the Prevention of Accidents . [Road safety factsheet - Electric bikes], 2018. Available: https://www.rospa.com/rospaweb/docs/advice-services/road-safety/cyclists/e-bikes-factsheet.pdf [Accessed 13 Aug 2019].
2. Stichting BOVAG-RAI Mobiliteit . [Mobility in numbers, two-wheeled vehicles 2018-2019], 2018. Available: https://bovagrai.info/tweewieler/2018 [Accessed 30 Apr 2019].
3. Incidence and costs of bicycle-related traumatic brain injuries in the Netherlands;Scholten;Accid Anal Prev,2015
4. Chronic impact of traumatic brain injury on outcome and quality of life: a narrative review;Stocchetti;Crit Care,2016
5. Health-Related quality of life after mild, moderate and severe traumatic brain injury: patterns and predictors of suboptimal functioning during the first year after injury;Scholten;Injury,2015
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献