On a collision course: fatal motorcycle and bicycle accidents of adolescents in Finland from 2008 to 2019.

Publisher: Oxford University Press Country of Publication: England NLM ID: 9204966 Publication Model: Print Cited Medium: Internet ISSN: 1464-360X (Electronic) Linking ISSN: 11011262 NLM ISO Abbreviation: Eur J Public Health Subsets: MEDLINE

Publication: Oxford : Oxford University Press
Original Publication: Stockholm, Sweden : Almqvist & Wiksell International, c1991-

Motorcycles* ; Bicycling*; Male ; Humans ; Adolescent ; Child ; Young Adult ; Adult ; Finland/epidemiology ; Retrospective Studies ; Accidents, Traffic ; Head Protective Devices

Background: Transport injuries are a major cause of mortality among adolescents. Our aim was to evaluate the circumstances and trauma associated with fatal accidents involving adolescents and two-wheeled vehicles.
Methods: We analyzed retrospective data from the Finnish Crash Data Institute from 2008 to 2019 involving 10- to 24-year-old victims of fatal traffic accidents who were injured while riding a bicycle, moped or motorcycle. We collected data on patient characteristics, accident circumstances and possible treatment. These fatalities were compared with national mortality rates among the respective age groups.
Results: We identified 147 fatalities over the 12-year period involving 20 bicycle, 50 moped and 77 motorcycle riders. Most accidents involved males (n = 121, 82%). Less than half of vehicles were in good condition (46%); motorized vehicles were often illegally tuned (37%) or had tire problems (31%). Most of the accidents were collisions with another vehicle (n = 99, 67%) or other objects (n = 35, 24%). In 94% of cases, the Injury Severity Score was >25. Head injury was the most common cause of death (62%). Among 15-year-olds, every fifth death was due to accidents on two-wheeled vehicles.
Conclusions: Fatal transport accidents among adolescents comprise several elements that should be incorporated into driver's education and in case of minors, also communicated to parents. These include the condition of the vehicle, proper helmet use and effects of speed on both control of the vehicle and the consequences of a possible collision.
(© The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.)

Lancet. 2021 Oct 30;398(10311):1593-1618. (PMID: 34755628)
BMJ Paediatr Open. 2018 Apr 05;2(1):e000123. (PMID: 29637180)
Curr Dir Psychol Sci. 2013 Apr 1;22(2):121-127. (PMID: 24761055)
J Trauma. 1974 Mar;14(3):187-96. (PMID: 4814394)
Nat Neurosci. 2012 Sep;15(9):1184-91. (PMID: 22929913)
Accid Anal Prev. 2016 Feb;87:1-7. (PMID: 26619285)
Medicine (Baltimore). 2022 Jul 15;101(28):e29614. (PMID: 35839012)
Lancet Child Adolesc Health. 2018 Mar;2(3):223-228. (PMID: 30169257)
Int J Epidemiol. 2014 Dec;43(6):1921-8. (PMID: 25342252)
Inj Prev. 2005 Aug;11(4):225-31. (PMID: 16081752)
Injury. 2016 Jan;47(1):239-43. (PMID: 26606989)
Eur J Pediatr Surg. 2021 Jun;31(3):266-272. (PMID: 32526781)
BMJ. 2005 Feb 19;330(7488):411-4. (PMID: 15718543)
J Trauma Acute Care Surg. 2017 Jun;82(6):995-1001. (PMID: 28328674)

Date Created: 20231110 Date Completed: 20240405 Latest Revision: 20240405

20240405

PMC10990557

10.1093/eurpub/ckad198

37947377