Characteristics of bicycle-related head injuries among school-aged children in Taipei area

Jimmy Tse-Jen Wang MD , Joe-Sharg Li MD , Wen-Ta Chiu MD, PhD , Sheng-Hsuan Chen MD, PhD , Shin-Da Tsai MS , Wen-Yu Yu MD, MS , Chien-Chang Liao MS , Cheuk-Sing Choy MD, MS
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引用次数: 14

Abstract

Background

Bicycle-related head injury is an important public health issue. A paucity of statistical data on bicycle accidents exists in Taiwan. The purpose of this study was to report the characteristics of bicycle-related head injuries among school-aged children in Taipei, Taiwan.

Methods

Between 2001 and 2002, basic patient information of those with bicycle-related head injuries was collected from the Trauma Data Registry in 5 hospitals of the Taipei area. Telephone interviews were conducted to collect specific information surrounding bicycle accidents.

Results

Of 324 patients with bicycle-related head injuries, 90 (27.8%) had severe head injuries. Boys compared with girls had a higher proportion of severe head injuries (34.1% vs 23.4%; P = .048). Children aged 5 to 9 years had a higher proportion of severe head injuries compared with ages 10 to 14 years (65.2% vs 6.4%; P = .043). Bicycles without reflectors had a higher proportion of severe head injuries compared to bicycles with reflectors (69.0% vs 5.7%; P = .004). Bicyclists carrying goods (such as backpacks or weighted toward the road) and speeding were associated with severe head injury (P < .05). Collisions with vehicles of a larger size resulted in a higher rate of severe head injury compared with collisions with pedestrians (76.9% vs 3.6%; P = .043).

Conclusions

For children whose main mode of transport is bicycles, the enforcement of helmet legislation, educational programs in bicycling safety and equipment, and improving the infrastructure for bicycling in urban areas are needed in Taiwan to reduce potentially debilitating or life-threatening injuries.

台北地区学龄儿童脚踏车相关头部伤害特征分析
自行车相关的头部损伤是一个重要的公共卫生问题。台湾自行车事故的统计数据缺乏。摘要本研究旨在探讨台北市学龄儿童骑脚踏车相关头部伤害的特征。方法收集2001 ~ 2002年台北地区5家医院创伤资料库中与自行车相关的颅脑损伤患者的基本信息。通过电话采访收集自行车事故的具体信息。结果324例自行车相关颅脑损伤患者中,重度颅脑损伤90例(27.8%)。男孩严重头部损伤比例高于女孩(34.1% vs 23.4%);P = .048)。5 ~ 9岁儿童发生严重头部损伤的比例高于10 ~ 14岁儿童(65.2% vs 6.4%;P = .043)。与有反光镜的自行车相比,没有反光镜的自行车头部严重受伤的比例更高(69.0%比5.7%;P = .004)。骑自行车的人携带货物(如背包或重物)和超速与严重的头部损伤有关(P <. 05)。与与行人碰撞相比,与大型车辆碰撞导致严重头部受伤的比例更高(76.9%对3.6%);P = .043)。结论针对以自行车为主要交通工具的儿童,台湾需要加强头盔立法、自行车安全和装备教育、改善城市自行车基础设施,以减少可能导致身体虚弱或危及生命的伤害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Neurology
Surgical Neurology 医学-临床神经学
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