File Download
 
Links for fulltext
(May Require Subscription)
 
Supplementary

Article: Bicycle-related crashes in hong kong: Is it possible to reduce mortality and severe injury in the metropolitan area?
  • Basic View
  • Metadata View
  • XML View
TitleBicycle-related crashes in hong kong: Is it possible to reduce mortality and severe injury in the metropolitan area?
 
AuthorsSze, NN1
Tsui, KL2
Wong, SC1
So, FL2
 
KeywordsBicycling
Injury scale
Logit model
Traffic accidents
 
Issue Date2011
 
PublisherMedcom Limited. The Journal's web site is located at http://www.hkcem.com/html/publications/
 
CitationHong Kong Journal Of Emergency Medicine, 2011, v. 18 n. 3, p. 136-143 [How to Cite?]
 
AbstractBackground: Cycling is not the primary mode of commuter transport in Hong Kong, yet cyclists are exposed to a high risk of injury and fatality in road crashes. It is essential to identify the significant factors contributing to severe injury among cyclists in Hong Kong. Aim: To evaluate the effects of significant factors, including demographics, temporal distribution, cyclist behavior, road conditions, and weather, on the risk of severe and life-threatening injury among cyclists in road crashes in Hong Kong. Method: The study was nested ona database known as Road Casualty Information System (RoCIS) which is a linked database between police traffic accident investigations reports and hospital injury records. A total of 682 victims were identified during the study period from 1 January 2004 to 31 December 2006. In particular, injured body part, demographics, helmet use, alcohol intoxication, weather conditions, road type and geometry, and collision characteristics of 682 trauma patients were the attributing variables of concern. The primary outcome measure was the injury severity of trauma patients which was classified into three levels: slight injury [Injury severity Scale (ISS) </=8], severe injury (ISS >/=9), and life-threatening injury (ISS >/=25). A multinomial logit regression model was established to evaluate the significance of factors contributing to severe and lifethreatening injuries among cyclists in road crashes. Results: The results indicated that middle-aged and elderly (35-54, RRR=2.48; and 55 or above, RRR=4.39) casualties and favourable weather conditions (2.56) significantly increased the risk of severe injury among cyclists. The presence of severe head injury(RRR=509.24), severe trunk injury (RRR=79.24), and the involvement of motor vehicles (RRR=27.18) substantially increased the risk of life-threatening injury to cyclists. Conclusions: Middle-aged casualties, the presence of head injuries, and the involvement of motor vehicles all increase the risk of more severe injury in bicycle-related crashes. Safety education and countermeasures should target at middle-aged and elderly cyclists and discourage cycling on the motorway.
 
DescriptionThe article can be viewed at http://www.hkcem.com/html/publications/Journal/2011-3%20May/p136-143.pdf
 
ISSN1024-9079
2013 Impact Factor: 0.154
2013 SCImago Journal Rankings: 0.175
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorSze, NN
 
dc.contributor.authorTsui, KL
 
dc.contributor.authorWong, SC
 
dc.contributor.authorSo, FL
 
dc.date.accessioned2011-06-17T09:33:30Z
 
dc.date.available2011-06-17T09:33:30Z
 
dc.date.issued2011
 
dc.description.abstractBackground: Cycling is not the primary mode of commuter transport in Hong Kong, yet cyclists are exposed to a high risk of injury and fatality in road crashes. It is essential to identify the significant factors contributing to severe injury among cyclists in Hong Kong. Aim: To evaluate the effects of significant factors, including demographics, temporal distribution, cyclist behavior, road conditions, and weather, on the risk of severe and life-threatening injury among cyclists in road crashes in Hong Kong. Method: The study was nested ona database known as Road Casualty Information System (RoCIS) which is a linked database between police traffic accident investigations reports and hospital injury records. A total of 682 victims were identified during the study period from 1 January 2004 to 31 December 2006. In particular, injured body part, demographics, helmet use, alcohol intoxication, weather conditions, road type and geometry, and collision characteristics of 682 trauma patients were the attributing variables of concern. The primary outcome measure was the injury severity of trauma patients which was classified into three levels: slight injury [Injury severity Scale (ISS) </=8], severe injury (ISS >/=9), and life-threatening injury (ISS >/=25). A multinomial logit regression model was established to evaluate the significance of factors contributing to severe and lifethreatening injuries among cyclists in road crashes. Results: The results indicated that middle-aged and elderly (35-54, RRR=2.48; and 55 or above, RRR=4.39) casualties and favourable weather conditions (2.56) significantly increased the risk of severe injury among cyclists. The presence of severe head injury(RRR=509.24), severe trunk injury (RRR=79.24), and the involvement of motor vehicles (RRR=27.18) substantially increased the risk of life-threatening injury to cyclists. Conclusions: Middle-aged casualties, the presence of head injuries, and the involvement of motor vehicles all increase the risk of more severe injury in bicycle-related crashes. Safety education and countermeasures should target at middle-aged and elderly cyclists and discourage cycling on the motorway.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.descriptionThe article can be viewed at http://www.hkcem.com/html/publications/Journal/2011-3%20May/p136-143.pdf
 
dc.identifier.citationHong Kong Journal Of Emergency Medicine, 2011, v. 18 n. 3, p. 136-143 [How to Cite?]
 
dc.identifier.epage143
 
dc.identifier.hkuros185478
 
dc.identifier.issn1024-9079
2013 Impact Factor: 0.154
2013 SCImago Journal Rankings: 0.175
 
dc.identifier.issue3
 
dc.identifier.openurl
 
dc.identifier.scopuseid_2-s2.0-79959833507
 
dc.identifier.spage136
 
dc.identifier.urihttp://hdl.handle.net/10722/134605
 
dc.identifier.volume18
 
dc.languageeng
 
dc.publisherMedcom Limited. The Journal's web site is located at http://www.hkcem.com/html/publications/
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofHong Kong Journal of Emergency Medicine
 
dc.relation.referencesReferences in Scopus
 
dc.subjectBicycling
 
dc.subjectInjury scale
 
dc.subjectLogit model
 
dc.subjectTraffic accidents
 
dc.titleBicycle-related crashes in hong kong: Is it possible to reduce mortality and severe injury in the metropolitan area?
 
dc.typeArticle
 
<?xml encoding="utf-8" version="1.0"?>
<item><contributor.author>Sze, NN</contributor.author>
<contributor.author>Tsui, KL</contributor.author>
<contributor.author>Wong, SC</contributor.author>
<contributor.author>So, FL</contributor.author>
<date.accessioned>2011-06-17T09:33:30Z</date.accessioned>
<date.available>2011-06-17T09:33:30Z</date.available>
<date.issued>2011</date.issued>
<identifier.citation>Hong Kong Journal Of Emergency Medicine, 2011, v. 18 n. 3, p. 136-143</identifier.citation>
<identifier.issn>1024-9079</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/134605</identifier.uri>
<description>The article can be viewed at http://www.hkcem.com/html/publications/Journal/2011-3%20May/p136-143.pdf</description>
<description.abstract>Background: Cycling is not the primary mode of commuter transport in Hong Kong, yet cyclists are exposed to a high risk of injury and fatality in road crashes. It is essential to identify the significant factors contributing to severe injury among cyclists in Hong Kong. Aim: To evaluate the effects of significant factors, including demographics, temporal distribution, cyclist behavior, road conditions, and weather, on the risk of severe and life-threatening injury among cyclists in road crashes in Hong Kong. Method: The study was nested ona database known as Road Casualty Information System (RoCIS) which is a linked database between police traffic accident investigations reports and hospital injury records. A total of 682 victims were identified during the study period from 1 January 2004 to 31 December 2006. In particular, injured body part, demographics, helmet use, alcohol intoxication, weather conditions, road type and geometry, and collision characteristics of 682 trauma patients were the attributing variables of concern. The primary outcome measure was the injury severity of trauma patients which was classified into three levels: slight injury [Injury severity Scale (ISS) &lt;/=8], severe injury (ISS &gt;/=9), and life-threatening injury (ISS &gt;/=25). A multinomial logit regression model was established to evaluate the significance of factors contributing to severe and lifethreatening injuries among cyclists in road crashes. Results: The results indicated that middle-aged and elderly (35-54, RRR=2.48; and 55 or above, RRR=4.39) casualties and favourable weather conditions (2.56) significantly increased the risk of severe injury among cyclists. The presence of severe head injury(RRR=509.24), severe trunk injury (RRR=79.24), and the involvement of motor vehicles (RRR=27.18) substantially increased the risk of life-threatening injury to cyclists. Conclusions: Middle-aged casualties, the presence of head injuries, and the involvement of motor vehicles all increase the risk of more severe injury in bicycle-related crashes. Safety education and countermeasures should target at middle-aged and elderly cyclists and discourage cycling on the motorway.</description.abstract>
<language>eng</language>
<publisher>Medcom Limited. The Journal&apos;s web site is located at http://www.hkcem.com/html/publications/</publisher>
<relation.ispartof>Hong Kong Journal of Emergency Medicine</relation.ispartof>
<subject>Bicycling</subject>
<subject>Injury scale</subject>
<subject>Logit model</subject>
<subject>Traffic accidents</subject>
<title>Bicycle-related crashes in hong kong: Is it possible to reduce mortality and severe injury in the metropolitan area?</title>
<type>Article</type>
<identifier.openurl>http://library.hku.hk:4550/resserv?sid=HKU:IR&amp;issn=1024-9079&amp;volume=18&amp;issue=3&amp;spage=136&amp;epage=143&amp;date=2011&amp;atitle=Bicycle-related+crashes+in+Hong+Kong:+is+it+possible+to+reduce+mortality+and+severe+injury+in+the+metropolitan+area?</identifier.openurl>
<description.nature>link_to_subscribed_fulltext</description.nature>
<identifier.scopus>eid_2-s2.0-79959833507</identifier.scopus>
<identifier.hkuros>185478</identifier.hkuros>
<relation.references>http://www.scopus.com/mlt/select.url?eid=2-s2.0-79959833507&amp;selection=ref&amp;src=s&amp;origin=recordpage</relation.references>
<identifier.volume>18</identifier.volume>
<identifier.issue>3</identifier.issue>
<identifier.spage>136</identifier.spage>
<identifier.epage>143</identifier.epage>
<publisher.place>Hong Kong</publisher.place>
</item>
Author Affiliations
  1. The University of Hong Kong
  2. Tuen Mun Hospital