where is the research into cycling injuries?
TRANSCRIPT
Where is the research into cycling injuries?
Chris Oliver@CyclingSurgeon
Consultant Trauma Orthopaedic SurgeonRoyal Infirmary of Edinburgh
@ctc_cyclists
@PlayonPedals
@ExerciseWorks
@UoE_PAHRC
@RCSEd
British Medical Association Healthy Transport = Healthy Lives(BMA 2012)
“In spite of the harms cyclists face in terms of safety and exposure to air pollution, a number of studies have found that the health benefits of cycling, such as improved quality of life, weight control, and protecting against major chronic diseases, greatly outweigh these risks, by up to a factor of 20 to 1.
109 pedal cyclist fatalities in 201314 occurred in London
Relative risk of different forms of transport GB 2013
Casualty rate per billion vehicle miles - KSI
Killed Seriously injured
Car driver 2 24
Pedestrian 34 463
Pedal cyclist 34 1,036
Motorcycle rider 119 1,853
20 mphEducationDriver TrainingBikeabilityHighway codeInfrastructureHGVs-volumetric mixers
£374m in 2011-15, or£622m with match funding
£5 per head in England£10 per head in London
Political Will
Total Public Spending in the United KingdomCentral Government and Local Authority 2015
Public Pensions £150 billion
National Health Care £133 billion
State Education £90 billion
Defence £46 billion
Social Security £110 billion
State Protection £30 billion
Transport £20 billion Cycling 3%
General Government £14 billion
Other Public Services £86 billion
Public Sector Interest £52 billion
Total Spending = £731 billion
Annual public investment in cycling in ScotlandYear Cycling investment per head of population
2013/14 £5.932014/15 £7.722015/16 £6.72
£26 / head Amsterdam – 35% £8-£9 / head Copenhagen – 20%£4 / head Berlin – 20%
Cycling Action Plan Scotland 10% by 2020 “Target v Vision”
Junctions2/3 of cyclists KSI at or near junctions
Bicycle v another vehicle, the driver’s having “failed to look properly‟ key contributory factor for drivers and riders at junctions (60%) DoT 2009
Rural roads challenging50% fatalitiesWorse if 40+ years Casualty severity increases with the posted speed limitReduce traffic speeds rural areas DoT 2009
NightimeMore likely fatalityRural roads worse: speed limits higher/ unlit Rear DoT 2009
18% of fatal cycle accidents involved HGV, compared with 4% of serious accidents DoT 2009
Transport Scotland’s Reported Road Casualties 2012 (Transport Scotland 2013)
Most accidents resulting in an injured pedal cyclist involve a car 96% involve a car, taxi/van & only 2% involve LGVs/HGVs
Most pedal cycle casualties occur during summer months, in good weather and in daylight 52% May-Sept, 80% good weather/daylight
Pedal cycle casualties peak in the evening and morning periods 30% 4-7 pm 16% 7-9am
Pedal cycle casualties are aged between 30-49 45%
The majority of pedal cycle casualties in 2012 male 82%
Edinburgh Orthopaedic Trauma Unit % n/105/yr Average
age (yrs)M/F (%)
Open fractures
(%)
Multiple fractures
(%)Cyclist 46.7 32.5 40.2 81/19 6.0 8.6Motorcyclist 21.7 15.1 41.0 90/10 10.3 21.3Pedestrian 17.5 12.2 48.8 62/38 3.2 24.4Vehicle driver 10.2 7.1 47.2 76/24 8.1 34.8Vehicle passenger
2.2 1.5 29.6 50/50 0 16.7
Edinburgh Orthopaedic Trauma Unit
Cyclists # incidence 32.5/105/year Males # incidence 55.7/105/yearFemales # incidence 11.7/105/year # mostly upper limb fractures
clavicle 20.8%proximal radius 16.7%distal radius & ulna 12.5%
90% open # occur in the upper limb
@RoadShare
protecting vulnerable road users
Where is the Research?
spokes.org.uk
ctc.org.uk
britishcycling.org.uk
medicineofcycling.com
Where is the research into cycling injuries?
Chris Oliver@CyclingSurgeon
Consultant Trauma Orthopaedic SurgeonRoyal Infirmary of Edinburgh