Rollator related pedestrian single accidents and collision events in Sweden

The researchers Anna Carlsson, Chalmers Industrial Technology (Chalmers Industriteknik), Gothenburg and Jörgen Lundälv, University of Gothenburg and Umeå University, Sweden, are the authors behind a study regarding rollator related pedestrian single accidents and collision events in Sweden.

The rollator is a Swedish invention, invented by the Västerås Hospital social worker Aina Wifalk (1928-1983) in the early 1980s. The current study is based on data from 2,020 accidents involving 2,305 persons extracted from the Swedish Traffic Accident Data Acquisition (STRADA) database, the Swedish Transport Agency’s accident database on injuries and accidents within the road transport system. For consistency, a subset of data (N = 745) was analysed in order to investigate the development of accidents over a period of 10 years.

The results show that the number of rollator accidents in Sweden increased by approximately 80% during 2007–2016.

Women most exposed to accidents and injuries
Females dominate the injury statistics in single accidents, collisions, as well as fatal outcome, which may be due to exposure and/or differences in physical characteristics. Single accidents are much more common than collisions (n=1,668 and n=352, respectively) and the injury consequences are at least as serious. Data from the present study revealed that the frequency of minor injuries (ISS 1–3) is 4.3 times, moderate (ISS 4–8) 6.0 times and serious injuries (ISS 9–15) 8.9 times higher in single accidents than in collisions.

The two researchers suggest that future research should follow up on accident and injury statistics for accidents. Areas with the potential to reduce the risk of rollator accidents include improved rollator stability and design, appropriate user training programmes, adequate maintenance and service programmes and, above all, a functioning infrastructure for rollators. Injury registration at hospitals in Sweden is very important for traffic medicine research, and this study is a good example of how STRADA can be utilised in research.

The study has been published in the new scientific journal “Traffic Safety Research – An Interdisciplinary Journal (TSR)” founded in 2021 in collaboration between Lund University in Sweden, Technical University (TU) in Delft (Netherlands) and the international organisation International Co-operation on Theories and Concepts in Traffic Safety (ICTCT).

The study can be downloaded from the journal’s website:
https://tsr.international/TSR/article/view/23512

For further information, please contact:

Anna Carlsson
PhD, Researcher
Chalmers Industriteknik
SWEDEN
+46 (0)70–594 36 50
+46 (0)31–772 36 50
anna.carlsson@chalmersindustriteknik.se

Jörgen Lundälv
Associate Professor in Social Work
Department of Social Work
University of Gothenburg
SWEDEN
+46 (0)31–786 5795
+46 (0)76–172 4711
jorgen.lundalv@socwork.gu.se

Associate Professor in Traffic Medicine
Department of Surgical and Perioperative Sciences, Unit of Surgery
Umeå University
SWEDEN
jorgen.lundalv@umu.se
+46 (0)76–172 4711

Traffic safety lessons ignored in confronting Covid-19

“ITMA President Emeritus Leonard Evans authors a short Editorial in Injury Prevention titled “Traffic safety lessons ignored in confronting Covid-19”. The editorial affirms that while USA road-traffic safety policy has been a catastrophic failure, it nonetheless provides lessons that were ignored in confronting the Covid-19 pandemic. The complete (631 word) text is at http://injuryprevention.bmj.com/cgi/rapidpdf/injuryprev-2021-044484?ijkey=0tAPt4vm4jsAVv6&keytype=ref

Pedestrian Deaths During the COVID-19 Pandemic

ITMA board member Donald Redelmeier is the lead author of a new article titled “Pedestrian Deaths During the COVID-19 Pandemic” published in the American Journal of Lifestyle Medicine. The full article appears here https://journals.sagepub.com/doi/10.1177/15598276211058378. The study suggests the COVID pandemic led to a 50-60% reduction in pedestrian activity, a 10-15% reduction in total vehicle miles traveled, and no sustained changes in pedestrian fatalities. The mismatch between mobility and mortality highlights the importance of individual psychology beyond structural factors and reductions in activity.

Acute injuries resulting from accidents involving powered mobility devices (PMDs)

One of the members in the Swedish Traffic Medicine Society, former board member there, Jörgen Lundälv and his associate Anna Carlsson, has written an article about new research that might be of interest to ITMA members also. It deals with accidents and acute injuries in people who use electric wheelchairs and mobility scooters in the traffic environment:

Acute injuries resulting from accidents involving powered mobility devices (PMDs)—Development and outcomes of PMD-related accidents in Sweden
www.tandfonline.com/doi/full/10.1080/15389588.2019.1606910

New Book of INTERNATIONAL TRAFFIC MEDICINE

New Book of INTERNATIONAL TRAFFIC MEDICINE

From our Chinese friends in the ITMA board, Prof. Wang (Immediate Past President) and Prof. Zhou (President Elect) there are news about the traffic medicine situation in China.
Their team have published a new book of INTERNATIONAL TRAFFIC MEDICINE ( in Chinese) . It is helpful to improve the traffic medicine in China, they say.
There is also an article on The Road to Reducing Traffic Accidents in China that could help us all to know some work done on traffic safety in China. https://www.sciencemag.org/features/2020/07/road-reducing-traffic-accidents-china.

Impact of medical fitness to drive policies in preventing property damage, injury, and death from motor vehicle collisions in Ontario, Canada

ITMA board member Donald Redelmeier is one of the authors of an important article named “Impact of medical fitness to drive policies in preventing property damage, injury, and death from motor vehicle collisions in Ontario, Canada” recently published “in press” and on line in Journal of Safety Research

It can be found on https://www.sciencedirect.com/science/article/pii/S0022437520301079?dgcid=coauthor

This article evaluates the road safety impact of medical fitness-to-drive policies and road safety losses during the time when medical cases were still under review and the driver still active (no losses found) and what number of crashes that were prevented by the work with evaluating medical driver fitness. Quite a few collisions were prevented but the interventional effect of the medical review program differed by medical condition.

ITMA’s 27th World Conference postponed to 2021

Due to uncertainty surrounding the global coronavirus (COVID-19) pandemic, after careful review, we have eventually decided to postpone the 27th ITMA World Conference to 2021, in Tongji University, Shanghai. This is an extremely difficult decision for all of us, however, ITMA’s top priority continues to be the health, well-being, and safety of our global members and partners.
All papers that have been accepted for the proceedings for 27th ITMA will be arranged for presentations (either podium or poster) at ITMA World Conference 2021. The organizers of the 27th ITMA World Conference are continuously working hard to ensure the ITMA World Conference successful.

We are thankful for your continuous trust and strong support. We are looking forward to meeting you again in October 2021 in Shanghai, which will be a great gathering for our old and new friends in the transportation field.

27th ITMA World Conference Organizing Committee.

Efficacy of intervention at traffic schools reducing impulsive action, and association with candidate gene variants

Road traffic injuries are the leading cause of death among young people. Recognising the role of impulsive tendencies in risk taking behaviour may help novice drivers to behave more safely. Previously, a brief intervention focusing on impulsive traffic behaviour, conducted by psychologists in driving schools, has been effective [1, 2]. Following the success a new intervention study was carried out but this time the intervention was conducted by regular driving school teachers, who had previously been trained to carry out the intervention. The new intervention, similarly to the previous one, significantly decreased prevalence of traffic collisions and lowered general traffic risk (occurrence of either a recorded traffic offence or a collision). The association of impulsivity measures and candidate gene variants with risk-taking behaviour in traffic and the efficacy of the intervention is also analysed and discussed in the study. Read more in detail here!

  1. PAAVER M, EENSOO D, KAASIK K, VAHT M, MÄESTU J, HARRO J. Predicting risky driving: A novel and efficient brief intervention focusing on acknowledgement of personal risk factors. Accident Analysis & Prevention 2013;50:430–437.
  2. EENSOO D, PAAVER M, VAHT M, LOIT HM, HARRO J. Risky driving and the persistent effect of a randomized intervention focusing on impulsivity: The role of the serotonin transporter promoter polymorphism. Accident Analysis & Prevention 2018;113:19–24.

Permanent link to the publication:
http://hdl.handle.net/10062/65096

The journal file is closed until January 2020 because the period of embargo for Acta Neuropsychiatrica journal is 6 months.