Motorcycle-related major trauma: on-road versus off-road incidence and profile of cases

Mikocka-Walus, Antonina, Gabbe, Belinda and Cameron, Peter 2010, Motorcycle-related major trauma: on-road versus off-road incidence and profile of cases, Emergency medicine Australasia, vol. 22, no. 5, pp. 470-476, doi: 10.1111/j.1742-6723.2010.01337.x.

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Title Motorcycle-related major trauma: on-road versus off-road incidence and profile of cases
Author(s) Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina
Gabbe, Belinda
Cameron, Peter
Journal name Emergency medicine Australasia
Volume number 22
Issue number 5
Start page 470
End page 476
Total pages 7
Publisher Wiley-Blackwell Publishing Asia
Place of publication Milton, Qld.
Publication date 2010-10
ISSN 1742-6731
Keyword(s) deaths
major trauma
population-based study
Summary OBJECTIVE: To describe and compare the incidence and profile of on- and off-road motorcycle-related major trauma (including death) cases across a statewide population.

METHODS: A review of prospectively collected data on adult, motorcycle-related major trauma cases from 2001 to 2008 was conducted. Major trauma survivors were identified from the population-based Victorian State Trauma Registry, and deaths were extracted from the National Coroners Information System. Poisson regression was used to test for increasing incidence using two measures of exposure: population of Victoria aged ≥ 16 years, and registered motorcycles.

RESULTS: There were 1157 major trauma survivors and 344 deaths with motorcycle-related injuries over the study period. There was no change in the incidence of motorcycle-related major trauma (both survivors plus deaths) (Incident Rate ratio [IRR]= 1.14, 95% confidence interval [CI] 0.94-1.37) over the study period. Similarly, there was no change over time in the incidence of on-road motorcycle-related injury (survivors plus deaths) per 100,000 population (IRR = 1.03, 95% CI 0.84-1.27). However, the incidence of off-road motorcycle-related injury (survivors plus deaths) increased over the study period (IRR = 1.69, 95% CI 1.10-2.60). Among survivors and deaths, 882 (76%) and 301 (87.5%) cases, respectively, occurred on road.

CONCLUSIONS: Off-road motorcycle-related major trauma has increased and this has not been targeted in injury prevention campaigns in Australia. The incidence of on-road motorcycle-related death in adults has decreased. Preventive strategies to address on-road injuries have been enforced and these are expected to lead to further reduction of on-road motorcycle crashes in the future.
Language eng
DOI 10.1111/j.1742-6723.2010.01337.x
Field of Research 170101 Biological Psychology (Neuropsychology, Psychopharmacology, Physiological Psychology)
111716 Preventive Medicine
110305 Emergency Medicine
1103 Clinical Sciences
1117 Public Health And Health Services
Socio Economic Objective 920412 Preventive Medicine
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2010, The Authors
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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