{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T03:58:44Z","timestamp":1782964724847,"version":"3.54.5"},"reference-count":33,"publisher":"Medknow","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["smedj"],"published-print":{"date-parts":[[2021,10,28]]},"abstract":"<jats:p>INTRODUCTION With Singapore\u2019s ageing population, there are increasing numbers of elderly cyclists and motorcyclists. Compared to younger riders, this cohort sustains more injuries and has poorer outcomes. This study aimed to describe and compare patient demographics, injury patterns and outcomes among elderly cyclists and motorcyclists at a Level 1 trauma centre. METHODS Data of all cyclists, motorcyclists and pillion riders aged 65 years and above who presented to the emergency department after accidents from 1 January 2013 to 31 December 2017 was extracted from the hospital\u2019s trauma registry and reviewed. RESULTS Cyclists and motorcyclists formed 42.0% and 58.0%, respectively, of 157 recruited patients. At the time of the accident, 40.8% of the patients were employed. The mean age of the patients was 71.6 \u00b1 5.8 years. Extremities and pelvic girdle injuries (61.1%) were the most frequent, followed by chest injuries (48.4%), and head and neck injuries (40.1%). Among severe injuries (defined as Abbreviated Injury Scale score \u2265 3), chest injuries (39.5%) were the most common, followed by head and neck injuries (36.3%). The overall mortality rate was 9.6%, with cyclists at nearly three times the risk compared to motorcyclists. More cyclists than motorcyclists (18.2% vs. 11.0%) required intensive care. There were no significant differences in the length of hospital stay between cyclists and motorcyclists. CONCLUSION Elderly riders have unique injury patterns and consume significant healthcare resources. Trauma systems need to acknowledge this changing injury epidemiology and equip trauma centres with the necessary resources targeted at elderly patients. Future work should focus on strategies to minimise extremity and chest injuries.<\/jats:p>","DOI":"10.11622\/smedj.2020038","type":"journal-article","created":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T01:27:27Z","timestamp":1585099647000},"page":"482-485","source":"Crossref","is-referenced-by-count":11,"title":["Injury patterns in elderly cyclists and motorcyclists presenting to a tertiary trauma centre in Singapore"],"prefix":"10.4103","volume":"62","author":[{"given":"HS","family":"Cheong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KY","family":"Tham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LQ","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2581","reference":[{"key":"ref0","unstructured":"1. Department of Statistics, Singapore. Population and Population Structure. Available at: https:\/\/www.singstat.gov.sg\/find-data\/search-by-theme\/population\/population-and-population-structure\/latest-data. Accessed January 4, 2019."},{"key":"ref1","unstructured":"2. Singapore Police Force. Traffic Annual 2017. In: Publication [online]. Available at: https:\/\/www.police.gov.sg\/news-and-publications\/publications?category=Annual%20Reports. Accessed December 20, 2018."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"3. Wong ZH, Chong CK, Tai BC, Lau G. A review of fatal road traffic accidents in Singapore from 2000 to 2004. Ann Acad Med Singapore 2009; 38:594-6.","DOI":"10.47102\/annals-acadmedsg.V38N7p594"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/S0736-4679(01)00455-3","article-title":"Road traffic accident mortality in Singapore","volume":"22","author":"Wong","year":"2002","unstructured":"4. Wong E, Leong MK, Anantharaman V, et al. Road traffic accident mortality in Singapore. J Emerg Med 2002; 22:139-46.","journal-title":"J Emerg Med"},{"key":"ref4","unstructured":"5. World Health Organization. Road Safety in the South-East Asian Region 2015. Available at: http:\/\/www.who.int\/violence_injury_prevention\/road_safety_status\/2015\/Road_Safety_SEAR_3_for_web.pdf. Accessed December 20, 2018."},{"key":"ref5","unstructured":"6. Department of Statistics, Singapore. Population Overview. Available at: https:\/\/www.singstat.gov.sg\/find-data\/search-by-theme\/population\/population-andpopulation-structure\/visualising-data\/population-trends. Accessed May 6, 2018."},{"key":"ref6","unstructured":"7. Dischinger PC, Ryb GE, Ho SM, Braver ER. Injury patterns and severity among hospitalised motorcyclists: a comparison of younger and older riders. Annu Proc Assoc Adv Automot Med 2006; 50:237-49."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1080\/15389588.2018.1494384","article-title":"Comparing fracture patterns of younger versus older riders involved in nonfatal motorcycle accidents","volume":"19","author":"Ashie","year":"2018","unstructured":"8. Ashie A, Wilhelm A, Carney D, DiPasquale T, Bush C. Comparing fracture patterns of younger versus older riders involved in nonfatal motorcycle accidents. Traffic Inj Prev 2018; 19:761-5.","journal-title":"Traffic Inj Prev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"670","DOI":"10.1016\/j.amjsurg.2016.06.011","article-title":"Riding into the golden years: injury patterns and outcomes of advanced-age motorcycle trauma","volume":"212","author":"Muratore","year":"2016","unstructured":"9. Muratore S, Hawes L, Farhat J, et al. Riding into the golden years: injury patterns and outcomes of advanced-age motorcycle trauma. Am J Surg 2016; 212:670-6.","journal-title":"Am J Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1177\/000313481007600308","article-title":"The aging road warrior: national trend toward older riders impacts outcome after motorcycle injury","volume":"76","author":"Brown","year":"2010","unstructured":"10. Brown JB, Bankey PE, Gorczyca JT, et al. The aging road warrior: national trend toward older riders impacts outcome after motorcycle injury. Am Surg 2010; 76:279-86.","journal-title":"Am Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1136\/injuryprev-2012-040619","article-title":"Injury patterns and severity among motorcyclists treated in US emergency departments, 2001-2008: a comparison of younger and older riders","volume":"19","author":"TL","year":"2013","unstructured":"11. Jackson TL, Mello MJ. Injury patterns and severity among motorcyclists treated in US emergency departments, 2001-2008: a comparison of younger and older riders. Inj Prev 2013; 19:297-302.","journal-title":"Inj Prev"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"12. Talving P, Teixeira PG, Barmparas G, et al. Motorcycle-related injuries: effect of age on type and severity of injuries and mortality. J Trauma 2010; 68:441-6.","DOI":"10.1097\/TA.0b013e3181cbf303"},{"key":"ref12","unstructured":"13. Stutts J, Foss R, Svoboda C. Characteristics of older motorcyclist crashes. Annu Proc Assoc Adv Automot Med 2004; 48:197-211."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.bj.2016.10.006","article-title":"Motorcycle-related hospitalizations of the elderly","volume":"40","author":"Hsieh","year":"2017","unstructured":"14. Hsieh CH, Liu HT, Hsu SY, Hsieh HY, Chen YC. Motorcycle-related hospitalizations of the elderly. Biomed J 2017; 40:121-8.","journal-title":"Biomed J"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1097\/TA.0b013e31824acc08","article-title":"The aging motorcyclist: a comparative epidemiologic study on pattern and severity of injury","volume":"73","author":"Warlick","year":"2012","unstructured":"15. Warlick B, Nuismer A, Israel H, Cannada LK. The aging motorcyclist: a comparative epidemiologic study on pattern and severity of injury. J Trauma Acute Care Surg 2012; 73:175-8.","journal-title":"J Trauma Acute Care Surg"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/j.aap.2009.08.006","article-title":"Relative injury severity among vulnerable non-motorised road users: comparative analysis of injury arising from bicycle-motor vehicle and bicycle-pedestrian collisions","volume":"42","author":"Chong","year":"2010","unstructured":"16. Chong S, Poulos R, Olivier J, Watson WL, Grzebieta R. Relative injury severity among vulnerable non-motorised road users: comparative analysis of injury arising from bicycle-motor vehicle and bicycle-pedestrian collisions. Accid Anal Prev 2010; 42:290-6.","journal-title":"Accid Anal Prev"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"17. Cripton PA, Shen H, Brubacher JR, et al. Severity of urban cycling injuries and the relationship with personal, trip, route and crash characteristics: analyses using four severity metrics. BMJ Open 2015; 5:e006654.","DOI":"10.1136\/bmjopen-2014-006654"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1120","DOI":"10.1097\/ta.0b013e3181d0f68b","article-title":"Bicyclists injured by automobiles: relationship of age to injury type and severity--a national trauma databank analysis","volume":"69","author":"Lustenberger","year":"2010","unstructured":"18. Lustenberger T, Inaba K, Talving P, et al. Bicyclists injured by automobiles: relationship of age to injury type and severity--a national trauma databank analysis. J Trauma 2010; 69:1120-5.","journal-title":"J Trauma"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1136\/ip.3.2.110","article-title":"Epidemiology of bicycle injuries and risk factors for serious injury","volume":"3","author":"Rivara","year":"1997","unstructured":"19. Rivara FP, Thompson DC, Thompson RS. Epidemiology of bicycle injuries and risk factors for serious injury. Inj Prev 1997; 3:110-4.","journal-title":"Inj Prev"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1186\/s12889-015-2075-9","article-title":"Bicycle-related hospitalizations at a Taiwanese level I Trauma Center","volume":"15","author":"Liu","year":"2015","unstructured":"20. Liu HT, Rau CS, Liang CC, et al. Bicycle-related hospitalizations at a Taiwanese level I Trauma Center. BMC Public Health 2015; 15:722.","journal-title":"BMC Public Health"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"21. Pai CW, Chen YC, Lin HY, Chen PL. A population-based case-control study of hospitalisation due to head injuries among bicyclists and motorcyclists in Taiwan. BMJ Open 2017; 7:e018574.","DOI":"10.1136\/bmjopen-2017-018574"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"22. Pai CW, Lin HY, Tsai SH, Chen PL. Comparison of traffic-injury related hospitalisation between bicyclists and motorcyclists in Taiwan. PLoS One 2018; 13:e0191221.","DOI":"10.1371\/journal.pone.0191221"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1097\/00063110-200502000-00007","article-title":"Epidemiology and outcome of bicycle injuries presenting to an emergency department in the United Kingdom","volume":"12","author":"Davidson","year":"2005","unstructured":"23. Davidson JA. Epidemiology and outcome of bicycle injuries presenting to an emergency department in the United Kingdom. Eur J Emerg Med 2005; 12:24-9.","journal-title":"Eur J Emerg Med"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1111\/1742-6723.12407","article-title":"Mechanisms, injuries and helmet use in cyclists presenting to an inner city emergency department","volume":"27","author":"Dinh","year":"2015","unstructured":"24. Dinh MM, Kastelein C, Hopkins R, et al. Mechanisms, injuries and helmet use in cyclists presenting to an inner city emergency department. Emerg Med Australas 2015; 27:323-7.","journal-title":"Emerg Med Australas"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1111\/1742-6723.12495","article-title":"Current profile of cycling injuries: a retrospective analysis of a trauma centre level 1 in Queensland","volume":"28","author":"Neumann","year":"2016","unstructured":"25. Neumann MV, Eley R, Vallmuur K, Schuetz M. Current profile of cycling injuries: a retrospective analysis of a trauma centre level 1 in Queensland. Emerg Med Australas 2016; 28:90-5.","journal-title":"Emerg Med Australas"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1186\/s12889-016-2988-y","article-title":"Describing and comparing the characteristics of injured bicyclists and other injured road users: a prospective cohort study","volume":"16","author":"Gopinath","year":"2016","unstructured":"26. Gopinath B, Jagnoor J, Craig A, et al. Describing and comparing the characteristics of injured bicyclists and other injured road users: a prospective cohort study. BMC Public Health 2016; 16:324.","journal-title":"BMC Public Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1186\/s12889-015-2290-4","article-title":"A prospective pilot cohort analysis of crash characteristics and pattern of injuries in riders and pillion passengers involved in motorcycle crashes in an urban area in Cameroon: lessons for prevention","volume":"15","author":"Chichom-Mefire","year":"2015","unstructured":"27. Chichom-Mefire A, Atashili J, Tsiagadigui JG, Fon-Awah C, Ngowe-Ngowe M. A prospective pilot cohort analysis of crash characteristics and pattern of injuries in riders and pillion passengers involved in motorcycle crashes in an urban area in Cameroon: lessons for prevention. BMC Public Health 2015; 15:915.","journal-title":"BMC Public Health"},{"key":"ref27","unstructured":"28. Tham KY, Seow E, Lau G. Pattern of injuries in helmeted motorcyclists in Singapore. Emerg Med J 2004; 21:478-82."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1097\/01.TA.0000062969.65847.8B","article-title":"Distribution and determinants of health and work status in a comprehensive population of injury patients","volume":"56","author":"Meerding","year":"2004","unstructured":"29. Meerding WJ, Looman CW, Essink-Bot ML, et al. Distribution and determinants of health and work status in a comprehensive population of injury patients. J Trauma 2004; 56:150-61.","journal-title":"J Trauma"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.aap.2016.04.003","article-title":"The economic burden of injury: health care and productivity costs of injuries in the Netherlands","volume":"93","author":"Polinder","year":"2016","unstructured":"30. Polinder S, Haagsma J, Panneman M, et al. The economic burden of injury: health care and productivity costs of injuries in the Netherlands. Accid Anal Prev 2016; 93:92-100.","journal-title":"Accid Anal Prev"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1097\/00005373-199808000-00018","article-title":"Outcome after major trauma: discharge and 6-month follow-up results from the Trauma Recovery Project","volume":"45","author":"Holbrook","year":"1998","unstructured":"31. Holbrook TL, Anderson JP, Sieber WJ, Browner D, Hoyt DB. Outcome after major trauma: discharge and 6-month follow-up results from the Trauma Recovery Project. J Trauma 1998; 45:315-24.","journal-title":"J Trauma"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1097\/00005373-199905000-00003","article-title":"Outcome after major trauma: 12-month and 18-month follow-up results from the Trauma Recovery Project","volume":"46","author":"Holbrook","year":"1999","unstructured":"32. Holbrook TL, Anderson JP, Sieber WJ, Browner D, Hoyt DB. Outcome after major trauma: 12-month and 18-month follow-up results from the Trauma Recovery Project. J Trauma 1999; 46:765-73.","journal-title":"J Trauma"},{"key":"ref32","unstructured":"33. Doyle D, Muir M, Chinn B. Motorcycle accidents in Strathclyde Region, Scotland during 1992: a study of the injuries sustained. Health Bull (Edinb) 1995; 53:386-94."}],"container-title":["Singapore Medical Journal"],"original-title":[],"link":[{"URL":"http:\/\/www.smj.org.sg\/article\/injury-patterns-elderly-cyclists-and-motorcyclists-presenting-tertiary-trauma-centre","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T02:26:09Z","timestamp":1695954369000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.smj.org.sg\/article\/injury-patterns-elderly-cyclists-and-motorcyclists-presenting-tertiary-trauma-centre"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,28]]},"references-count":33,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,10,28]]}},"URL":"https:\/\/doi.org\/10.11622\/smedj.2020038","relation":{},"ISSN":["0037-5675","2737-5935"],"issn-type":[{"value":"0037-5675","type":"print"},{"value":"2737-5935","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,28]]}}}