自行车事故中的骨折模式:2015-2022年瑞典骨折登记册中关于自行车事故中骨折的描述性全国队列研究。

IF 2.2 3区 医学 Q3 CRITICAL CARE MEDICINE Injury-International Journal of the Care of the Injured Pub Date : 2024-10-18 DOI:10.1016/j.injury.2024.111960
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引用次数: 0

摘要

导言:在瑞典,自行车事故占交通事故的大多数。尽管自行车在日常生活中被广泛使用,但人们对自行车事故造成的骨折全景却知之甚少。本研究分析了瑞典自行车事故中的骨折类型、性别、年龄和自行车类型:我们从瑞典骨折登记册中检索了2015年至2022年期间所有由自行车事故造成的骨折数据。研究对象包括在瑞典骨折登记册中登记的因自行车事故造成一处或多处骨折的儿童和成人:我们纳入了 30815 名患者中的 33384 例骨折(成人 25960 例,儿童 7424 例),其中男性骨折患者居多。骨折时的平均年龄为 41.6 岁(SD 23)。大多数骨折(62.7%,n = 20932)是通过低能量机制造成的。总体而言,最常见的骨折部位是前臂(35.2%,n = 11,747)、手(15.6%,n = 5,196)和锁骨(13.7%,n = 4,558)。在儿童中,前臂骨折(56.8%,n = 4,215 例)明显占多数,其次是手部(11.7%,n = 868 例)和肱骨(11.0%,n = 816 例)。在成人中,前臂(29.0%,n = 7,532)、手部(16.7%,n = 4,328)和锁骨(15.7%,n = 4,086)是骨折发生率最高的三个部位。山地自行车和公路自行车的骨折情况非常相似,都以锁骨骨折为主。骨折在温暖季节更为常见:主要发现是骑自行车者主要通过低能量机制造成上肢骨折。骨折全景图因年龄、性别和自行车类型而异。
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Fracture patterns in bicycle accidents: A descriptive national cohort study of fractures sustained in bicycle accidents in the Swedish Fracture Register 2015–2022

Introduction

Bicycle accidents account for the majority of traffic-related accidents in Sweden. Despite the widespread everyday use of bicycles, little is known about the fracture panorama resulting from bicycle accidents. This study analysed the fracture patterns of bicycle accidents in Sweden in regard to fracture type, sex, age, and type of bicycle.

Material and methods

We retrieved data from the Swedish Fracture Register on all fractures caused by bicycle accidents between 2015 and 2022. The study population was comprised of both children and adults who had sustained one or more fractures in a bicycle accident as registered in the Swedish Fracture Register.

Results

We included 33,384 fractures (25,960 in adults and 7424 in children) in 30,815 patients, with a dominance of fractures in men. The mean age at fracture was 41.6 years (SD 23). The majority of fractures (62.7 %, n = 20,932) were sustained via a low energy mechanism. Overall, the most commonly fractured body parts were the forearm (35.2 %, n = 11,747), the hand (15.6 %, n = 5,196) and the clavicle (13.7 %, n = 4,558). In children, fractures of the forearm (56.8 %, n = 4,215) clearly dominated, followed by the hand (11.7 %, n = 868), and the humerus (11.0 %, n = 816). In adults, the top 3 fracture locations were the forearm (29.0 %, n = 7,532), the hand (16.7 %, n = 4,328), and the clavicle (15.7 %, n = 4,086). Mountain bikes and road bikes showed a fracture panorama that was very similar with a predominance of fractures to the clavicle. Fractures were more common during the warm season.

Conclusion

The main finding is that bicyclists predominantly sustained fractures of the upper limb via low energy mechanisms. The fracture panorama differed by age, sex, and type of bicycle.
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来源期刊
CiteScore
4.00
自引率
8.00%
发文量
699
审稿时长
96 days
期刊介绍: Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.
期刊最新文献
Editorial Board Fracture-related infection blood-based biomarkers: Diagnostic strategies The value of current diagnostic techniques in the diagnosis of fracture-related infections: Serum markers, histology, and cultures Antimicrobial resistance: Biofilms, small colony variants, and intracellular bacteria In vivo models of infection: Large animals – Mini review on human-scale one-stage revision in a porcine osteomyelitis model
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