Mapping fractures from traffic accidents in Sweden: How do cyclists compare to other road users?
Journal article, 2020
Methods: This paper exemplifies a methodology that combines injuries from a crash database, including both hospital and police reports and fracture registry database from orthopedic centers nationally in Sweden.
Results: Car occupants were most frequently involved in crashes resulting in fractures (37%), followed by motorcyclists (27.6%) and bicyclists (15.4%). Common fracture locations differed by the type of road user, where cyclists were more frequently fractured in the lower arm, compared to other road users, such as car drivers, motorcyclists and pedestrians who suffered mostly of fractures in the lower leg. Within cyclists, injuries also differed by gender, suggesting that combination of different countermeasures may be needed in order to provide sufficient protection for all cyclist. In the analyzed data, male cyclists with an average age of 49 were the most frequently fractured cyclists. Fractures of cyclists to the acetabulum (100%), pelvis (84.2%), vertebra (75%) and tibia (70.3%) were most frequently high energy fractures. Single bicycle incidents (OR = 0.165) and collisions with another bicycle (OR = 0.148) were significantly less likely to result in a high energy fracture than a collision with a car.
Conclusions: The results of this study may guide the design of appropriate protective devices for the cyclists based on the different injury mechanisms and provide implications for prioritizing new countermeasures, campaigns, or regulations.
Chalmers, Mechanics and Maritime Sciences (M2), Vehicle Safety, Injury Prevention
Chalmers, Mechanics and Maritime Sciences (M2), Vehicle Safety
Chalmers, Mechanics and Maritime Sciences (M2), Vehicle Safety, Crash Analysis and Prevention
Traffic Injury Prevention
1538-9588 (ISSN) 1538-957X (eISSN)Vol. 21 3 209-214
Injury mechanisms in cycling accidents resulting in fractures
Swedish Transport Administration (Skyltfonden2016/86288), 2017-01-01 -- 2017-12-31.
Areas of Advance
Public Health, Global Health, Social Medicine and Epidemiology