@article{ref1,
title="Major genitourinary-related bicycle trauma: results from 20 years at a level-1 trauma center",
journal="Injury",
year="2016",
author="Osterberg, E. Charles and Awad, Mohannad A. and Gaither, Thomas W. and Sanford, Thomas and Alwaal, Amjad and Hampson, Lindsay A. and Yoo, Jennie and McAninch, Jack W. and Breyer, Benjamin N.",
volume="48",
number="1",
pages="153-157",
abstract="BACKGROUND: Epidemiological 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. <br><br>MATERIALS AND METHODS: We queried a prospective trauma registry for bicycle injuries over a 20-year period. Patient demographics, triage data, operative interventions and hospital details were collected. <br><br>RESULTS: In 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%). <br><br>CONCLUSIONS: In 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.<br><br>Published by Elsevier Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2016.07.006",
url="http://dx.doi.org/10.1016/j.injury.2016.07.006"
}