Zusammenfassung
Hintergrund
Motorisierte Zweiradfahrer profitieren weniger von verbesserten Sicherheits- und Versorgungskonzepten als andere Verkehrsteilnehmer. Ziel der Untersuchung war es, neue Erkenntnisse zur Unfallentstehung und den resultierenden Verletzungen zu gewinnen sowie Trends im Unfallgeschehen der letzten 10 Jahre aufzuzeigen.
Methodik
In einer prospektiven Erhebung wurden von Januar 2001 bis Januar 2005 Daten von Unfällen erfasst, bei denen mindestens eine Person aus dem Unfallgeschehen einen Verletzungsgrad von 2–6 nach dem „Maximum Abbreviated Injury Scale“ (MAIS) aufwies. Zusätzlich wurden Daten des Statistischen Bundesamtes analysiert.
Ergebnisse
Es wurden die Daten von 66 Motorradunfällen mit 66 Verletzten erhoben. Der mittlere ISS betrug 17,9, die untere Extremität (44%) und der Kopf (41%) waren am häufigsten verletzt. Ein psychometrischer Fragebogen zeigt eine signifikant höhere Risikobereitschaft bei den Zweiradfahrern im Vergleich mit Fahrern anderer Fahrzeuge an. In der Bundesstatistik findet sich zu Beginn des Jahres 2007 erstmalig eine starke Zunahme getöteter Motorradfahrer. Diese Zahlen sanken aber im Jahresverlauf wieder auf das Niveau des Vorjahres ab.
Schlussfolgerungen
Das Wissen über Unfallentstehung, Verletzungsmuster und Profile von „Risikofahrern“ kann zur Verminderung der Unfallhäufigkeit und Verletzungsschwere von Motorradfahrern beitragen.
Abstract
Background
Motorcyclists profit from improved safety measures and medical care only slightly compared with other road users. The aims of this study were to gain new insights into crash mechanisms and the resulting injuries of motorcyclists and to understand trends in road traffic accident statistics over the last 10 years.
Methods
In our prospective analysis we documented data from collisions in which at least one subject sustained an injury of 2–6 on the Maximum Abbreviated Injury Scale (MAIS). Additionally, key parameters published by the German Federal Statistical Office were analysed.
Results
Data were studied for 66 motorcycle crashes and 66 injured subjects. The mean ISS was 17.9, with injuries of the lower limb (44%) and head (41%) being the most frequent in motorcyclists. Psychometric questionnaires revealed that motorcyclists had a significantly higher willingness to take risks compared with drivers of other vehicles. Federal statistics revealed a dramatic increase in mortality in the first months of 2007, but in the next months, mortality decreased to levels comparable to those of the preceding year.
Conclusions
Knowledge of crash mechanisms, injury patterns and profiles of high-risk drivers can help reduce the collision rates and injury severity of motorcyclists.
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Schmucker, U., Frank, M., Seifert, J. et al. Two wheels – too dangerous?. Unfallchirurg 111, 968–976 (2008). https://doi.org/10.1007/s00113-008-1522-9
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DOI: https://doi.org/10.1007/s00113-008-1522-9