Document Detail


Bicycle-related head injury: a study of 86 cases.
MedLine Citation:
PMID:  15094408     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Within the framework of a bicycle helmet research program, we have set up a database of bicycle accident victims, containing both accident and clinical data. The database consists of a consecutive series of 86 victims of bicycle accidents who underwent a neurosurgical intervention in our hospital between 1990 and 2000. Data were obtained from police files, medical records, computed tomography head scans and a patient questionnaire. In only three victims, the wearing of a helmet was documented. In this study, the head injuries are analysed and the relation between the different types of head injuries and outcome is assessed. Forty-four accidents were collisions with a motor vehicle and 42 accidents were falls. Most impacts occurred at the side (57%) or at the front (27%) of the head. The most frequent injuries were skull fractures (86%) and cerebral contusions (73%). Age was negatively correlated with outcome (P = 0.0002 ) and positively correlated with the number (P = 0.00002) and volume (P = 0.00005) of contusions and the presence of subdural haematomas (P = 0.000001). The injuries with the strongest negative effect on outcome were: subarachnoid haemorrhage (P = 0.000001), multiple (P = 0.000005) or large ( P 0.0007) contusions, subdural haematoma (P = 0.001) and brain swelling (P = 0.002). A significant coexistence of these four injuries was found. We hypothesise that in many patients the contusions may have been the primary injuries of this complex and should therefore be considered as a main injury determining outcome in this study. We believe that such findings may support a rational approach to optimising pedal cyclist head protection.
Authors:
Bart Depreitere; Carl Van Lierde; Sigrid Maene; Christiaan Plets; Jos Vander Sloten; Remy Van Audekercke; Georges Van der Perre; Jan Goffin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Accident; analysis and prevention     Volume:  36     ISSN:  0001-4575     ISO Abbreviation:  Accid Anal Prev     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-04-19     Completed Date:  2004-09-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1254476     Medline TA:  Accid Anal Prev     Country:  England    
Other Details:
Languages:  eng     Pagination:  561-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium. bart.depreitere@uz.kuleuven.ac.be
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / statistics & numerical data
Accidents, Traffic / statistics & numerical data
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Belgium / epidemiology
Bicycling / injuries*
Child
Craniocerebral Trauma / epidemiology*,  mortality,  prevention & control
Female
Glasgow Outcome Scale
Head Protective Devices / utilization
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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