Bicycling crash characteristics: An in-depth crash investigation study |
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| Affiliation: | 1. Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia;2. Melbourne School of Design/Melbourne School of Population and Global Health, The University of Melbourne, Victoria, Australia;3. Monash University Accident Research Centre, Monash University, Victoria, Australia;4. Emergency and Trauma Centre, The Alfred, Melbourne, Victoria, Australia;5. General Surgery, The Royal Melbourne Hospital, Victoria, Australia;6. Department of Surgery, The University of Melbourne, Victoria, Australia;7. Department of Orthopaedic Surgery, The Alfred, Melbourne, Victoria, Australia;8. Department of Orthopaedic Surgery, The Royal Melbourne Hospital, Victoria, Australia;9. Institute of Transport Studies, Faculty of Engineering, Monash University, Victoria, Australia;10. Amy Gillett Foundation, Victoria, Australia;11. Centre for Improvement in Population Health through E-records Research (CIPHER), Farr Institute, Swansea University Medical School, Swansea University, UK;1. Nagoya University, Department of Mechanical Systems Engineering, Furo-cho, Chikusa-ku, Nagoya, Japan;2. Department of Mechanics and Maritime Sciences, Chalmers University of Technology, SE-417 56, Gothenburg, Sweden;3. National Traffic Safety and Environment Laboratory, Automotive Research Department, 7-42-27 Jindaiji-Higashi-machi, Chofu, Tokyo, Japan;1. Department of Urban Design and Planning, University of Washington, Seattle, USA;2. Department of Civil and Environmental Engineering, University of Washington, Seattle, USA;1. Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Av Francisco Salazar 01145, 4780000, Chile;2. Queensland University of Technology (QUT), School of Public Health and Social Work, Victoria Park Road, Brisbane, 4059, Australia;3. Queensland University of Technology (QUT), Institute of Health and Biomedical Innovation, 60 Musk Ave., Kelvin Grove, QLD, 4059, Australia;4. UFRO Activate Research Group, Universidad de La Frontera, Av Francisco Salazar 01145, Temuco, 4780000, Chile;1. School of Public Health and Preventive Medicine, Monash University, VIC, Australia;2. Faculty of Medicine, University of Laval, Quebec, Canada;3. School of Mathematics and Statistics, University of New South Wales, NSW, Australia;4. Transport and Road Safety (TARS) Research Centre, University of New South Wales, Sydney, Australia;5. Faculty of Science, The University of Melbourne, VIC, Australia;6. Institute of Transport Studies, Faculty of Engineering, Monash University, VIC, Australia;7. Amy Gillett Foundation, VIC, Australia;1. If P&C Insurance, Vikingsgatan 4, 40536 Göteborg, Sweden;2. Chalmers University of Technology, Division of Vehicle Safety, Lindholmspiren 3, 41756 Göteborg, Sweden;1. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia;2. Caulfield Pain Management and Research Centre, Caulfield Hospital, Caulfield, VIC, Australia;3. Australian Centre for Justice Innovation and Faculty of Law, Monash University, Clayton, VIC, Australia;4. Health Data Research UK, Swansea University Medical School, Swansea University, Wales, UK |
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| Abstract: | 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% of crashes 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. |
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| Keywords: | Cycling Pedal cyclist Bicycle lane Bicycle path Bicycle crash Patient outcome Return to work |
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