Sex Differences in Mountain Bike Accidents in Austria from 2006 to 2018: A Retrospective Analysis.

Woyke, Simon, Anja Hütter, Christopher Rugg, Willi Tröger, Bernd Wallner, Mathias Ströhle, and Peter Paal. Sex differences in mountain bike accidents in Austria from 2006 to 2018: a retrospective analysis. High Alt Med Biol. 25:89-93, 2024. Introduction: Mountain biking is becoming increasingly popular, and mountain bike (MTB) accidents are on the rise. The aim of this study was to assess sex differences in mountain biking accidents in the Austrian Alps. Methods: This retrospective study includes all MTB accidents in Austria from 2006 to 2018. Data were collected by Alpine Police officers and recorded in a national digital registry. Results: The accidents involved 5,095 mountain bikers (81% men and 19% women). The number of MTB accidents rose markedly from 208 in 2006 to 725 in 2018. Men wore a helmet more often than did women (95% vs. 92%; p = 0.001). The most common injury category was "wound/bleeding" for both sexes (men 40% and women 41%). Women were more frequently transported by helicopter or terrestrially (p > 0.001). Conclusion: In the Austrian Alps, the number of MTB accidents more than tripled between 2006 and 2018. Women were involved in only one fifth of all accidents. Sex differences in MTB accidents include (1) women wearing helmets less often, (2) women being less frequently injured, (3) women suffering fewer serious injuries, and (4) women being more frequently transported by helicopter or terrestrially, while men more often did not require transportation.

Effect of Contrast Timing, Volume, and Flow Rate on Image Quality of Pulmonary Arteries in CTA.

PURPOSE: To evaluate the effect of contrast timing, contrast volume, and contrast flow rate on the image quality of pulmonary arteries in computed tomography angiography (CTA) and to assess if bolus-tracking region of interest (ROI) positioning in the left atrium, which is used for triple-rule-out CTA, allows for sufficient depiction of the pulmonary arteries. METHODS: In this retrospective single-center study, data were collected for patients who underwent thoracic CTA during a specific period. Two groups of 121 patients each were created based on bolus-tracking ROI positioning in the main pulmonary artery or left atrium using propensity score matching. Image quality of the pulmonary arteries was evaluated using quantitative and qualitative scores. Subgroups were formed to examine the influence of contrast volume and flow rate. Two radiologists determined if pulmonary embolism was present, if pulmonary embolism could be excluded with certainty, and from which level pulmonary embolism could be excluded with certainty. Interrater reliability also was evaluated. RESULTS: ROI positioning in the main pulmonary artery scored significantly higher compared with the left atrium. There was no significant difference in subgroups of patients who were examined with 60 mL or more contrast volume and less than 4 mL/s flow rate; scores were similar or better than in the overall study population. Pulmonary embolism was not able to be excluded with certainty for each 1 patient in these subgroups compared with a high percentage in the overall study population. DISCUSSION: ROI positioning in the left atrium in combination with the 60 mL or more contrast volume and less than 4 mL/s flow rate does not adversely affect depiction of the pulmonary arteries compared with conventional ROI positioning in the main pulmonary artery. CONCLUSION: When using 60 mL or more contrast volume and less than 4 mL/s flow rate, ROI positioning in the left atrium, which is used in triple-rule-out CTA, is sufficient for the assessment of pulmonary arteries.