Academic Journal
Neurological outcomes and risk factors for traumatic brain injury in two-wheeled vehicles users: A comparative study of motorcyclists, bicyclists, and scooter riders admitted to the intensive care unit.
| Τίτλος: | Neurological outcomes and risk factors for traumatic brain injury in two-wheeled vehicles users: A comparative study of motorcyclists, bicyclists, and scooter riders admitted to the intensive care unit. |
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| Συγγραφείς: | Schumacher X; Department of Neurosurgery, Hospital Beaujon AP-HP, Clichy, France.; Department of Neurosurgery, Pitié Salpêtrière Hospital, Paris, France., Jeantrelle C; Department of Critical Care, Hospital Beaujon AP-HP, Clichy, France., Decq P; Université Paris Cité, Paris, F-75006, France.; Department of Neurosurgery, Hospital Beaujon AP-HP, Clichy, France.; Institut de Biomécanique Humaines Georges Charpak, iBiomec, ENSAM, Paris, 75013, France., Faillot M; Université Paris Cité, Paris, F-75006, France. matthieu.faillot@aphp.fr.; Department of Neurosurgery, Hospital Beaujon AP-HP, Clichy, France. matthieu.faillot@aphp.fr.; Biomaps Research Laboratory, CEA, Orsay, France. matthieu.faillot@aphp.fr. |
| Πηγή: | Neurosurgical review [Neurosurg Rev] 2026 Aug 19; Vol. 49 (1). Date of Electronic Publication: 2026 Aug 19. |
| Τύπος έκδοσης: | Journal Article; Comparative Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Berlin Heidelberg Country of Publication: Germany NLM ID: 7908181 Publication Model: Electronic Cited Medium: Internet ISSN: 1437-2320 (Electronic) Linking ISSN: 03445607 NLM ISO Abbreviation: Neurosurg Rev Subsets: MEDLINE |
| Imprint Name(s): | Publication: Berlin : Springer Berlin Heidelberg Original Publication: Berlin : Walter De Gruyter |
| Ιατρικοί όροι (MeSH): | Brain Injuries, Traumatic*/surgery , Brain Injuries, Traumatic*/etiology , Brain Injuries, Traumatic*/epidemiology , Bicycling*/injuries , Motorcycles* , Accidents, Traffic*, Humans ; Female ; Male ; Risk Factors ; Retrospective Studies ; Adult ; Intensive Care Units ; Middle Aged ; Young Adult ; Adolescent ; Aged ; Neurosurgical Procedures ; Head Protective Devices |
| Περίληψη: | Road traffic injuries (RTIs) involving two-wheeled vehicles are a leading cause of traumatic brain injury (TBI). The increasing popularity of short-term rental bicycles and e-scooters has raised public health concerns. We aimed to compare neurological injuries and neurosurgical utilization between scooter and bicycle (S/B) users and motorcyclists and to identify risk factors associated with TBI and its severity. A retrospective single-center study including all two-wheeler RTI patients admitted to the intensive care unit (ICU) of a trauma center between 2011 and 2022. Variables included demographics, injury circumstances, clinical data, radiological findings, neurosurgical interventions, and outcomes. Statistical analyses were performed to compare S/B users with motorcycle users and to identify variables associated with TBI. The study included 1605 patients (1420 motorcyclists, 29 scooter users, and 156 bicyclists). S/B users were older, more often female, and more frequently on antiplatelet or anticoagulant treatment. TBI was more common in S/B users (50.3% vs. 23.6%), with higher rates of abnormal head CT and neurosurgical interventions. S/B users wearing a helmet (33%) had a decreased likelihood of TBI (OR 0.38, 95% CI 0.17-0.80; p = 0.012). ICU mortality was higher in S/B users (13.3% vs. 4.7%, p < 0.001), with TBI being the most frequent cause of death. Increased age (OR 1.04 per year, 95% CI 1.00-1.08, p = 0.041) and preinjury anticoagulation (OR 20.65, 95% CI 1.99-531.32, p = 0.021) were associated with ICU mortality. The incidence and severity of TBI were greater in S/B users than in motorcyclists. These findings highlight the need for targeted prevention. (© 2026. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
| Competing Interests: | Declarations. Ethical approval: The study was performed in line with the principles of the Declaration of Helsinki. This is an observational study. Approvement was granted by the institutional review board (IRB# IRB00011687, Collège de Neurochirurgie IRB #1: 2024/47). The requirement for individual informed consent was waived due to the retrospective design. Consent to participate: The requirement for individual informed consent was waived due to the retrospective design. Consent to publish: Not applicable. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Helmet use; Neurosurgery; Scooter; Traumatic brain injury; Two-wheeled vehicle injuries |
| Entry Date(s): | Date Created: 20260819 Date Completed: 20260819 Latest Revision: 20261008 |
| Update Code: | 20261008 |
| DOI: | 10.1007/s10143-026-04425-4 |
| PMID: | 42616188 |
| Βάση Δεδομένων: | MEDLINE |
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