Trend of severe abdominal injuries from bicycle accidents in children: A preventable condition.
Summary of "Trend of severe abdominal injuries from bicycle accidents in children: A preventable condition."
Aim:  Bicycle riding is a common recreational and sport activity enjoyed by many children. Bicycle accidents are a common cause of abdominal injuries. We aim to establish the trend and the associated risk factor(s) of bicycle-related abdominal injuries. Methods:  A retrospective review of all children admitted following bicycle accidents to a single tertiary referral centre was carried out over an approximately 5-year period. The data were tabulated and regression analyses were carried out. Results:  Over the study period, 196 children were admitted into the Emergency Department. Abdominal injuries (16%) were the third largest group after orthopaedic and head injuries. There were 19 major visceral injuries, seven of whom underwent major surgeries. Forty-two percent (8/19) of these major injuries were related to stunts. Over the same period, no child with head injury required any surgical intervention. In addition, there was a definite trend that abdominal injuries were accounting for greater percentage of bicycle-related injuries in children. Conclusions:  Severe intra-abdominal trauma following bicycle injuries appears to be seen more often in adolescent males, especially when related to BMX stunts. These injuries have surpassed head injuries as the prime cause of morbidity from bicycle accidents. These injuries are largely preventable.
Affiliation
Department of Paediatric Surgery, Monash Children's, Monash Medical Centre, Southern Health Department of Paediatrics and Department of Surgery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australi
Journal Details
This article was published in the following journal.
Name: Journal of paediatrics and child health
ISSN: 1440-1754
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22151129
- DOI: http://dx.doi.org/10.1111/j.1440-1754.2011.02233.x
Medical and Biotech [MESH] Definitions
Bicycling
The use of a bicycle for transportation or recreation. It does not include the use of a bicycle in studying the body's response to physical exertion (BICYCLE ERGOMETRY TEST see EXERCISE TEST).
Abdominal Injuries
General or unspecified injuries involving organs in the abdominal cavity.
Abdominal Pain
Sensation of discomfort, distress, or agony in the abdominal region; generally associated with functional disorders, tissue injuries, or diseases.
Abdomen, Acute
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.
Accidents, Traffic
Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.
PubMed Articles
Types and severity of operated supraclavicular brachial plexus injuries caused by traffic accidents.
BACKGROUND: Brachial plexus injuries occur in up to 5% of polytrauma cases involving motorcycle accidents and in approximately 4% of severe winter sports injuries. One of the cri...
Pancreatic trauma in children.
PURPOSE: To document the demographics, mechanisms and outcome of traumatic pancreatitis in children at a single large tertiary referral centre in Australia. METHODS: We undertook a 10-year retrospecti...
Handlebar injuries in children.
INTRODUCTION: Handlebar injuries in children may lead to severe organ lesions despite minimal initial signs and without visible skin bruise. We present our experiences applying a diagnostic and therap...
BACKGROUND: The frequency, characteristics, and effect on outcome of abdominal and pelvic injuries (API) caused by road traffic accidents are not well known. We studied them in a well-defined geograph...
Orofacial and dental trauma of young children in Dunedin, New Zealand.
Abstract - Aim: The aims were to identify the predominant causes and types of orofacial injury in young children attending clinics at a University Dental School in Dunedin, New Zealand. Material a...
Clinical Trials
Impact of Helmet Use in Preschool Children
- To test the hypothesis if provision of helmet education and free helmet distribution will significantly increase helmet use in preschool children of low-income families compar...
This is a 16 week exercise training program for people with severe to very severe chronic obstructive pulmonary disease (COPD). The purpose of this study is to find out if performing stren...
Enhancing ADHD Driving Performance With Stimulant Medication
Among children, attention-deficit/hyperactivity disorder (ADHD) is associated with an increased risk for accidents, especially bicycle and pedestrian (Leibson 2001; Jensen 1988; DiScala 19...
The Impact of Sleep Disorders on Motor Vehicle Accidents
Patients who have sleep disorders may be involved in accidents more frequently than those without. In addition patients who have sleep disoders may have more serious accidents and have inc...
Pediatric Traumatic Brain Injury: Methylphenidate Effects on Early Recovery
Traumatic Brain Injury (TBI) is the leading cause of acquired long term disability among children and young adults. Deficits in attention and memory are common and persist for years after...
