• Livia E V M de Guerre, Said Sadiqi, Leenen Loek P H LPH Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands., Cumhur F Oner, and Steven M van Gaalen.
• Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
• Eur J Trauma Emerg Surg. 2020 Apr 1; 46 (2): 413-418.

BackgroundThis study aims to analyze the incidence and outcomes of bicycle-related injuries in hospitalized patients in The Netherlands.MethodsBicycle accidents resulting in hospitalization in a level-I trauma center in The Netherlands between 2007 and 2017 were retrospectively identified. We subcategorized data of patients involved in a regular bicycle, race bike, off-road bike or e-bike accident. The primary outcomes were mortality rate and incidence of multitrauma. Secondary outcomes were differences between bicycle subcategories. Independent risk factors were identified using multivariable logistic regression. All variables with a p value < 0.20 in univariable analysis were entered in multivariable analysis.ResultsWe identified 1986 patients. The mortality rate after emergency room admission was 5.7%, and 41.0% were multitraumas. A higher age, multitrauma and cerebral haemorrhages were independent risk factors for in hospital mortality. Independent risk factors found for multitrauma were a higher age, two-sided trauma, e-bike accidents and cerebral haemorrhage.ConclusionBicycle accidents resulting in hospitalization have a high mortality rate. Furthermore, a high incidence of multitrauma, fractures and cerebral haemorrhages were found. Considering the increasing incidence of bicycle accident victims needing hospital admission, new and more efficient prevention strategies are essential.

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