Abstract
The number of bicycle-related injuries has risen significantly with the increased popularity of bicycle riding in Canada. The risk of injury is highest among children. To assess the magnitude of the problem and to identify the contributing factors we used a questionnaire, injury reports and patient charts to survey bicycle-related injuries among children brought to the emergency department of the Children's Hospital of Eastern Ontario, Ottawa, between May 1 and Sept. 30, 1988. The questionnaire was completed for 517 (91%) of the 568 children; 70% were boys, and the mean age was 9.4 years. Only 2% of the patients had been wearing a helmet at the time of injury, although 13% claimed to own one for cycling. Over 60% of the accidents were attributable to carelessness or poor bicycle control; mechanical failure and environmental hazards were minor factors. Over 80% of the injuries occurred within a kilometre of the child's home. Of the 97 children admitted to hospital 49% had head and skull injuries and 40% had limb fractures. Bicycle-related injuries represented 14.8% of all nonwinter (Apr. 1 to Oct. 31) trauma admissions among children 5 years or older. Our results further document bicycle-related injuries as an important childhood problem and underscore the need for improved safety measures.
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- Armson C. J., Pollard C. W. Child cyclist injuries: a prospective study. Med J Aust. 1986 Feb 3;144(3):144–146. doi: 10.5694/j.1326-5377.1986.tb112244.x. [DOI] [PubMed] [Google Scholar]
- DiGuiseppi C. G., Rivara F. P., Koepsell T. D., Polissar L. Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989 Oct 27;262(16):2256–2261. [PubMed] [Google Scholar]
- Dorsch M. M., Woodward A. J., Somers R. L. Do bicycle safety helmets reduce severity of head injury in real crashes? Accid Anal Prev. 1987 Jun;19(3):183–190. doi: 10.1016/0001-4575(87)90002-9. [DOI] [PubMed] [Google Scholar]
- Friede A. M., Azzara C. V., Gallagher S. S., Guyer B. The epidemiology of injuries to bicycle riders. Pediatr Clin North Am. 1985 Feb;32(1):141–151. doi: 10.1016/s0031-3955(16)34762-9. [DOI] [PubMed] [Google Scholar]
- Ivan L. P., Choo S. H., Ventureyra E. C. Head injuries in childhood: a 2-year survey. Can Med Assoc J. 1983 Feb 1;128(3):281–284. [PMC free article] [PubMed] [Google Scholar]
- McDermott F. T., Klug G. L. Head injury predominance: pedal-cyclists vs motor-cyclists. Med J Aust. 1985 Sep 16;143(6):232–234. doi: 10.5694/j.1326-5377.1985.tb122954.x. [DOI] [PubMed] [Google Scholar]
- Nixon J., Clacher R., Pearn J., Corcoran A. Bicycle accidents in childhood. Br Med J (Clin Res Ed) 1987 May 16;294(6582):1267–1269. doi: 10.1136/bmj.294.6582.1267. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Selbst S. M., Alexander D., Ruddy R. Bicycle-related injuries. Am J Dis Child. 1987 Feb;141(2):140–144. doi: 10.1001/archpedi.1987.04460020030021. [DOI] [PubMed] [Google Scholar]
- Thompson R. S., Rivara F. P., Thompson D. C. A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989 May 25;320(21):1361–1367. doi: 10.1056/NEJM198905253202101. [DOI] [PubMed] [Google Scholar]