Table 9.
Description of possibly fatal (AIS4+) injuries, by type of cyclist, Rhône road trauma registry, 1996-2008
| Teenagers and adults injured in towns | Teenagers and adults injured outside towns | Injured children | Total | |||||
|---|---|---|---|---|---|---|---|---|
| n = 182 injuries | n = 77 injuries | n = 14 injuries | n = 273 injuries | |||||
| n | Col. % | n | Col. % | n | Col. % | n | Col. % | |
| head | ||||||||
| 7 | 3.8% | 0 | 0.0% | 1 | 7.1% | 8 | 2.9% | whole area, major injury or massive destruction |
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | vertebral artery, laceration |
| 3 | 1.6% | 4 | 5.2% | 0 | 0.0% | 7 | 2.6% | brain stem, contusion, hemorrhage or laceration |
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | cerebellum, hematoma, intracerebellar |
| 3 | 1.6% | 0 | 0.0% | 0 | 0.0% | 3 | 1.1% | cerebellum, hematoma, subdural |
| 0 | 0.0% | 4 | 5.2% | 0 | 0.0% | 4 | 1.5% | cerebrum, contusion(s) |
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | cerebrum, diffuse axonal injury |
| 24 | 13.2% | 12 | 15.6% | 3 | 21.4% | 39 | 14.3% | cerebrum, hematoma, epidural or extradural |
| 22 | 12.1% | 8 | 10.4% | 1 | 7.1% | 31 | 11.4% | cerebrum, hematoma, intracerebral |
| 30 | 16.5% | 11 | 14.3% | 3 | 21.4% | 44 | 16.1% | cerebrum, hematoma, subdural |
| 13 | 7.1% | 8 | 10.4% | 2 | 14.3% | 23 | 8.4% | cerebrum, edema |
| 4 | 2.2% | 3 | 3.9% | 1 | 7.1% | 8 | 2.9% | cerebrum, intraventricular hemorrhage |
| 11 | 6.0% | 3 | 3.9% | 1 | 7.1% | 15 | 5.5% | base or vault fracture |
| 2 | 1.1% | 1 | 1.3% | 1 | 7.1% | 4 | 1.5% | unconscious on admission or initial observation at scene, no other injury description |
| 122 | 67.0% | 54 | 70.1% | 13 | 92.9% | 189 | 69.2% | head, total |
| face | ||||||||
| 1 | 0.5% | 2 | 2.6% | 0 | 0.0% | 3 | 1.1% | maxilla fracture, blood loss > 20% by volume |
| 1 | 0.5% | 2 | 2.6% | 0 | 0.0% | 3 | 1.1% | face, total |
| neck | ||||||||
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | carotid, laceration, major |
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | neck total |
| thorax | ||||||||
| 2 | 1.1% | 0 | 0.0% | 0 | 0.0% | 2 | 0.7% | (crush) bilateral obliteration of a substantial portion of the chest cavity including internal organs |
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | aorta, thoracic, laceration, major, with hemorrhage |
| 0 | 0.0% | 1 | 1.3% | 0 | 0.0% | 1 | 0.4% | heart (myocardium), contusion, severe |
| 11 | 6.0% | 3 | 3.9% | 0 | 0.0% | 14 | 5.1% | lung, contusion, bilateral |
| 0 | 0.0% | 2 | 2.6% | 0 | 0.0% | 2 | 0.7% | lung, laceration, bilateral with hemomediastinum |
| 18 | 9.9% | 9 | 11.7% | 0 | 0.0% | 27 | 9.9% | rib cage, fracture > 3 ribs on one side at least, with hemo-/pneumothorax |
| 7 | 3.8% | 3 | 3.9% | 0 | 0.0% | 10 | 3.7% | rib cage, fracture, with flail |
| 39 | 21.4% | 18 | 23.4% | 0 | 0.0% | 57 | 20.9% | thorax, total |
| abdomen | ||||||||
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | anus, laceration, massive |
| 1 | 0.5% | 1 | 1.3% | 0 | 0.0% | 2 | 0.7% | kiney, laceration, major |
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | liver laceration, massive, complex |
| 7 | 3.8% | 0 | 0.0% | 0 | 0.0% | 7 | 2.6% | spleen laceration |
| 0 | 0.0% | 0 | 0.0% | 1 | 7.1% | 1 | 0.4% | stomach laceration, massive |
| 10 | 5.5% | 1 | 1.3% | 1 | 7.1% | 12 | 4.4% | abdomen, total |
| cervical spine | ||||||||
| 2 | 1.1% | 1 | 1.3% | 0 | 0.0% | 3 | 1.1% | brachial plexus injury |
| 4 | 2.2% | 0 | 0.0% | 0 | 0.0% | 4 | 1.5% | cord contusion, laceration or complete cord syndrom |
| 6 | 3.3% | 1 | 1.3% | 0 | 0.0% | 7 | 2.6% | cervical spine, total |
| thoracic spine | ||||||||
| 2 | 1.1% | 1 | 1.3% | 0 | 0.0% | 3 | 1.1% | complete cord syndrom, with fracture |
| 2 | 1.1% | 1 | 1.3% | 0 | 0.0% | 3 | 1.1% | thoracic spine, total |
| lower extremities | ||||||||
| 1 | 0.5% | 0 | 0.0% | 0 | 0.0% | 1 | 0.4% | pelvis, substantial deformation and displacement with associated vascular disruption or with major retroperitoneal hematoma |
| 2 | 1.1% | 0 | 0.0% | 0 | 0.0% | 2 | 0.7% | lower extremities, total |