Evidence map›Paper›PMID 42517451›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026

National Burden of Bicyclist Hospitalizations in the United States by Rurality, 2016-2020.

Amir Ghanbari, Ryan M Carnahan, Joseph E Cavanaugh, Jodie M Plumert, Elizabeth E O'Neal, Cara Hamann

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In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Amir GhanbariDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0001-6796-7388
Ryan M CarnahanDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, USA.
Joseph E CavanaughInjury Prevention Research Center, University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0002-0514-7664
Jodie M PlumertDepartment of Psychological and Brain Sciences, The University of Iowa College of Liberal Arts and Sciences, Iowa City, Iowa, USA.
Elizabeth E O'NealDepartment of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa, USA.
Cara HamannDepartment of Epidemiology, University of Iowa, Iowa City, Iowa, USA.

Funding

The Association for the Advancement of Automotive Medicine (AAAM)
6 · The paper itself

Abstract

purposeBicyclist injuries are a major public health concern in the United States, with limited understanding of variations in injury severity and discharge outcomes by rurality. This study provides a national assessment of bicycling-related hospitalizations, focusing on differences by rurality.

methodsUsing HCUP-NIS data (2016-2020), bicycling-related hospitalizations were identified. Descriptive analyses characterized demographic and regional trends. Multivariable logistic regression, stratified by rural/urban patient residence, was used to assess factors associated with non-routine discharges.

findingsBetween 2016 and 2020, an estimated 124,000 bicyclist-related hospitalizations occurred, resulting in more than $10 billion in hospital costs. Overall, 31.2% resulted in non-routine discharge, including 1.4% deaths. Hospitalizations were stable through 2019 but increased by >20% in 2020. Urban residents accounted for most cases (91.1%). Cases were predominantly male (80%); aged 31-70 (65.4%) and hospitalized in the South (31.2%) or West (36.4%). Increasing age showed a strong dose-response relationship with non-routine discharge in both settings (e.g., age ≥ 71: OR

conclusionsBicyclist hospitalizations persisted and slightly increased over the study period. Age was the strongest predictor of non-routine discharge across settings, whereas sex and income effects were significantly associated with outcomes in urban areas. Findings highlight the need for tailored prevention strategies and equitable infrastructure improvements across rural and urban settings.

Indexed as

BicyclingCost of IllnessHospitalizationRural PopulationAdolescentAdultAgedChildFemaleHumansLogistic ModelsMaleMiddle AgedUnited Statesbicyclist injurieshealthcare systemshospitalizationinjuryrurality

Identifiers

PMID42517451
PMCPMC13411185

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.