Major genitourinary-related bicycle trauma: Results from 20 years at a level-1 trauma center |
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| Affiliation: | 1. Department of Urology, University of California – San Francisco, San Francisco, CA, United States;2. Department of Urology, King Abdulaziz University, Jeddah, Saudi Arabia;3. Department of Urology, University of Washington, Seattle, WA, United states;1. Division of Urologic Oncology, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA, USA;2. Department of Urology, SUNY Upstate Medical University, Syracuse, NY, USA;3. Department of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA;4. Division of Urologic Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA;1. Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri;2. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri;3. Departments of Psychiatry and Surgery/Division of Emergency Medicine, North Texas Veterans Affairs Health Care System and University of Texas Southwestern Medical Center, Dallas, Texas;4. Department of Anesthesiology, University of Alabama at Birmingham, Birmingham, Alabama;1. Department of Emergency and Critical Care Medicine, Ohta Nishinouchi Hospital, Fukushima, Japan;2. Department of Emergency and Critical Care Medicine, JR General Hospital, Tokyo, Japan |
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| Abstract: | ![]()
BackgroundEpidemiological studies have shown that bicycle trauma is associated with genitourinary (GU) injuries. Our objective is to characterize GU-related bicycle trauma admitted to a level I trauma center.Materials and methodsWe queried a prospective trauma registry for bicycle injuries over a 20-year period. Patient demographics, triage data, operative interventions and hospital details were collected.ResultsIn total, 1659 patients were admitted with major bicycle trauma. Of these, 48 cases involved a GU organ, specifically the bladder (n = 7), testis (n = 6), urethra (n = 3), adrenal (n = 4) and/or kidneys (n = 36). The median age of cyclists with GU injuries was 29 (range 5–70). More men were injured versus women (35 versus 13). GU-related bicycle trauma involved a motor vehicle in 52% (25/48) of injuries. The median injury severity score for GU-related bicycle trauma was 17 (range 1–50). The median number of concomitant organ injuries was 2 (range 0–6), the most common of which was the lungs (13/48, 27%) and ribs (13/48, 27%). The majority of GU injured cyclists were admitted to an ICU (15/48, 31%) or hospital floor (12/48, 25%). Operative intervention for a GU-related trauma was low (12/48, 25%). The most common GU organ injured was the kidney (36/48, 75%) however most were managed nonoperatively (33/36, 92%). Bladder injuries most often required operative intervention (6/7, 86%). Mortality following GU-related bicycle trauma was low (2/48, 4%).ConclusionsIn a large series of bicycle trauma, GU organs were injured in 3% of cases. The majority of cases were managed non-operatively and mortality was low. |
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| Keywords: | Bicycle trauma Genitourinary trauma Cycling Trauma registry |
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