How many collateral casualties are associated with road users responsible for road crashes?

To estimate the number of collateral casualties associated with road users considered responsible for a road crash. We analyzed the case series comprising all 790,435 road users involved in road crashes with victims in Spain from 2009 to 2013, recorded in a nationwide police-based registry. For each...

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Veröffentlicht in:Gaceta sanitaria 2021-05, Vol.35 (3), p.250-255
Hauptverfasser: Martínez-Ruiz, Virginia, Lardelli-Claret, Pablo, Molina-Soberanes, Daniel, Martín-de los Reyes, Luis Miguel, Moreno-Roldán, Elena, Jiménez-Mejías, Eladio
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container_issue 3
container_start_page 250
container_title Gaceta sanitaria
container_volume 35
creator Martínez-Ruiz, Virginia
Lardelli-Claret, Pablo
Molina-Soberanes, Daniel
Martín-de los Reyes, Luis Miguel
Moreno-Roldán, Elena
Jiménez-Mejías, Eladio
description To estimate the number of collateral casualties associated with road users considered responsible for a road crash. We analyzed the case series comprising all 790,435 road users involved in road crashes with victims in Spain from 2009 to 2013, recorded in a nationwide police-based registry. For each road user assumed to be responsible for a crash, we collected information relative to health outcomes in other people involved in it, and obtained the total number of collateral casualties per 100 road users considered responsible for the crash. We then estimated the strength of associations between sex, age and the number of collateral casualties generated by car drivers considered responsible for the crash, and calculated rate ratios and corresponding 95% confidence intervals. Pedestrians responsible for crashes were associated with the lowest number of collateral casualties (13.1/100), whereas the highest number (153/100) was observed for bus drivers responsible for crashes. Car drivers were associated with 104.4/100 collateral casualties. The youngest and the oldest car drivers responsible for crashes were associated with 33% and 41% more deaths, respectively, than the 25–34 year old group. Male drivers were associated with 22% more collateral casualties than female drivers. Regardless of the type of road user who was responsible for a road crash, their active contribution to the crash led to an additional number of collateral casualties in other, non-responsible users. The number and severity of collateral casualties were related to the type of vehicle and the number of people involved. These results are potentially useful to support the need to promote safer driver practices among subgroups of high-risk drivers. Estimar el número de víctimas colaterales asociadas a los usuarios de las vías de tráfico responsables de una colisión. Se estudió la serie de casos formada por los 790.435 usuarios de la vía implicados en accidentes de tráfico con víctimas en España, entre 2009 y 2013, recogidos en el Registro de Accidentes de Tráfico con Víctimas de la Dirección General de Tráfico. Para cada uno de los usuarios considerado responsable se recogió información sobre las consecuencias sanitarias para las otras personas implicadas en el mismo accidente, y se calculó el número total de víctimas colaterales por cada 100 usuarios responsables. A continuación se estimó la fuerza de asociación de la edad y el sexo de los conductores de turismo con el número de víctimas co
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We analyzed the case series comprising all 790,435 road users involved in road crashes with victims in Spain from 2009 to 2013, recorded in a nationwide police-based registry. For each road user assumed to be responsible for a crash, we collected information relative to health outcomes in other people involved in it, and obtained the total number of collateral casualties per 100 road users considered responsible for the crash. We then estimated the strength of associations between sex, age and the number of collateral casualties generated by car drivers considered responsible for the crash, and calculated rate ratios and corresponding 95% confidence intervals. Pedestrians responsible for crashes were associated with the lowest number of collateral casualties (13.1/100), whereas the highest number (153/100) was observed for bus drivers responsible for crashes. Car drivers were associated with 104.4/100 collateral casualties. The youngest and the oldest car drivers responsible for crashes were associated with 33% and 41% more deaths, respectively, than the 25–34 year old group. Male drivers were associated with 22% more collateral casualties than female drivers. Regardless of the type of road user who was responsible for a road crash, their active contribution to the crash led to an additional number of collateral casualties in other, non-responsible users. The number and severity of collateral casualties were related to the type of vehicle and the number of people involved. These results are potentially useful to support the need to promote safer driver practices among subgroups of high-risk drivers. Estimar el número de víctimas colaterales asociadas a los usuarios de las vías de tráfico responsables de una colisión. Se estudió la serie de casos formada por los 790.435 usuarios de la vía implicados en accidentes de tráfico con víctimas en España, entre 2009 y 2013, recogidos en el Registro de Accidentes de Tráfico con Víctimas de la Dirección General de Tráfico. Para cada uno de los usuarios considerado responsable se recogió información sobre las consecuencias sanitarias para las otras personas implicadas en el mismo accidente, y se calculó el número total de víctimas colaterales por cada 100 usuarios responsables. A continuación se estimó la fuerza de asociación de la edad y el sexo de los conductores de turismo con el número de víctimas colaterales generadas por ellos, y se obtuvieron las correspondientes razones de tasas y sus intervalos de confianza del 95%. Los peatones responsables de atropellos se asociaron al menor número de víctimas colaterales (13,1/100), mientras que la cifra más alta de estas (153/100) se asoció a los conductores de autobús responsables del accidente. Los de turismo implicaron a 104,4/100. Los conductores de turismo más jóvenes (&lt;25 años) y los de mayor edad (&gt;64 años) implicaron respectivamente un 33% y un 41% más de víctimas colaterales que el grupo de 25-34 años. Los varones se asociaron a un 22% más de víctimas colaterales que las mujeres. Independientemente del tipo de usuario responsable del accidente, su contribución activa se asoció a un número adicional de víctimas colaterales, cuyas magnitud y gravedad dependieron sobre todo del tipo de vehículo conducido. Este trabajo puede ser útil para reforzar las actuaciones destinadas a prevenir la accidentalidad en los usuarios de alto riesgo.</description><identifier>ISSN: 0213-9111</identifier><identifier>EISSN: 1578-1283</identifier><identifier>DOI: 10.1016/j.gaceta.2019.09.006</identifier><identifier>PMID: 31911009</identifier><language>eng</language><publisher>Spain: Elsevier España, S.L.U</publisher><subject>Accidente de tráfico ; Collateral casualties ; Death ; Demography ; Epidemiology ; Epidemiología ; Health Care Sciences &amp; Services ; Health Policy &amp; Services ; Infectious Diseases ; Injury ; Lesión ; Muerte ; Psychology ; Public, Environmental &amp; Occupational Health ; Road crash ; Sociology ; Víctimas colaterales</subject><ispartof>Gaceta sanitaria, 2021-05, Vol.35 (3), p.250-255</ispartof><rights>2019 SESPAS</rights><rights>Copyright © 2019 SESPAS. Publicado por Elsevier España, S.L.U. 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We analyzed the case series comprising all 790,435 road users involved in road crashes with victims in Spain from 2009 to 2013, recorded in a nationwide police-based registry. For each road user assumed to be responsible for a crash, we collected information relative to health outcomes in other people involved in it, and obtained the total number of collateral casualties per 100 road users considered responsible for the crash. We then estimated the strength of associations between sex, age and the number of collateral casualties generated by car drivers considered responsible for the crash, and calculated rate ratios and corresponding 95% confidence intervals. Pedestrians responsible for crashes were associated with the lowest number of collateral casualties (13.1/100), whereas the highest number (153/100) was observed for bus drivers responsible for crashes. Car drivers were associated with 104.4/100 collateral casualties. The youngest and the oldest car drivers responsible for crashes were associated with 33% and 41% more deaths, respectively, than the 25–34 year old group. Male drivers were associated with 22% more collateral casualties than female drivers. Regardless of the type of road user who was responsible for a road crash, their active contribution to the crash led to an additional number of collateral casualties in other, non-responsible users. The number and severity of collateral casualties were related to the type of vehicle and the number of people involved. These results are potentially useful to support the need to promote safer driver practices among subgroups of high-risk drivers. Estimar el número de víctimas colaterales asociadas a los usuarios de las vías de tráfico responsables de una colisión. Se estudió la serie de casos formada por los 790.435 usuarios de la vía implicados en accidentes de tráfico con víctimas en España, entre 2009 y 2013, recogidos en el Registro de Accidentes de Tráfico con Víctimas de la Dirección General de Tráfico. Para cada uno de los usuarios considerado responsable se recogió información sobre las consecuencias sanitarias para las otras personas implicadas en el mismo accidente, y se calculó el número total de víctimas colaterales por cada 100 usuarios responsables. A continuación se estimó la fuerza de asociación de la edad y el sexo de los conductores de turismo con el número de víctimas colaterales generadas por ellos, y se obtuvieron las correspondientes razones de tasas y sus intervalos de confianza del 95%. Los peatones responsables de atropellos se asociaron al menor número de víctimas colaterales (13,1/100), mientras que la cifra más alta de estas (153/100) se asoció a los conductores de autobús responsables del accidente. Los de turismo implicaron a 104,4/100. Los conductores de turismo más jóvenes (&lt;25 años) y los de mayor edad (&gt;64 años) implicaron respectivamente un 33% y un 41% más de víctimas colaterales que el grupo de 25-34 años. Los varones se asociaron a un 22% más de víctimas colaterales que las mujeres. Independientemente del tipo de usuario responsable del accidente, su contribución activa se asoció a un número adicional de víctimas colaterales, cuyas magnitud y gravedad dependieron sobre todo del tipo de vehículo conducido. Este trabajo puede ser útil para reforzar las actuaciones destinadas a prevenir la accidentalidad en los usuarios de alto riesgo.</description><subject>Accidente de tráfico</subject><subject>Collateral casualties</subject><subject>Death</subject><subject>Demography</subject><subject>Epidemiology</subject><subject>Epidemiología</subject><subject>Health Care Sciences &amp; Services</subject><subject>Health Policy &amp; Services</subject><subject>Infectious Diseases</subject><subject>Injury</subject><subject>Lesión</subject><subject>Muerte</subject><subject>Psychology</subject><subject>Public, Environmental &amp; Occupational Health</subject><subject>Road crash</subject><subject>Sociology</subject><subject>Víctimas colaterales</subject><issn>0213-9111</issn><issn>1578-1283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kM1q3DAQgEVoyG5-3qAUvYCdGVu27EtLCUm2EOihySkHMZbHjRbvapG8DXn7yLjpsTBCQjPfjPQJ8RkhR8D6epv_JssT5QVgm0MKqE_EGivdZFg05SexhgLLrEXElTiPcQtQQNvAmViVmG4B2rV43vhXuaP9m7R-HGniQKO0FI80To6jpMCSYvTWpVwvX930IoOnXh4jhygDx4PfR9eNLAcflpQNFF84frsUpwONka_-7hfi6e728WaTPfy8_3Hz_SGzCnDKFJFqK9RWIZFGKHXf112lNQxqGAqFBVFji7asGwKtOqZOt6rRCeNKgS4vRL70jdbx6M3WH8M-DTS_ZgFmFlCkEwCUaUGTALUANvgYAw_mENyOwptBMLNcszWLXDPLNZAC6oR9WbDDsdtx_w_6sJkKvi4FnH77x3Ew84v2lnsX2E6m9-7_E94BrNGKjg</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Martínez-Ruiz, Virginia</creator><creator>Lardelli-Claret, Pablo</creator><creator>Molina-Soberanes, Daniel</creator><creator>Martín-de los Reyes, Luis Miguel</creator><creator>Moreno-Roldán, Elena</creator><creator>Jiménez-Mejías, Eladio</creator><general>Elsevier España, S.L.U</general><general>Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>GPN</scope></search><sort><creationdate>20210501</creationdate><title>How many collateral casualties are associated with road users responsible for road crashes?</title><author>Martínez-Ruiz, Virginia ; Lardelli-Claret, Pablo ; Molina-Soberanes, Daniel ; Martín-de los Reyes, Luis Miguel ; Moreno-Roldán, Elena ; Jiménez-Mejías, Eladio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-4aa49517c41aa71037dd6b5770f4ff2412aa8c29368a074beab79487aa4e54073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accidente de tráfico</topic><topic>Collateral casualties</topic><topic>Death</topic><topic>Demography</topic><topic>Epidemiology</topic><topic>Epidemiología</topic><topic>Health Care Sciences &amp; Services</topic><topic>Health Policy &amp; Services</topic><topic>Infectious Diseases</topic><topic>Injury</topic><topic>Lesión</topic><topic>Muerte</topic><topic>Psychology</topic><topic>Public, Environmental &amp; Occupational Health</topic><topic>Road crash</topic><topic>Sociology</topic><topic>Víctimas colaterales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez-Ruiz, Virginia</creatorcontrib><creatorcontrib>Lardelli-Claret, Pablo</creatorcontrib><creatorcontrib>Molina-Soberanes, Daniel</creatorcontrib><creatorcontrib>Martín-de los Reyes, Luis Miguel</creatorcontrib><creatorcontrib>Moreno-Roldán, Elena</creatorcontrib><creatorcontrib>Jiménez-Mejías, Eladio</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>SciELO</collection><jtitle>Gaceta sanitaria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez-Ruiz, Virginia</au><au>Lardelli-Claret, Pablo</au><au>Molina-Soberanes, Daniel</au><au>Martín-de los Reyes, Luis Miguel</au><au>Moreno-Roldán, Elena</au><au>Jiménez-Mejías, Eladio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How many collateral casualties are associated with road users responsible for road crashes?</atitle><jtitle>Gaceta sanitaria</jtitle><addtitle>Gac Sanit</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>35</volume><issue>3</issue><spage>250</spage><epage>255</epage><pages>250-255</pages><issn>0213-9111</issn><eissn>1578-1283</eissn><abstract>To estimate the number of collateral casualties associated with road users considered responsible for a road crash. We analyzed the case series comprising all 790,435 road users involved in road crashes with victims in Spain from 2009 to 2013, recorded in a nationwide police-based registry. For each road user assumed to be responsible for a crash, we collected information relative to health outcomes in other people involved in it, and obtained the total number of collateral casualties per 100 road users considered responsible for the crash. We then estimated the strength of associations between sex, age and the number of collateral casualties generated by car drivers considered responsible for the crash, and calculated rate ratios and corresponding 95% confidence intervals. Pedestrians responsible for crashes were associated with the lowest number of collateral casualties (13.1/100), whereas the highest number (153/100) was observed for bus drivers responsible for crashes. Car drivers were associated with 104.4/100 collateral casualties. The youngest and the oldest car drivers responsible for crashes were associated with 33% and 41% more deaths, respectively, than the 25–34 year old group. Male drivers were associated with 22% more collateral casualties than female drivers. Regardless of the type of road user who was responsible for a road crash, their active contribution to the crash led to an additional number of collateral casualties in other, non-responsible users. The number and severity of collateral casualties were related to the type of vehicle and the number of people involved. These results are potentially useful to support the need to promote safer driver practices among subgroups of high-risk drivers. Estimar el número de víctimas colaterales asociadas a los usuarios de las vías de tráfico responsables de una colisión. Se estudió la serie de casos formada por los 790.435 usuarios de la vía implicados en accidentes de tráfico con víctimas en España, entre 2009 y 2013, recogidos en el Registro de Accidentes de Tráfico con Víctimas de la Dirección General de Tráfico. Para cada uno de los usuarios considerado responsable se recogió información sobre las consecuencias sanitarias para las otras personas implicadas en el mismo accidente, y se calculó el número total de víctimas colaterales por cada 100 usuarios responsables. A continuación se estimó la fuerza de asociación de la edad y el sexo de los conductores de turismo con el número de víctimas colaterales generadas por ellos, y se obtuvieron las correspondientes razones de tasas y sus intervalos de confianza del 95%. Los peatones responsables de atropellos se asociaron al menor número de víctimas colaterales (13,1/100), mientras que la cifra más alta de estas (153/100) se asoció a los conductores de autobús responsables del accidente. Los de turismo implicaron a 104,4/100. Los conductores de turismo más jóvenes (&lt;25 años) y los de mayor edad (&gt;64 años) implicaron respectivamente un 33% y un 41% más de víctimas colaterales que el grupo de 25-34 años. Los varones se asociaron a un 22% más de víctimas colaterales que las mujeres. Independientemente del tipo de usuario responsable del accidente, su contribución activa se asoció a un número adicional de víctimas colaterales, cuyas magnitud y gravedad dependieron sobre todo del tipo de vehículo conducido. Este trabajo puede ser útil para reforzar las actuaciones destinadas a prevenir la accidentalidad en los usuarios de alto riesgo.</abstract><cop>Spain</cop><pub>Elsevier España, S.L.U</pub><pmid>31911009</pmid><doi>10.1016/j.gaceta.2019.09.006</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Accidente de tráfico
Collateral casualties
Death
Demography
Epidemiology
Epidemiología
Health Care Sciences & Services
Health Policy & Services
Infectious Diseases
Injury
Lesión
Muerte
Psychology
Public, Environmental & Occupational Health
Road crash
Sociology
Víctimas colaterales
title How many collateral casualties are associated with road users responsible for road crashes?
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