Severe bicycling injury risk factors in children and adolescents: a case-control study

Accident; Analysis and Prevention
Brent E HagelBrian H Rowe

Abstract

Bicycling is the most common cause of sports and recreation injury in children and adolescents; yet, there is limited evidence on the factors associated with severe bicycling injuries in youth. Case-control study of injured bicyclists less than 18 years old seen in seven emergency departments (EDs) from May 2008 to October 2010. Cases were bicyclists hospitalized after their ED visit (severe injury). Controls were bicyclists seen and discharged from the ED (non-severe injury). Personal, environmental, and crash characteristics were collected by interview. Injury data were collected from medical charts. Crude and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) from logistic regression were used to estimate the odds of hospitalization associated with risk factors. Multiple imputation techniques were employed to address missing data. There were 1470 participants including 119 cases. Those ages 13-17 had the highest proportion (23%) of severe injuries resulting from motor vehicle [MV] collision. In models including age, sex and MV collision, being male (OR: 2.02; 95% CI: 1.21-3.38), not wearing a helmet (OR: 2.18; 95% CI: 1.43-3.31) and MV collision (OR: 3.91; 95% CI: 2.26-6.78) were significant risk factors for sever...Continue Reading

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Citations

Jul 28, 2016·International Journal of Epidemiology·Jake Olivier, Prudence Creighton
Dec 14, 2019·Traffic Injury Prevention·Amanda Axelsson, Helena Stigson
Jun 6, 2017·Traffic Injury Prevention·Yasuhiro MatsuiMasahito Hitosugi
Jun 28, 2019·Injury Epidemiology·Tona M PittBrent E Hagel

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