Abstract

Objective: Bicycle riding is increasingly popular in Taiwan, but the number of cyclists injured and cyclists' death rates are both increasing. The aim of this study was to investigate the different characteristics and clinical outcomes of traffic accident–related head injuries among cyclists in urban and rural areas. Methods: Records of 812 patients (533 urban and 279 rural) admitted to 27 hospitals in Taipei City and Hualien County as the result of a traumatic head injury while bicycling between 1998 and 2013 were retrieved for study. Demographics, details about the accident, protective helmet use, and clinical outcomes were then subjected to analysis. Results: Urban victims were more likely to be injured during morning and early evening rush hours and rural victims during the day; most urban victims were between 19 and 34 years of age and injured in the slow lane; rural victims tended to be younger or older and were injured in the fast lane (all P ≤.001). Riders who wore a helmet were less likely to suffer loss of consciousness (odds ratio [OR] = 0.31), amnesia (OR = 0.069), neurological disorders (OR = 0.205), or facial fractures (OR = 0.369). Older age, more severe head injuries, and bicycle–motor vehicle collisions influenced the severity of symptoms on admission and the residual effects at discharge. Conclusions: Differences in the characteristics of injuries in urban and rural areas and the utilization of protective helmets may help government authorities adopt appropriate policies to promote safer and more enjoyable cycling.

LanguageEnglish
Pages193-198
Number of pages6
JournalTraffic Injury Prevention
Volume18
Issue number2
DOIs
StatePublished - Feb 17 2017

Fingerprint

Head Protective Devices
Taiwan
Odds Ratio
Head
urban area
rural area
Craniocerebral Trauma
bicycle
Bicycles
Bicycling
Amnesia
Unconsciousness
Traffic Accidents
Motor Vehicles
Nervous System Diseases
Accidents
Demography
Mortality
Wounds and Injuries
death rate

Keywords

  • bicycle
  • Helmet
  • traffic accidents
  • traumatic head injury
  • urban–rural

ASJC Scopus subject areas

  • Safety Research
  • Public Health, Environmental and Occupational Health

Cite this

@article{308e43bbdc054f0a8999b5f31ca165b1,
title = "Characteristics and clinical outcomes of head-injured cyclists with and without helmets in urban and rural areas of Taiwan: A 15-year study",
abstract = "Objective: Bicycle riding is increasingly popular in Taiwan, but the number of cyclists injured and cyclists' death rates are both increasing. The aim of this study was to investigate the different characteristics and clinical outcomes of traffic accident–related head injuries among cyclists in urban and rural areas. Methods: Records of 812 patients (533 urban and 279 rural) admitted to 27 hospitals in Taipei City and Hualien County as the result of a traumatic head injury while bicycling between 1998 and 2013 were retrieved for study. Demographics, details about the accident, protective helmet use, and clinical outcomes were then subjected to analysis. Results: Urban victims were more likely to be injured during morning and early evening rush hours and rural victims during the day; most urban victims were between 19 and 34 years of age and injured in the slow lane; rural victims tended to be younger or older and were injured in the fast lane (all P ≤.001). Riders who wore a helmet were less likely to suffer loss of consciousness (odds ratio [OR] = 0.31), amnesia (OR = 0.069), neurological disorders (OR = 0.205), or facial fractures (OR = 0.369). Older age, more severe head injuries, and bicycle–motor vehicle collisions influenced the severity of symptoms on admission and the residual effects at discharge. Conclusions: Differences in the characteristics of injuries in urban and rural areas and the utilization of protective helmets may help government authorities adopt appropriate policies to promote safer and more enjoyable cycling.",
keywords = "bicycle, Helmet, traffic accidents, traumatic head injury, urban–rural",
author = "Kuo, {Chia Ying} and Chiou, {Hung Yi} and Lin, {Jia Wei} and Tsai, {Shin Han} and Lin, {Mau Roung} and Chiang, {Yung Hsiao} and Lin, {Chien Min} and Chu, {Shu Fen} and Liou, {Tsan Hon} and Chiu, {Wen Ta}",
year = "2017",
month = "2",
doi = "10.1080/15389588.2016.1235270",
volume = "18",
pages = "193--198",
journal = "Traffic Injury Prevention",
issn = "1538-9588",
publisher = "Taylor and Francis Ltd.",
number = "2",

}

TY - JOUR

T1 - Characteristics and clinical outcomes of head-injured cyclists with and without helmets in urban and rural areas of Taiwan

T2 - Traffic Injury Prevention

AU - Kuo,Chia Ying

AU - Chiou,Hung Yi

AU - Lin,Jia Wei

AU - Tsai,Shin Han

AU - Lin,Mau Roung

AU - Chiang,Yung Hsiao

AU - Lin,Chien Min

AU - Chu,Shu Fen

AU - Liou,Tsan Hon

AU - Chiu,Wen Ta

PY - 2017/2/17

Y1 - 2017/2/17

N2 - Objective: Bicycle riding is increasingly popular in Taiwan, but the number of cyclists injured and cyclists' death rates are both increasing. The aim of this study was to investigate the different characteristics and clinical outcomes of traffic accident–related head injuries among cyclists in urban and rural areas. Methods: Records of 812 patients (533 urban and 279 rural) admitted to 27 hospitals in Taipei City and Hualien County as the result of a traumatic head injury while bicycling between 1998 and 2013 were retrieved for study. Demographics, details about the accident, protective helmet use, and clinical outcomes were then subjected to analysis. Results: Urban victims were more likely to be injured during morning and early evening rush hours and rural victims during the day; most urban victims were between 19 and 34 years of age and injured in the slow lane; rural victims tended to be younger or older and were injured in the fast lane (all P ≤.001). Riders who wore a helmet were less likely to suffer loss of consciousness (odds ratio [OR] = 0.31), amnesia (OR = 0.069), neurological disorders (OR = 0.205), or facial fractures (OR = 0.369). Older age, more severe head injuries, and bicycle–motor vehicle collisions influenced the severity of symptoms on admission and the residual effects at discharge. Conclusions: Differences in the characteristics of injuries in urban and rural areas and the utilization of protective helmets may help government authorities adopt appropriate policies to promote safer and more enjoyable cycling.

AB - Objective: Bicycle riding is increasingly popular in Taiwan, but the number of cyclists injured and cyclists' death rates are both increasing. The aim of this study was to investigate the different characteristics and clinical outcomes of traffic accident–related head injuries among cyclists in urban and rural areas. Methods: Records of 812 patients (533 urban and 279 rural) admitted to 27 hospitals in Taipei City and Hualien County as the result of a traumatic head injury while bicycling between 1998 and 2013 were retrieved for study. Demographics, details about the accident, protective helmet use, and clinical outcomes were then subjected to analysis. Results: Urban victims were more likely to be injured during morning and early evening rush hours and rural victims during the day; most urban victims were between 19 and 34 years of age and injured in the slow lane; rural victims tended to be younger or older and were injured in the fast lane (all P ≤.001). Riders who wore a helmet were less likely to suffer loss of consciousness (odds ratio [OR] = 0.31), amnesia (OR = 0.069), neurological disorders (OR = 0.205), or facial fractures (OR = 0.369). Older age, more severe head injuries, and bicycle–motor vehicle collisions influenced the severity of symptoms on admission and the residual effects at discharge. Conclusions: Differences in the characteristics of injuries in urban and rural areas and the utilization of protective helmets may help government authorities adopt appropriate policies to promote safer and more enjoyable cycling.

KW - bicycle

KW - Helmet

KW - traffic accidents

KW - traumatic head injury

KW - urban–rural

UR - http://www.scopus.com/inward/record.url?scp=85009981770&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009981770&partnerID=8YFLogxK

U2 - 10.1080/15389588.2016.1235270

DO - 10.1080/15389588.2016.1235270

M3 - Article

VL - 18

SP - 193

EP - 198

JO - Traffic Injury Prevention

JF - Traffic Injury Prevention

SN - 1538-9588

IS - 2

ER -