Abstract Purpose of review We describe recent trends in bicycle-related trauma, associated morbidity and mortality, the disparate effects on adult and pediatric populations, the effects of socioeconomic inequities on injury patterns, and milestones in preventative efforts. Recent findings National data demonstrates a lower incidence of unintentional injuries but a higher number of bicycle-related fatalities in the United States over the past decade. Traumatic brain injury remains the leading cause of mortality and chronic morbidity for bicyclists overall. Extremity and facial trauma predominate among older populations, while children are more susceptible to solid organ injuries and severe trauma with the use of electric bicycles. Factors that improve rider safety include changes in infrastructure, speed limits, and the implementation of dedicated bicycle lanes. Helmet usage is the most critical aspect for reducing bicyclist mortality, though rates of consistent usage in the US remain low, they can be improved with mandatory helmet laws. The lowest rates of helmet use are seen in areas of lower socioeconomic status, with these bicyclists subsequently subject to a greater burden of bicycle-related trauma. Summary Bicycle accidents are relatively common injuries in both adults and children. Road traffic accidents (RTAs), including those involving bicycles and electric bicycles (E-bikes), contributing significantly to morbidity and mortality across age groups. The focus in mitigating these injuries is on preventive measures, emphasizing the role of infrastructure improvements, public policies, and educational initiatives. The review discusses the trends in bicycle-related trauma, disparities affecting different age groups, socioeconomic influences on injury patterns, and recent advancements in injury prevention strategies.
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