Transport and Road Safety (TARS) Research, University of New South Wales, Australia.
Accid Anal Prev. 2014 Jan;62:248-58. doi: 10.1016/j.aap.2013.10.009. Epub 2013 Oct 19.
In many countries increased on-road motorcycling participation has contributed to increased motorcyclist morbidity and mortality over recent decades. Improved helmet technologies and increased helmet wearing rates have contributed to reductions in serious head injuries, to the point where in many regions thoracic injury is now the most frequently occurring serious injury. However, few advances have been made in reducing the severity of motorcyclist thoracic injury. The aim of the present study is to provide needed information regarding serious motorcyclist thoracic trauma, to assist motorcycling groups, road safety advocates and road authorities develop and prioritise counter-measures and ultimately reduce the rising trauma burden. For this purpose, a data collection of linked police-reported and hospital data was established, and considerable attention was given to establishing a weighting procedure to estimate hospital cases not reported to police and fatal cases not admitted to hospital. The resulting data collection of an estimated 19,979 hospitalised motorcyclists is used to provide detailed information on the nature, incidence and risk factors for thoracic trauma. Over the last decade the incidence of motorcyclist serious thoracic injury has more than doubled in the population considered, and by 2011 while motorcycles comprised 3.2% of the registered vehicle fleet, one quarter of road traffic-related serious thoracic trauma cases treated in hospitals were motorcyclists. Motor-vehicle collisions, fixed object collisions and non-collision crashes were fairly evenly represented amongst these cases, while older motorcyclists were over-represented. Several prevention strategies are identified and discussed.
在过去几十年中，许多国家的摩托车骑行者数量增加，导致摩托车骑行者的发病率和死亡率上升。头盔技术的改进和头盔佩戴率的提高有助于减少严重的头部受伤，以至于在许多地区，胸部受伤现在是最常见的严重受伤。然而，在降低摩托车手胸部受伤的严重程度方面几乎没有取得进展。本研究的目的是提供有关严重摩托车手胸部创伤的必要信息，以帮助摩托车团体、道路安全倡导者和道路管理部门制定和优先考虑对策，并最终降低不断上升的创伤负担。为此，建立了一个链接警方报告和医院数据的数据收集，并且非常重视建立一个加权程序，以估计未向警方报告的医院病例和未入院的死亡病例。由此产生的估计有 19979 名住院摩托车手的数据收集用于提供有关胸部创伤性质、发病率和危险因素的详细信息。在过去十年中，考虑到的人群中，摩托车手严重胸部受伤的发病率增加了一倍以上，到 2011 年，虽然摩托车占注册车辆的 3.2%，但四分之一在医院治疗的与道路交通相关的严重胸部创伤病例是摩托车手。在这些病例中，机动车碰撞、固定物体碰撞和非碰撞事故相当均匀地代表，而年龄较大的摩托车手则比例过高。确定并讨论了几种预防策略。
