ArticleBMC public health2015
Bicycle-related hospitalizations at a Taiwanese level I Trauma Center.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Anxiety and Depression in Patients with Traumatic Spinal Cord Injury: A Nationwide Population-Based Cohort Study.PloS one · 2017Trial
- Epidemiology of traumatic spinal cord injury: a comparative study of anxiety or depression incidence between 2000 and 2009 and 2010-2019.BMC psychology · 2025Article
- Characteristics of Bicycle-Related Maxillofacial Injuries Between 2019-2023-Retrospective Study from Poznan, Poland.Journal of clinical medicine · 2025Article
- Epidemiology, injury characteristics and clinical outcomes of bicycle and motorcycle accidents in the under 20 population: South Korea.BMC emergency medicine · 2022Article
- Patterns and clinical outcomes of injuries related to two-wheeled vehicles (bicycle and motorcycle) in the geriatric population: a nationwide analysis in South Korea (2016-2018).BMC geriatrics · 2021Article
- Injury patterns in elderly cyclists and motorcyclists presenting to a tertiary trauma centre in Singapore.Singapore medical journal · 2021Article
- A national trauma database analysis of alcohol- associated injuries.Singapore medical journal · 2019Article
- The protective effect of helmet use in motorcycle and bicycle accidents: a propensity score-matched study based on a trauma registry system.BMC public health · 2017Article
- Trauma injury in adult underweight patients: A cross-sectional study based on the trauma registry system of a level I trauma center.Medicine · 2017Article
- Article
- Traumatic injuries among adult obese patients in southern Taiwan: a cross-sectional study based on a trauma registry system.BMC public health · 2016Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThis study aimed to investigate differences in injury severity and mortality between patients who met with bicycle or motorcycle accidents and were hospitalized at a Level I trauma center in Taiwan.
methodsWe performed a retrospective analysis of bicycle-related injuries that have been reported in the Trauma Registry System in order to identify and compare 699 bicyclists to 7,300 motorcyclists who were hospitalized for treatment between January 1, 2009 and December 31, 2013. Statistical analyses of the injury severity, associated complications, and length of stay in the hospital and intensive care unit (ICU) were performed to compare the risk of injury of bicyclists to that of motorcyclists with the corresponding unadjusted odds ratios and 95 % confidence intervals (CIs). Adjusted odds ratios (AORs) and 95 % CIs for mortality were calculated by controlling for confounding variables that included age, and an Injury Severity Score (ISS) was calculated.
resultsMore of the cyclists were under 19 years of age or over 70 than were the motorcyclists. In contrast, fewer bicyclists than motorcyclists wore helmets, arrived at the emergency department between 11 p.m. and 7 a.m., and had a positive blood alcohol concentration test. The bicyclists sustained significantly higher rates of injuries to the extremities, while motorcyclists sustained significantly higher rates of injuries to the head and neck, face, and thorax. Compared to motorcyclists, the bicyclists had significantly lower ISSs and New Injury Severity Scores, shorter length hospital stays, and a smaller proportion of admittance into the ICU. However, the bicyclists had higher AORs for in-hospital mortality (AOR: 1.2, 95 % CI: 1.16-1.20). In terms of critical injury severity (ISS ≥ 25), the bicyclists had 4.4 times (95 % CI: 1.95-9.82) the odds of mortality than motorcyclists with the same ISSs.
conclusionsData analysis indicated that the bicyclists had unique injury characteristics including bodily injury patterns and lower ISSs, but had higher in-hospital mortality compared to motorcycle riders. In this study, given that only 9 % of bicyclists reported wearing helmets and considering the high mortality associated with head injury, it is possible that some bicycle riders underestimated the gravity of cycling accidents.
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