The injury epidemiology of cyclists based on a road trauma registry.
The injury epidemiology of cyclists based on a road trauma registry.
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DOI：
10.1186/1471-2458-11-653
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发表时间：
2011-08-17
影响因子：
4.5
通讯作者：
Laumon, Bernard
中科院分区：
文献类型：
--
作者：
Amoros, Emmanuelle;Chiron, Mireille;Laumon, Bernard
背景：自行车的使用在法国一些主要城市有所增加，主要是作为一种交通工具。自行车事故需要研究，最好是按骑自行车的类型来研究。这里我们进行描述性分析。方法：自1996年以来，法国里昂（罗纳河，人口160万）周围的一个大县一直在使用道路创伤登记处。它涵盖了门诊病人、住院病人和死亡病人。所有的伤害都使用简易伤害量表（AIS）进行编码。使用代理来确定三种类型的循环：学习=儿童（0-10岁）；运动自行车=青少年和成年人在城镇外受伤；自行车作为交通工具=青少年和成年人在城镇受伤。这项研究基于1996年至2008年期间13,684名骑自行车者的伤亡。结果：骑自行车者在机动车碰撞中受伤的比例为儿童8%，青少年和成人在城镇外受伤的比例为17%，在城镇内受伤的比例为31%。严重伤亡率（MAIS 3+）在儿童中占4.5%，在镇外受伤的成年人中占10.9%，在镇内受伤的成年人中占7.2%。与机动车碰撞导致的内伤比仅与自行车碰撞造成的内伤更多。结论：该描述表明骑自行车者类型与不同的碰撞和损伤模式有关。特别是，在城镇（骑自行车的人越来越多）受伤的骑自行车的人，在两种类型的碰撞（仅骑自行车的碰撞和与机动车辆的碰撞）中，通常比在城镇以外受伤的人受伤的严重程度要低。这可能是由于城镇中自行车和机动车的行驶速度较慢。
BACKGROUND: Bicycle use has increased in some of France's major cities, mainly as a means of transport. Bicycle crashes need to be studied, preferably by type of cycling. Here we conduct a descriptive analysis.METHOD: A road trauma registry has been in use in France since 1996, in a large county around Lyon (the Rhone, population 1.6 million). It covers outpatients, inpatients and fatalities. All injuries are coded using the Abbreviated Injury Scale (AIS). Proxies were used to identify three types of cycling: learning = children (0-10 years old); sports cycling = teenagers and adults injured outside towns; cycling as means of transport = teenagers and adults injured in towns. The study is based on 13,684 cyclist casualties (1996-2008).RESULTS: The percentage of cyclists injured in a collision with a motor vehicle was 8% among children, 17% among teenagers and adults injured outside towns, and 31% among those injured in towns. The percentage of serious casualties (MAIS 3+) was 4.5% among children, 10.9% among adults injured outside towns and 7.2% among those injured in towns. Collisions with motor-vehicles lead to more internal injuries than bicycle-only crashes.CONCLUSION: The description indicates that cyclist type is associated with different crash and injury patterns. In particular, cyclists injured in towns (where cycling is increasing) are generally less severely injured than those injured outside towns for both types of crash (bicycle-only crashes and collisions with a motor vehicle). This is probably due to lower speeds in towns, for both cyclists and motor vehicles.