{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:32:51Z","timestamp":1789021971452,"version":"build-2803163510"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Road traffic accidents are a major contributor to morbidity and mortality in the pediatric and adolescent population. Among adolescents, bicycles and light motorized two wheelers are popular means of transportation and increase adolescents' autonomy. Most previous studies on injury risk and incidence have pooled different vehicles and age groups together but more distinct data are required to guide policy.<\/jats:p><jats:p>\n          Materials and Methods\u2003We gathered data on all 1,432 children and adolescents (age 7\u201315) who had been treated for injuries from bicycle(n\u2009=\u2009841) or moped\/motorized scooter (n\u2009=\u2009591) accidents at our study centers during a 6-year period (2008\u20132013). In addition to clinical data, we reviewed Injury Severity Scores (ISS) and calculated incidence estimates for the population of 15-year-olds in the study area.<\/jats:p><jats:p>\n          Results\u2003Most bicyclists were injured after a fall (72%), whereas most moped\/scooter riders were injured in a collision (51%), most often with a heavier motorized vehicle. Internal injuries, multiple injuries, and severe injuries (ISS &gt;15) were more common among moped\/scooter riders than bicyclists (p\u2009&lt;\u20090\u00b7001 for all). Moped\/scooter riders were more often hospitalized and underwent more operations than bicyclists (p\u2009&lt;\u20090\u00b7001 for both). The annual estimated incidence rates of injury were roughly eightfold for 15-year-old moped\/scooter riders compared to bicyclists of the same age.<\/jats:p><jats:p>\n          Conclusion\u2003Cycling is in general a safe mode of transportation and rider safety could be further increased with the proper use of helmets. Although no patient deaths occurred in this study population, mopeds and motorized scooters led to significant morbidity.<\/jats:p>","DOI":"10.1055\/s-0040-1712930","type":"journal-article","created":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T22:40:36Z","timestamp":1591915236000},"page":"266-272","source":"Crossref","is-referenced-by-count":3,"title":["Teens on Wheels and Consequences: A Six-Year Population-Based Study of Bicycle and Moped Injuries"],"prefix":"10.1055","volume":"31","author":[{"given":"Jani","family":"Unkuri","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4ivi","family":"Salminen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pentti","family":"Kallio","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silja","family":"Kosola","sequence":"additional","affiliation":[{"name":"Adolescent Medicine, Pediatric Research Center, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,6,11]]},"reference":[{"key":"ref3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.ypmed.2013.10.019","article-title":"Active commuting from youth to adulthood and as a predictor of physical activity in early midlife: the young Finns study","volume":"59","author":"X Yang","year":"2014","journal-title":"Prev Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1479-5868-8-5","article-title":"The relationship between active travel to school and health-related fitness in children and adolescents: a systematic review","volume":"8","author":"D R Lubans","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1123\/jpah.5.6.930","article-title":"Systematic review of active commuting to school and childrens' physical activity and weight","volume":"5","author":"M C Lee","year":"2008","journal-title":"J Phys Act Health"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.aap.2018.05.019","article-title":"Bicycle-related injuries among children treated in US emergency departments, 2006-2015","volume":"118","author":"R J McAdams","year":"2018","journal-title":"Accid Anal Prev"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1016\/j.injury.2014.04.027","article-title":"Trends in moderate to severe paediatric trauma in Central Netherlands","volume":"45","author":"L Janssens","year":"2014","journal-title":"Injury"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.aap.2010.10.006","article-title":"Bicycle injuries: a matter of mechanism and age","volume":"44","author":"M Siman-Tov","year":"2012","journal-title":"Accid Anal Prev"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1177\/0009922808324952","article-title":"Bicycle-related injuries among children and adolescents in the United States","volume":"48","author":"T J Mehan","year":"2009","journal-title":"Clin Pediatr (Phila)"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1007\/s10900-016-0197-3","article-title":"The effect of an all-ages bicycle helmet law on bicycle-related trauma","volume":"41","author":"P Kett","year":"2016","journal-title":"J Community Health"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1186\/1471-2458-11-653","article-title":"The injury epidemiology of cyclists based on a road trauma registry","volume":"11","author":"E Amoros","year":"2011","journal-title":"BMC Public Health"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.injury.2015.10.074","article-title":"Driver's education may reduce annual incidence and severity of moped and scooter accidents. 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