Research article Special Issues

Single-vehicle and Multi-vehicle Accidents Involving Motorcycles in a Small City in China: Characteristics and Injury Patterns

  • Received: 26 November 2014 Accepted: 11 March 2015 Published: 18 March 2015
  • Introduction: There is a gap that involves examining differences between patients in single-vehicle (SV) versus multi-vehicle (MV) accidents involving motorcycles in Shantou, China, regarding the injury patterns and mortality the patients sustained. This study aims to address this gap and provide a basis and reference for motorcycle injury prevention. Method: Medical record data was collected between October 2002 and June 2012 on all motorcycle injury patients admitted to a hospital in the city of Shantou of the east Guangdong province in China. Comparative analysis was conducted between patients in SV accidents and patients in MV accidents regarding demographic and clinic characteristics, mortality, and injury patterns. Results: Approximately 48% (n = 1977) of patients were involved in SV accidents and 52% (n = 2119) were involved in MV accidents. The average age was 34 years. Collision of a motorcycle with a heavy vehicle/bus (4%) was associated with a 34 times greater risk of death (RR: 34.32|95% CI: 17.43–67.57). Compared to patients involved in MV accidents, those involved in SV accidents were more likely to sustain a skull fracture (RR: 1.47|95% CI: 1.22–1.77), an open head wound (RR: 1.46|95% CI: 1.23–1.74), an intracranial injury (RR: 1.39|95% CI: 1.26–1.53), a superficial head injury (RR: 1.37|95% CI: 1.01–1.86), an injury to an organ (RR: 2.01|95% CI: 1.24–3.26), and a crushing injury (RR: 1.98|95% CI: 1.06–3.70) to the thorax or abdomen. However, they were less likely to sustain a spinal fracture (RR: 0.58|95% CI: 0.39–0.85), a pelvic fracture (RR: 0.22|95% CI: 0.11–0.46), an upper extremity fracture (RR: 0.75|95% CI: 0.59–0.96), or injuries to their lower extremities, except for a dislocation, sprain, or injury to a joint or ligament (RR: 0.82|95% CI: 0.49–1.36). Conclusion: The relative risk of death is higher for patients involved in multi-vehicle accidents than patients in single-vehicle accidents, especially when a collision involves mass vehicle(s). Injury to the head dominated motorcycle injuries. Single-vehicle accidents have a higher correlation with head injury or internal injuries to the thorax or abdomen. Multi-vehicle accidents are more correlated with extremity injuries, especially to the lower extremities or external trauma to the thorax or abdomen.

    Citation: Lili Xiong, Liping Li. Single-vehicle and Multi-vehicle Accidents Involving Motorcycles in a Small City in China: Characteristics and Injury Patterns[J]. AIMS Public Health, 2015, 2(1): 74-85. doi: 10.3934/publichealth.2015.1.74

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  • Introduction: There is a gap that involves examining differences between patients in single-vehicle (SV) versus multi-vehicle (MV) accidents involving motorcycles in Shantou, China, regarding the injury patterns and mortality the patients sustained. This study aims to address this gap and provide a basis and reference for motorcycle injury prevention. Method: Medical record data was collected between October 2002 and June 2012 on all motorcycle injury patients admitted to a hospital in the city of Shantou of the east Guangdong province in China. Comparative analysis was conducted between patients in SV accidents and patients in MV accidents regarding demographic and clinic characteristics, mortality, and injury patterns. Results: Approximately 48% (n = 1977) of patients were involved in SV accidents and 52% (n = 2119) were involved in MV accidents. The average age was 34 years. Collision of a motorcycle with a heavy vehicle/bus (4%) was associated with a 34 times greater risk of death (RR: 34.32|95% CI: 17.43–67.57). Compared to patients involved in MV accidents, those involved in SV accidents were more likely to sustain a skull fracture (RR: 1.47|95% CI: 1.22–1.77), an open head wound (RR: 1.46|95% CI: 1.23–1.74), an intracranial injury (RR: 1.39|95% CI: 1.26–1.53), a superficial head injury (RR: 1.37|95% CI: 1.01–1.86), an injury to an organ (RR: 2.01|95% CI: 1.24–3.26), and a crushing injury (RR: 1.98|95% CI: 1.06–3.70) to the thorax or abdomen. However, they were less likely to sustain a spinal fracture (RR: 0.58|95% CI: 0.39–0.85), a pelvic fracture (RR: 0.22|95% CI: 0.11–0.46), an upper extremity fracture (RR: 0.75|95% CI: 0.59–0.96), or injuries to their lower extremities, except for a dislocation, sprain, or injury to a joint or ligament (RR: 0.82|95% CI: 0.49–1.36). Conclusion: The relative risk of death is higher for patients involved in multi-vehicle accidents than patients in single-vehicle accidents, especially when a collision involves mass vehicle(s). Injury to the head dominated motorcycle injuries. Single-vehicle accidents have a higher correlation with head injury or internal injuries to the thorax or abdomen. Multi-vehicle accidents are more correlated with extremity injuries, especially to the lower extremities or external trauma to the thorax or abdomen.


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    [1] Hurt H, Ouellet J, Thom D (1981) Motorcycle accident cause factors and identification of countermeasures Volume I: Technical Report. Traffic Safety Center, University of Southern California, Los Angeles CA, USA.
    [2] Chang H-L, Yeh T-H (2006) Risk factors to driver fatalities in single-vehicle crashes: comparisons between non-motorcycle drivers and motorcyclists. J Transp Eng 132: 227-36. doi: 10.1061/(ASCE)0733-947X(2006)132:3(227)
    [3] Baker C (1991) Ground vehicles in high cross winds Part I: steady aerodynamic forces. J Fluid Struct 5: 69-90. doi: 10.1016/0889-9746(91)80012-3
    [4] Chen S, Chen F (2009) Simulation-based assessment of vehicle safety behavior under hazardous driving conditions. J Transp Eng 136: 304-15.
    [5] Shankar V, Mannering F (1996) An exploratory multinomial logit analysis of single-vehicle motorcycle accident severity. J Safety Res 27: 183-94. doi: 10.1016/0022-4375(96)00010-2
    [6] Yau KKW (2004) Risk factors affecting the severity of single vehicle traffic accidents in Hong Kong. Accid Anal Prev 36: 333-40. doi: 10.1016/S0001-4575(03)00012-5
    [7] Savolainen P, Mannering F (2007) Probabilistic models of motorcyclists' injury severities in single- and multi-vehicle crashes. Accid Anal Prev 39: 955-63. doi: 10.1016/j.aap.2006.12.016
    [8] Flask T, Schneider W (2013) A Bayesian analysis of multi-level spatial correlation in single vehicle motorcycle crashes in Ohio. Safety Sci 53:1-10. doi: 10.1016/j.ssci.2012.08.008
    [9] Haque MM, Chin HC, Debnath AK (2012) An investigation on multi-vehicle motorcycle crashes using log-linear models. Safety Sci 50: 352-62. doi: 10.1016/j.ssci.2011.09.015
    [10] Wyatt J, Beard D, Gray A, et al. (1995) The time of death after trauma. BMJ 310:1502. doi: 10.1136/bmj.310.6993.1502
    [11] 12. Laapotti S, Keskinen E (1998) Differences in fatal loss-of-control accidents between young male and female drivers. Accid Anal Prev 30: 435-42. doi: 10.1016/S0001-4575(97)00121-8
    [12] 13. Lang SW, Waller PF, Shope JT (1997) Adolescent driving: Characteristics associated with single-vehicle and injury crashes. J Safety Res 27: 241-57.
    [13] 14. Bergdahl J, Norris MR (2002) Sex differences in single vehicle fatal crashes: a research note. The Social Science Journal 39(2):287-93.
    [14] 15. Yeh T-H, Chang H-L (2009) Age and contributing factors to unlicensed teen motorcycling. Safety Sci 47: 125-30. doi: 10.1016/j.ssci.2008.02.002
    [15] 16. Pai C-W, Saleh W (2007) An analysis of motorcyclist injury severity under various traffic control measures at three-legged junctions in the UK. Safety Sci 45: 832-47. doi: 10.1016/j.ssci.2006.08.021
    [16] 17. Jou RC, Yeh TH, Chen RS (2012) Risk factors in motorcyclist fatalities in Taiwan. Traffic Inj Prev 13: 155-62. doi: 10.1080/15389588.2011.641166
    [17] 18. Nguyen H, Ivers RQ, Jan S, et al (2013) The economic burden of road traffic injuries: evidence from a provincial general hospital in Vietnam. Inj Prev 19: 79-84. doi: 10.1136/injuryprev-2011-040293
    [18] 19. Santolino M, Bolance C, Alcaniz M (2012) Factors affecting hospital admission and recovery stay duration of in-patient motor victims in Spain. Accid Anal Prev 49: 512-9. doi: 10.1016/j.aap.2012.03.025
    [19] 20. Meuleners LB, Lee AH, Haworth C (2007) Road environment, crash type and hospitalisation of bicyclists and motorcyclists presented to emergency departments in Western Australia. Accid Anal Prev 39: 1222-5. doi: 10.1016/j.aap.2007.03.006
    [20] 21. Jama HH, Grzebieta RH, Friswell R, et al. (1) Characteristics of fatal motorcycle crashes into roadside safety barriers in Australia and New Zealand. Accid Anal Prev 43: 652-60. doi: 10.1016/j.aap.2010.10.008
    [21] 22. Lin M-R, Kraus JF (2009) A review of risk factors and patterns of motorcycle injuries. Accid Anal Prev 41: 710-22. doi: 10.1016/j.aap.2009.03.010
    [22] 23. Keng S-H (2005) Helmet use and motorcycle fatalities in Taiwan. Accid Anal Prev 37: 349-55. doi: 10.1016/j.aap.2004.09.006
    [23] 24. Quddus MA, Noland RB, Chin HC (2002) An analysis of motorcycle injury and vehicle damage severity using ordered probit models. J Safety Res 33: 445-62. doi: 10.1016/S0022-4375(02)00051-8
    [24] 25. de Oliveira NL, de Sousa RM (2012) Risk for injuries among motorcyclists involved in traffic incidents. Rev Esc Enferm USP 46: 1133-40. doi: 10.1590/S0080-62342012000500014
    [25] 26. Bambach MR, Grzebieta RH, McIntosh AS (2012) Injury typology of fatal motorcycle collisions with roadside barriers in Australia and New Zealand. Accid Anal Prev 49:-60. doi: 10.1016/j.aap.2011.06.016
    [26] 27. S Cawich, R Rose, H Harding (2009) Extremity Injuries From Motorcycle Road Traffic Accidents: The Experience From a Tertiary Referral Hospital in Jamaica. The Internet Journal of Emergency Medicine 5.
    [27] 28. Xuequn Y, Ke L, Ivers R, et al. (2011) Prevalence rates of helmet use among motorcycle riders in a developed region in China. Accid Anal Prev 43: 214-219. doi: 10.1016/j.aap.2010.08.012
    [28] 29. Liu BC, Ivers R, Norton R, et al. (2004) Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev.
    [29] 30. Li LP, Li GL, Cai QE, et al. (2008) Improper motorcycle helmet use in provincial areas of a developing country. Accid Anal Prev 40: 1937-42. doi: 10.1016/j.aap.2008.06.019
    [30] 31. Forman JL, Lopez-Valdes FJ, Pollack K, et al. (2012) Injuries among powered two-wheeler users in eight European countries: a descriptive analysis of hospital discharge data. Accid Anal Prev49:229-36.
    [31] 32. Otte D, Schroeder G, Richter M (2002) Possibilities for load reductions using garment leg protectors for motorcyclists––a technical, medical and biomechanical approach. Annu Proc Assoc Adv Automot Med 46:367-385.
    [32] 33. Lin MR, Kraus JF (2009) A review of risk factors and patterns of motorcycle injuries. Accid Anal Prev 41:710-22. doi: 10.1016/j.aap.2009.03.010
    [33] 34. de Rome L, Ivers R, Fitzharris M, et al. (2012) Effectiveness of motorcycle protective clothing: riders' health outcomes in the six months following a crash. Injury 43: 2035-45. doi: 10.1016/j.injury.2011.10.025
    [34] 35. de Rome L, Ivers R, Fitzharris M, et al.(2011) Motorcycle protective clothing: protection from injury or just the weather? Accid Anal Prev 43: 1893-900.
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