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Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center

Background: Bicycle-related trauma has increased during the last decades, mainly due to the antipollution environmental policies. This study investigates the outcome of bicycle-related trauma in our level-one trauma center over a period of eight years. Methods: Data from 446 consecutive bicycle-rela...

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Autores principales: Reitano, Elisa, Cioffi, Stefano Piero Bernardo, Virdis, Francesco, Altomare, Michele, Spota, Andrea, Chiara, Osvaldo, Cimbanassi, Stefania
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9695191/
https://www.ncbi.nlm.nih.gov/pubmed/36422112
http://dx.doi.org/10.3390/jpm12111936
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author Reitano, Elisa
Cioffi, Stefano Piero Bernardo
Virdis, Francesco
Altomare, Michele
Spota, Andrea
Chiara, Osvaldo
Cimbanassi, Stefania
author_facet Reitano, Elisa
Cioffi, Stefano Piero Bernardo
Virdis, Francesco
Altomare, Michele
Spota, Andrea
Chiara, Osvaldo
Cimbanassi, Stefania
author_sort Reitano, Elisa
collection PubMed
description Background: Bicycle-related trauma has increased during the last decades, mainly due to the antipollution environmental policies. This study investigates the outcome of bicycle-related trauma in our level-one trauma center over a period of eight years. Methods: Data from 446 consecutive bicycle-related trauma patients admitted to our trauma center from 2011 to 2019 were selected and retrospectively analyzed. The sample was divided into three age groups: <18 years, 18–54 years, and ≥55 years. Mortality rates were obtained for the overall population and patients with an Injury Severity Score (ISS) ≥ 25. Month and seasonal patients’ distribution was described to provide an epidemiological overview of bike-related trauma over the years. Results: Patients ≥ 55 years showed a lower pre-hospital and in-hospital GCS (p ≤ 0.001), higher levels of lactates (p < 0.019) and higher ISS (p ≤ 0.001), probability of death (p ≤ 0.001), and overall mortality (p ≤ 0.001). The head and chest Abbreviated Injury Scale (AIS) ≥ 3 injuries were predictors of mortality, especially in patients over 55 years (p < 0.010). Bicycle-related trauma was more frequent during the summer (34%), particularly in July and August. Conclusions: Age over 55 years old, head and chest injuries, and an ISS > 25 were independent predictors of mortality.
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spelling pubmed-96951912022-11-26 Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center Reitano, Elisa Cioffi, Stefano Piero Bernardo Virdis, Francesco Altomare, Michele Spota, Andrea Chiara, Osvaldo Cimbanassi, Stefania J Pers Med Article Background: Bicycle-related trauma has increased during the last decades, mainly due to the antipollution environmental policies. This study investigates the outcome of bicycle-related trauma in our level-one trauma center over a period of eight years. Methods: Data from 446 consecutive bicycle-related trauma patients admitted to our trauma center from 2011 to 2019 were selected and retrospectively analyzed. The sample was divided into three age groups: <18 years, 18–54 years, and ≥55 years. Mortality rates were obtained for the overall population and patients with an Injury Severity Score (ISS) ≥ 25. Month and seasonal patients’ distribution was described to provide an epidemiological overview of bike-related trauma over the years. Results: Patients ≥ 55 years showed a lower pre-hospital and in-hospital GCS (p ≤ 0.001), higher levels of lactates (p < 0.019) and higher ISS (p ≤ 0.001), probability of death (p ≤ 0.001), and overall mortality (p ≤ 0.001). The head and chest Abbreviated Injury Scale (AIS) ≥ 3 injuries were predictors of mortality, especially in patients over 55 years (p < 0.010). Bicycle-related trauma was more frequent during the summer (34%), particularly in July and August. Conclusions: Age over 55 years old, head and chest injuries, and an ISS > 25 were independent predictors of mortality. MDPI 2022-11-21 /pmc/articles/PMC9695191/ /pubmed/36422112 http://dx.doi.org/10.3390/jpm12111936 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Reitano, Elisa
Cioffi, Stefano Piero Bernardo
Virdis, Francesco
Altomare, Michele
Spota, Andrea
Chiara, Osvaldo
Cimbanassi, Stefania
Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center
title Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center
title_full Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center
title_fullStr Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center
title_full_unstemmed Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center
title_short Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center
title_sort predictors of mortality in bicycle-related trauma: an eight-year experience in a level one trauma center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9695191/
https://www.ncbi.nlm.nih.gov/pubmed/36422112
http://dx.doi.org/10.3390/jpm12111936
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