Bike-Linked Head Accidents Decline for Children, However Not Adults


By Ernie Mundell
HealthDay Reporter

FRIDAY, Could 14, 2021 (HealthDay Information) — There’s excellent news and unhealthy on charges of head injuries amongst America’s bike-riding public: Charges for these accidents have sharply declined amongst children however barely budged among the many rising variety of grownup bike riders.

Between 2009 and 2018, growing helmet use, building of devoted bike lanes in cities and different security interventions have tremendously decreased bike-related traumatic brain accidents (TBIs), particularly amongst children ages 10 to 14, a brand new report finds.

“Total, the speed of emergency division visits for bicycle-related TBIs decreased by roughly one-half [48.7%] amongst youngsters and by 5.5% amongst adults,” mentioned a crew led by Kelly Sarmiento. She’s with the Nationwide Middle for Damage Prevention and Management, a part of the U.S. Facilities for Illness Management and Prevention.

In complete, reductions in children’ bike-linked head accidents over the previous decade are 9 occasions higher than these seen amongst grownup bicyclists.

Sarmiento and her colleagues famous that extra adults are forgoing vehicles and hopping on bikes — with typically tragic outcomes.


“Bicycle-related deaths amongst adults have elevated lately,” they wrote. “In 2018, 857 grownup bicyclists died from traffic-related crashes in the US, the best quantity in 20 years.”

The brand new report tracked U.S. information on almost 600,000 emergency division visits for bike-related TBIs between 2009 and 2018.

Sarmiento’s crew harassed that “many of the sufferers who incurred a TBI [83%] have been handled and launched from the emergency division.”

Nonetheless, “though many of those individuals skilled an excellent restoration, some have skilled ongoing signs which have emotional, cognitive, behavioral and tutorial” penalties, the researchers added.

Gender appeared to matter, as nicely.

“Through the examine interval, the speed of emergency division visits for bicycle-related TBIs amongst males of all ages was 3 times greater than that amongst females,” the CDC researchers wrote. Boys and males have been additionally extra more likely to die from a motorcycle accident than women and girls, the examine discovered.

The researchers imagine extra schooling about bicycling security is required, focused particularly at males.


Two emergency physicians unconnected to the brand new report agreed that extra should be executed.

“Whereas the examine signifies there was a a lot sharper decline of bicycle-related TBIs in youngsters in contrast with adults, we shouldn’t be complacent and let up on our efforts to handle this vital public well being challenge,” mentioned Dr. Robert Glatter, who practices at Lenox Hill Hospital in New York Metropolis.

“The very fact is that bicycling results in the best variety of ER visits for traumatic mind damage within the U.S.,” he mentioned.

The menace to adults is particularly dire.

“With an growing variety of adults commuting to work in each city and rural settings mixed with escalating congestion in bike lanes, the potential for not simply TBIs however multi-system trauma is the fact,” Glatter mentioned. There’s the “potential for severe and life-threatening chest and stomach accidents, together with lengthy bone, pelvic and rib fractures,” he added.

Dr. Teresa Murray Amato directs emergency medication at Lengthy Island Jewish Forest Hills Hospital, additionally in New York Metropolis.


She mentioned the welcome decline in children’ TBIs could also be “the results of a mass instructional push by pediatricians to ensure mother and father perceive the necessity for helmet use whereas youngsters are biking.”

However “whereas bike driving can supply a enjoyable and efficient technique to train, there are some issues of safety that should be tracked,” Amato mentioned.

Glatter mentioned there’s additionally one new hazard to think about.

“The explosion of e-bikes prior to now a number of years continues to end in an elevated severity of accidents, primarily as a result of larger speeds,” he mentioned. “E-bikes are additionally sometimes heavier than commonplace bicycles, which may trigger extra extreme accidents by advantage of their weight alone throughout falls and collisions.”

The brand new examine was printed Could 13 within the CDC journal Morbidity and Mortality Weekly Report.

Extra info

Discover out extra about bike security on the National Highway Safety Traffic Administration.

SOURCES: Teresa Murray Amato, MD , chair, emergency medication, Lengthy Island Jewish Forest Hills, New York Metropolis; Robert Glatter, MD, emergency doctor, Lenox Hill Hospital, New York Metropolis; Morbidity and Mortality Weekly Report, Could 13, 2021