Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1987 May 16;294(6582):1267–1269. doi: 10.1136/bmj.294.6582.1267

Bicycle accidents in childhood.

J Nixon, R Clacher, J Pearn, A Corcoran
PMCID: PMC1246435  PMID: 3109611

Abstract

The results of a 10 year study of bicycle fatalities and an eight year study of serious non-fatalities are reported for urban Brisbane (population 1,000,000). There were 845 serious non-fatal bicycle accidents and 46 fatalities during the study. Boys were involved in 86% of accidents. Boys have an accident rate of 134.21 per 100,000 population at risk and a fatality rate of 5.06 per 100,000 at risk. Serious bicycle accidents have increased by 50% in this decade; but considering fatal cases alone, no secular trend was evident over the 10 year period of the study. This suggests that an increase in the overall rate of bicycle accidents has been in part compensated by less serious injuries. In 70% of fatalities children had head injuries, and 87% of fatalities followed a collision between a cyclist and a motor vehicle or a train. Bicycle accidents on the roads most commonly occur to boys aged between 12 and 14 years on a straight road at "mid-block" between 3 and 5 pm in clear weather conditions and in daylight. It is concluded that injuries and fatalities after bicycle accidents can be reduced by protecting children's heads, separating child cyclists from other road traffic, or educating and training both cyclists and other road users in safe behaviour. The compulsory use of helmets and the restriction of access to the roads by child cyclists to reduce injuries are, however, still controversial in many areas.

Full text

PDF
1267

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Armson C. J., Pollard C. W. Child cyclist injuries: a prospective study. Med J Aust. 1986 Feb 3;144(3):144–146. doi: 10.5694/j.1326-5377.1986.tb112244.x. [DOI] [PubMed] [Google Scholar]
  2. Butrous G. S., Male J. C., Webber R. S., Barton D. G., Meldrum S. J., Bonnell J. A., Camm A. J. The effect of power frequency high intensity electric fields on implanted cardiac pacemakers. Pacing Clin Electrophysiol. 1983 Nov;6(6):1282–1292. doi: 10.1111/j.1540-8159.1983.tb04472.x. [DOI] [PubMed] [Google Scholar]
  3. Craft A. W., Shaw D. A., Cartlidge N. E. Bicycle injuries in children. Br Med J. 1973 Oct 20;4(5885):146–147. doi: 10.1136/bmj.4.5885.146. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Fife D., Davis J., Tate L. Two fatal bicyclist injuries from extended rear view mirrors. J Trauma. 1983 Aug;23(8):756–757. doi: 10.1097/00005373-198308000-00012. [DOI] [PubMed] [Google Scholar]
  5. Fife D., Davis J., Tate L., Wells J. K., Mohan D., Williams A. Fatal injuries to bicyclists: the experience of Dade County, Florida. J Trauma. 1983 Aug;23(8):745–755. [PubMed] [Google Scholar]
  6. Guichon D. M., Myles S. T. Bicycle injuries: one-year sample in Calgary. J Trauma. 1975 Jun;15(6):504–506. [PubMed] [Google Scholar]
  7. Howell T. R. Accidents and those bizarre bicycles. Pediatrics. 1968 Jul;42(1):214–214. [PubMed] [Google Scholar]
  8. Illingworth C. M. 227 road accidents to children. Acta Paediatr Scand. 1979 Nov;68(6):869–873. doi: 10.1111/j.1651-2227.1979.tb08225.x. [DOI] [PubMed] [Google Scholar]
  9. Illingworth C. M., Noble D., Bell D., Kemn I., Roche C., Pascoe J. 150 bicycle injuries in children: a comparison with accidents due to other causes. Injury. 1981 Jul;13(1):7–9. doi: 10.1016/0020-1383(81)90083-8. [DOI] [PubMed] [Google Scholar]
  10. Irnich W. Interference in pacemakers. Pacing Clin Electrophysiol. 1984 Nov;7(6 Pt 1):1021–1048. doi: 10.1111/j.1540-8159.1984.tb05655.x. [DOI] [PubMed] [Google Scholar]
  11. Jackson R. H., Craft A. W. Bicycle saddles and torsion of the testis. Lancet. 1978 May 6;1(8071):983–984. doi: 10.1016/s0140-6736(78)90265-9. [DOI] [PubMed] [Google Scholar]
  12. Jackson R. H. Hazards to children in traffic. A paediatrician looks at road accidents. Arch Dis Child. 1978 Oct;53(10):807–813. doi: 10.1136/adc.53.10.807. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Kravitz H. L. Preventing injuries from bicycle spokes. Pediatr Ann. 1977 Nov;6(11):713–716. [PubMed] [Google Scholar]
  14. McDermott F. T., Klug G. L. Differences in head injuries of pedal cyclist and motorcyclist casualties in Victoria. Med J Aust. 1982 Jul 10;2(1):30–32. doi: 10.5694/j.1326-5377.1982.tb124205.x. [DOI] [PubMed] [Google Scholar]
  15. McKenna S., Borman B., Fleming H. Pedal cycle accidents. N Z Med J. 1984 Sep 26;97(764):657–658. [PubMed] [Google Scholar]
  16. Nixon J., Pearn J., Wilkey I., Corcoran A. Fifteen years of child drowning--a 1967-1981 analysis of all fatal cases from the Brisbane Drowning Study and an 11 year study of consecutive near-drowning cases. Accid Anal Prev. 1986 Jun;18(3):199–203. doi: 10.1016/0001-4575(86)90003-5. [DOI] [PubMed] [Google Scholar]
  17. Pearn J., Nixon J., Ansford A., Corcoran A. Accidental poisoning in childhood: five year urban population study with 15 year analysis of fatality. Br Med J (Clin Res Ed) 1984 Jan 7;288(6410):44–46. doi: 10.1136/bmj.288.6410.44. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Thorson J. Pedal cycle accidents. Scand J Soc Med. 1974;2(3):121–128. doi: 10.1177/140349487400200303. [DOI] [PubMed] [Google Scholar]
  19. Waller J. A. Bicycle ownership, use, and injury patterns among elementary school children. Pediatrics. 1971 Jun;47(6):1042–1050. [PubMed] [Google Scholar]
  20. Walter J. P. Bicycle accidents. Br Med J. 1979 Jan 27;1(6158):265–265. doi: 10.1136/bmj.1.6158.265-e. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Williams A. F. Factors in the initiation of bicycle-motor vehicle collisions. Am J Dis Child. 1976 Apr;130(4):370–377. doi: 10.1001/archpedi.1976.02120050028005. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES