CUHK Urges Widespread Helmet Use and Protective Measures Against Cycling-related Traumatic Brain Injury
Cycling is a popular leisure activity and a means of transportation among Hong Kong people. Cycling-related injuries are one of the causes of Accident & Emergency admissions for children and adults. Statistics of admissions to the Trauma Centre of Prince of Wales Hospital over the last five years showed that cycling-related traumatic brain injury is on the rise. A survey conducted by the Division of Neurosurgery, Department of Surgery and Accident & Emergency Medicine Academic Unit at The Chinese University of Hong Kong (CUHK) shows that cycling-related traumatic brain injury can have a profound impact on the injured and may lead to death and permanent damage to health. Even minor symptoms can affect daily activities of the patients.
(from left) Dr. Kwan Cheuk Lun Marco, Clinical Tutor (honorary) and Prof. Wong Kwok Chu George, Professor, Division of Neurosurgery, Department of Surgery; Dr. Cheng Chi Hung Raymond, Clinical Assistant Professor (honorary), Accident and Emergency Medicine Academic Unit; and Prof. Hung Kei Ching Kevin, Assistant Professor, The Jockey Club School of Public Health and Primary Care, CUHK present the findings of CUHK survey on cycling-related traumatic brain injury and advocate widespread helmet use and protective measures among the general public to reduce cycling-related traumatic brain injury.
The Trauma Centre of Prince of Wales Hospital recorded 151 cases of cycling-related traumatic brain injury in 2011, indicating a significant increase of 1.25 times compared to 67 reported cases in 2006; the overall traumatic brain injury associated mortality rate even doubled (4 deaths in 2011; 2 deaths in 2006). Serious injuries such as skull fractures and intracranial haemorrhage increased by at least 20%. Only about 7 patients (4.6%) reported use of helmet when the accidents happened.
Dr. Ho Pak Cheong (centre), Clinical Associate Professor (honorary), Department of Orthopaedics and Traumatology, CUHK cum Honorary Medical Adviser, Hong Kong Cycling Association; Mr. Hung Chung Yum (left), former veteran cycling athlete; and Mr. Ho Siu Lun (right), Hong Kong Triathlon Team Cycling Coach explain and demonstrate how proper wearing of helmet can help reduce the severity and unfavorable outcomes of the injured from cycling-related traumatic brain injury.
During the period of January to December 2011, CUHK research team conducted a survey among 40 patients (age 16 to 70) with minor injuries for six months after cycling accidents. Five patients (12.5%) reported persistent bodily pain; ten patients (25%) admitted that the injuries affected their social functioning and impaired their physical role. Some patients became anxious or depressed more easily after the head injuries, with a certain degree of emotional disturbance.
The research team suggests that there is a pressing need to advocate widespread helmet use and preventive and protective measures among the general public to reduce cycling accidents and related traumatic brain injury.
(from left) Mr. Ho Siu Lun, Hong Kong Triathlon Team Cycling Coach; Mr. Hung Chung Yum, former veteran cycling athlete; Dr. Ho Pak Cheong, Clinical Associate Professor (honorary), Department of Orthopaedics and Traumatology, CUHK cum Honorary Medical Adviser, Hong Kong Cycling Association; Prof. Wong Kwok Chu George, Professor, Division of Neurosurgery, Department of Surgery; Dr. Cheng Chi Hung Raymond, Clinical Assistant Professor (honorary), Accident and Emergency Medicine Academic Unit; Dr. Kwan Cheuk Lun Marco, Clinical Tutor (honorary), Division of Neurosurgery, Department of Surgery; Prof. Hung Kei Ching Kevin, Assistant Professor, The Jockey Club School of Public Health and Primary Care, CUHK and Mr. Andy Chai, a patient recovered from cycling-related injury.
