Teens on Wheels and Consequences : A Six-Year Population-Based Study of Bicycle and Moped Injuries

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http://hdl.handle.net/10138/337598

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Unkuri , J , Salminen , P , Kallio , P & Kosola , S 2021 , ' Teens on Wheels and Consequences : A Six-Year Population-Based Study of Bicycle and Moped Injuries ' , European Journal of Pediatric Surgery , vol. 31 , no. 03 , pp. 266-272 . https://doi.org/10.1055/s-0040-1712930

Title: Teens on Wheels and Consequences : A Six-Year Population-Based Study of Bicycle and Moped Injuries
Author: Unkuri, Jani; Salminen, Päivi; Kallio, Pentti; Kosola, Silja
Contributor organization: Children's Hospital
HUS Children and Adolescents
Lastenkirurgian yksikkö
University of Helsinki
Staff Services
Date: 2021-06
Language: eng
Number of pages: 7
Belongs to series: European Journal of Pediatric Surgery
ISSN: 0939-7248
DOI: https://doi.org/10.1055/s-0040-1712930
URI: http://hdl.handle.net/10138/337598
Abstract: Introduction Road traffic accidents are a major contributor to morbidity and mortality in the pediatric and adolescent population. Among adolescents, bicycles and light motorized two wheelers are popular means of transportation and increase adolescents' autonomy. Most previous studies on injury risk and incidence have pooled different vehicles and age groups together but more distinct data are required to guide policy. Materials and Methods We gathered data on all 1,432 children and adolescents (age 7-15) who had been treated for injuries from bicycle(n 1/4 841) or moped/motorized scooter (n 1/4 591) accidents at our study centers during a 6- year period (2008-2013). In addition to clinical data, we reviewed Injury Severity Scores (ISS) and calculated incidence estimates for the population of 15- year-olds in the study area. Results Most bicyclists were injured after a fall (72%), whereas most moped/scooter riders were injured in a collision (51%), most often with a heavier motorized vehicle. Internal injuries, multiple injuries, and severe injuries (ISS >15) were more common among moped/scooter riders than bicyclists (p < 0 .001 for all). Moped/scooter riders were more often hospitalized and underwent more operations than bicyclists (p < 0.001 for both). The annual estimated incidence rates of injury were roughly eightfold for 15-year-old moped/scooter riders compared to bicyclists of the same age. Conclusion Cycling is in general a safe mode of transportation and rider safety could be further increased with the proper use of helmets. Although no patient deaths occurred in this study population, mopeds and motorized scooters led to significant morbidity.
Subject: moped
bicycle
pediatric trauma
adolescent
PHYSICAL-ACTIVITY
CHILDREN
TRAUMA
3123 Gynaecology and paediatrics
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: unspecified
Usage restriction: openAccess
Self-archived version: acceptedVersion


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