{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T03:58:36Z","timestamp":1782964716119,"version":"3.54.5"},"reference-count":48,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Geriatr"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>South Korea has a rapidly ageing population. This study aimed to provide epidemiologic data and to identify the characteristics of the patterns and clinical outcomes of two-wheeled vehicle-related injuries (bicycle and motorcycle) in elderly riders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This study retrospectively analyzed data from the National Emergency Department Information System from 2016 to 2018. Adult patients (\u2265 20\u2009years old) who were injured while using two-wheeled vehicles were included. Elderly patients were defined as being 65\u2009years and older. The analysis was performed for 65,648 bicycle-related injuries (15,272 elderly patients) and 87,855 motorcycles-related injuries (17,292 elderly patients).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In emergency departments (EDs), the average injury severity score (ISS) for motorcycle-related accidents was 9.8\u2009\u00b1\u200911.2 in the younger group and 14.1\u2009\u00b1\u200914.7 in the elderly group (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). In addition, the average ISS of bicycle-related accidents was 7.1\u2009\u00b1\u20098.9 in the younger group and 10.5\u2009\u00b1\u200912.3 in the elderly group (<jats:italic>p<\/jats:italic>\u2009=\u20090.001). Two-wheeled vehicle accident mortality rates of elderly riders (0.9% for bicycle and 1.8% for motorcycle in the ED; 4.1% for bicycle and 3.8% for motorcycle in the hospital) were more than twice those of younger riders.<\/jats:p>\n                <jats:p>The elderly stayed in the hospital longer than younger patients (485.2\u2009\u00b1\u2009543.0\u2009h vs 336.8\u2009\u00b1\u2009385.5\u2009h, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) for bicycle-related injuries. They also stayed longer for motorcycle-related injuries (529\u2009\u00b1\u2009598.6\u2009h vs 452.0\u2009\u00b1\u2009543.55\u2009h, <jats:italic>p<\/jats:italic>\u2009=\u20090.001).<\/jats:p>\n                <jats:p>The logistic regression analysis showed that age\u2009\u2265\u200965\u2009years was an independent factor associated with severe trauma (ISS\u2009\u2265\u200916) for both bicycle-related injuries (adjusted odds ratio [OR] 2.185 [95% Confidence Interval (CI) 2.072\u20132.303]) and motorcycle-related injuries (adjusted OR 1.220 [95% CI 1.137\u20131.287]).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Two-wheeled vehicle-related injuries in the elderly were associated with higher ISS, length of hospital stay, and mortality than in younger riders. Analysing the characteristics of two-wheeled vehicle-related injuries in the elderly can be the basis for planning to reduce and prevent injuries in elderly riders.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12877-021-02505-2","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T10:03:05Z","timestamp":1635242585000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Patterns and clinical outcomes of injuries related to two-wheeled vehicles (bicycle and motorcycle) in the geriatric population: a nationwide analysis in South Korea (2016\u20132018)"],"prefix":"10.1186","volume":"21","author":[{"given":"Yoonhyung","family":"Choi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duk Hee","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Il","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"2505_CR1","unstructured":"Peden M, Scurfield R, Sleet D, Hyder AA, Mathers C, Jarawan E, et al. 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Informed consent was waived by the IRB because of the retrospective nature of the study; and patient information was anonymised before the analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"NA","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"603"}}