The risk of pediatric bicycle handlebar injury compared with non-handlebar injury: a retrospective multicenter study in Osaka, Japan
Rattachement africain : jp. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Bicycle accidents are one of the major causes of unintentional traumatic injury in childhood. The purpose of this study was to examine characteristics and risks of handlebar injury in childhood. METHODS: We conducted a more than 5-year retrospective survey of patients under 15 years of age with bicycle-related injuries admitted to eight urban tertiary emergency centers in Osaka, Japan. Patients were divided into the direct-impact handlebar injury (HI) group and the non-handlebar injury (NHI) group. RESULTS: The HI group included 18 patients and the NHI group included 308 patients. Median Injury Severity Score (ISS) in the HI group was 9. Injury sites included the chest, 2 (chest bruise, 1; tracheal injury, 1) and abdomen, 16 (hepatic injury, 6; pancreatic injury, 2; duodenal injury, 1; splenic injury, 1; small intestinal injury, 1; retroperitoneal hemorrhage, 1; renal injury, 1; abdominal wall musculature injury, 2; bladder injury, 1; and perineal laceration, 1). There were no significant differences in age, sex, ISS, and prognosis between the two groups. However, significant differences were seen in the abdominal median Abbreviated Injury Scale (AIS) score, which was higher in the HI group (3 vs 0, p < 0.01), and in the head median AIS score, which was higher in the NHI group (0 vs 2, p < 0.01). As mechanisms of injury, falling while riding a bicycle occurred significantly more frequently in the HI group (17 [94.4 %] vs 65 [21.1 %], p < 0.01). Direct transportation from the scene of the accident occurred significantly more often in the NHI group (5 [27.8 %] vs 255 [82.8 %], p < 0.01), whereas transfer from another hospital occurred significantly more frequently in the HI group (11 [61.1 %] vs 45 [14.6 %], p < 0.01). CONCLUSIONS: Handlebar injuries in children have significant potential to cause severe damage to visceral organs, especially those in the abdomen.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The risk of pediatric bicycle handlebar injury compared with non-handlebar injury: a retrospective multicenter study in Osaka, Japan
- Date Crossref
- 17/09/2015
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The University of Osaka pays non établi dans la noticeUniversité ou école supérieure
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Rinku General Medical Center Senshu Trauma and Critical Care Center pays non établi dans la noticeÉtablissement de santé
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Saiseikaisenri Hospital pays non établi dans la noticeÉtablissement de santé
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Osaka Police Hospital pays non établi dans la noticeÉtablissement de santé
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Osaka City University Department of Trauma and Critical Care Medicine pays non établi dans la noticeUniversité ou école supérieure
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Osaka National Hospital pays non établi dans la noticeÉtablissement de santé
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Osaka University Graduate School of Medicine Department of Traumatology and Acute Critical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Osaka General Medical Center Department of Emergency Medicine pays non établi dans la noticeÉtablissement de santé
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Senri Critical Care Medical Center pays non établi dans la noticeÉtablissement de santé
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Emergency and Critical Care Medical Center pays non établi dans la noticeÉtablissement de santé
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Osaka Prefectural Nakakawachi Medical Center of Acute Medicine pays non établi dans la noticeÉtablissement de santé
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Traumatology and Critical Care Medical Center pays non établi dans la noticeÉtablissement de santé
The University of Osaka, Senshu Trauma and Critical Care Center — Rinku General Medical Center et Saiseikaisenri Hospital, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.