Journal
ACCIDENT ANALYSIS AND PREVENTION
Volume 96, Issue -, Pages 219-227Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.aap.2016.08.012
Keywords
Cycling; Pedal cyclist; Bicycle lane; Bicycle path; Bicycle crash; Patient outcome; Return to work
Categories
Funding
- Monash University, Faculty of Medicine, Nursing and Health Sciences Strategic Grant
- Australian Research Council [LP130100380]
- Transport Accident Commission via Institute for Safety Compensation and Recovery Research (ISCRR)
- National Health and Medical Research Council (NHRMC) Australian Resuscitation Outcomes Consortium (Aus-ROC) Centre of Research Excellence [1029983]
- NHMRC [545926, GNT1048731, 1043091]
- Australian Research Council [LP130100380] Funding Source: Australian Research Council
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The aim of this study was to describe the crash characteristics and patient outcomes of a sample of patients admitted to hospital following bicycle crashes. Injured cyclists were recruited from the two major trauma services for the state of Victoria, Australia. Enrolled cyclists completed a structured interview, and injury details and patient outcomes were extracted from the Victorian State Trauma Registry (VSTR) and the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR). 186 cyclists consented to participate in the study. Crashes commonly occurred during daylight hours and in clear weather conditions. Two-thirds of crashes occurred on-road (69%) and were a combination of single cyclist-only events (56%) and multi vehicle crashes (44%). Of the multi-vehicle crashes, a motor vehicle was the most common impact partner (72%) and distinct pre-crash directional interactions were observed between the cyclist and motor vehicle. Nearly a quarter of on-road crashes occurred when the cyclist was in a marked bicycle lane. Of the 31% ofcrashes that were not on-road, 28 (15%) occurred on bicycle paths and 29 (16%) occurred in other locations. Crashes on bicycle paths commonly occurred on shared bicycle and pedestrian paths (83%) and did not involve another person or vehicle. Other crash locations included mountain bike trails (39%), BMX parks (21%) and footpaths (18%). While differences in impact partners and crash characteristics were observed between crashes occurring on-road, on bicycle paths and in other locations, injury patterns and severity were similar. Most cyclists had returned to work at 6 months post-injury, however only a third of participants reported a complete functional recovery. Further research is required to develop targeted countermeasures to address the risk factors identified in this study. (C) 2016 Elsevier Ltd. All rights reserved.
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