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Former MotoGP world champion Nicky Hayden remains in an “extremely critical” condition in an Italian hospital’s intensive care unit after being injured in a cycling accident on Wednesday.

The 35-year-old American, who currently races for the Red Bull Honda World Superbike team, was hurt while on a training exercise along the Rimini coastline when his bicycle was hit by a car.

He had competed in the Superbike World Championship races at Imola last weekend.

Hayden, from Owensboro, Kentucky, suffered head and chest injuries and was treated at the scene before being taken to a nearby hospital. He was later transferred to Bufalini Hospital in Cesena.

A statement from the hospital on Friday evening, which was posted on the Red Bull Honda team website, read: “The clinical picture of Nicky Hayden remains unchanged. His condition is still extremely critical.

(Tommaso Torri/ANSA via AP/PA)A city police officer inspects the area where Nicky Hayden was hit by a car (Tommaso Torri/ANSA via AP)

“He is still in the intensive care unit of Cesena’s Maurizio Bufalini Hospital and the prognosis stays reserved.”

Hayden, who has also raced for Ducati, won the MotoGP world championship for the Repsol Honda team in 2006.