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Work-related road traffic crashes: emergence of new modes of personal journey. Analysis based on data from a register of road traffic crashes

crossref(2024)

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摘要
Introduction According to the 2018–2019 People Mobility Survey, work-related journeys (commuting and on-duty journeys) account for approximately 25% of all journeys. The use of non-motorized (nm) and motorized (m) personal mobility devices (PMDs) has steadily increased since their introduction into the French market in the last decade. Objective This study aimed to describe the characteristics of work-related road crashes and their evolution since the introduction of new PMDs in France and the increase in the use of scooters. Materials and methods This was a retrospective, cross-sectional study using data from the Rhône Road Trauma Registry. Data were collected from 2015 to 2020. We included the data for the victims aged 18–70 years who were injured in work-related road crashes. Results We identified 11,296 individuals aged 18–70 years who experienced work-related road crashes. An injury report was provided for a total of 11,277 patients. A total of 546 passengers and 78 drivers of other motorized vehicles (buses/trams, construction equipment, and tractors) were excluded from the analysis. Seven patients died at the time of the crash, and seven died after hospitalization. Of the 10,653 (94.4%) victims, there were pedestrians (5.1%), or riders of bicycles (16.9%), scooters (3.8%), other PMDs (roller blades, skateboards, monowheels, gyropods, and hoverboards; 0.4%) and motorized two-wheeler (21.4%), or drivers of car (45.3%), and truck (1.5%). More than half of the scooter riders and 80% of other PMD riders were men. More than 60% of other PMD riders and 53% of scooter riders were under 34 years of age. Most scooter road crashes occurred during commuting (95.6%). Sixty-five percent of the scooter crashes and 50% of other PMD crashes did not have opponents. Overall, one-quarter of the victims experienced crashes without opponents. Most scooter riders had injuries to their upper limbs (59.2%), lower limbs (46.8%), face (21.2%) or head (17.9%). Discussion Most work-related road crashes were of low or moderate severity (97.5%; Maximum Abbreviated Injury Scale, MAIS score < 3). The frequency and severity of injuries among scooter and other PMD users were similar. Scooter opponents were rarely observed in pedestrian injuries (12/575). Most scooter- and other PMD-crashes did not have opponents. Conclusion Many head injuries could be prevented with more widespread use of helmets, among scooter- and other PMD users and bicycle users. What is already known on this topic What this study adds How this study might affect research, practice or policy ### Competing Interest Statement The authors have declared no competing interest. ### Funding Statement This work was supported by The French National Public Health Agency (Santé publique France) and The Rhône-Alpes retirement and occupational health funds (Carsat Rhône Alpes). ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: The Rhône Road Trauma Registry has been qualified by the Registry Evaluation Committee (CER) and it has been approved by the National Commission on Informatics and Liberty (CNIL). I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as [ClinicalTrials.gov][1]. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes Data may be obtained from a third party and are not publicly available. [1]: http://ClinicalTrials.gov
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