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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9695191 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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