Injury Characteristics in Pedelec Users: A 7-Year Study Highlighting Risks in the Elderly Male Population at an Urban University Hospital in Germany

Pedelec accidents have sharply increased, with injuries to the head and upper extremities most common. Older adults, especially men ≥65, face the highest risk of severe outcomes, including traumatic brain injury requiring ICU admission. Two-thirds of riders did not wear a helmet; helmet use significantly reduced critical injury risk. Focused prevention efforts-particularly promoting helmet use and rider safety education-are urgently needed.