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two-wheeled vehicle Zweirad
 
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Motorised two-wheeled vehicles (MTV) constitute a large portion of the vehicle fleet in India.

Michael Fitzharris et al.

BMC Public Health 9 (7), 12 Jan 2009

Background India has experienced rapid growth in motorization in the last decade, with concomitant increases in road traffic injury (RTI) related mortality being observed.[ 1 , 2 ] Pedestrians, motorised two-wheeled vehicle (MTV) users, and cyclists are the most vulnerable road user groups in terms of injuries and fatalities resulting from road traffic crashes in India.[ 1 , 3 - 6 ] In actual numbers, over 105,700 people died and 452,900 were injured due to RTI in India in 2006 alone, with MTV users accounting for 17.8% of the fatalities.[ 7 ] Moreover, fatalities due to RTI in India are projected to increase by 150% by the year 2020,[ 5 ] with the majority of this increase being among users of MTV.[ 5 , 6 ] With MTV representing 70% of all vehicles registered in India in the year 2004 [ 8 ], the centrality of MTVs as a means of daily transport in India is clear.

Michael Fitzharris et al.

BMC Public Health 9 (7), 12 Jan 2009

Table 2 Crash characteristics of injured riders and pillions Characteristics Rider (n = 252, 66.7%) Pillion (n = 126, 33.3%) Total (n = 378, 100%) Type of crash and collision partner Single vehicle 108 (42.9%) 47 (37.3%) 155 (41%)  Vehicle skidded 57 (52.8%) 13 (27.7%) 70 (45.2%)  Hit a non-moving object 44 (40.7%) 21 (44.7%) 65 (41.9%)  Fall from vehicle 3 (2.8%) 12 (25.5%) 15 (9.7%)  Collision with animal/others 4 (3.7%) 1 (2.1%) 5 (2.6%) Multiple vehicle crash 144 (57.1%) 79 (62.7%) 223 (59%)  Bus/heavy vehicle 52 (36.1%) 28 (35.4%) 80 (35.9%)  Car/Jeep 35 (24.3%) 26 (32.9%) 61 (27.4%)  Motorised two-wheeled vehicle 32 (22.2%) 14 (17.7%) 46 (20.6%)  Motorised three-wheeled vehicle 15 (10.4%) 10 (12.7%) 25 (11.2%)  Pedestrian/Cyclist/Other 10 (6.9%) 1 (1.3%) 11 (4.9%) Time of crash  00:00 – 05:59 53 (21%) 26 (20.6%) 79 (20.9%)  06:00 – 11:59 24 (9.5%) 15 (11.9%) 39 (10.3%)  12:00 – 17:59 66 (26.2%) 42 (33.3%) 108 (28.6%)  18:00 – 24:00 109 (43.3%) 43 (34.1%) 152 (40.2%) Alcohol use*  Yes, confirmed in ED 35 (13.9%) 13 (10.3%) 48 (12.7%)  Suspected in ED 5 (2.0%) 1 (0.8%) 6 (1.6%)  No, confirmed in ED 23 (9.1%) 11 (8.7%) 34 (9.0%)  Not checked in ED 189 (75%) 101 (80.2%) 290 (76.7%) *ED: emergency department

Michael Fitzharris et al.

BMC Public Health 9 (7), 12 Jan 2009

Abbreviations CI: Confidence interval; ED: emergency department; GCS: glasgow coma scale; LOC: loss of consciousness; ISS: injury severity score; MAIS: highest AIS severity for each region; MTV: motorised two-wheeled vehicles; MVC: multiple vehicle crash; RR: relative risk; RTI: road traffic injury; SVC: single vehicle crash; ICD-10: The International Statistical Classification of Diseases and Related Health Problems 10th Revision.

Michael Fitzharris et al.

BMC Public Health 9 (7), 12 Jan 2009

 
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