{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:35:39Z","timestamp":1783557339814,"version":"3.55.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Transport injuries are a major cause of mortality among adolescents. Our aim was to evaluate the circumstances and trauma associated with fatal accidents involving adolescents and two-wheeled vehicles.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We analyzed retrospective data from the Finnish Crash Data Institute from 2008 to 2019 involving 10- to 24-year-old victims of fatal traffic accidents who were injured while riding a bicycle, moped or motorcycle. We collected data on patient characteristics, accident circumstances and possible treatment. These fatalities were compared with national mortality rates among the respective age groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We identified 147 fatalities over the 12-year period involving 20 bicycle, 50 moped and 77 motorcycle riders. Most accidents involved males (n\u2009=\u2009121, 82%). Less than half of vehicles were in good condition (46%); motorized vehicles were often illegally tuned (37%) or had tire problems (31%). Most of the accidents were collisions with another vehicle (n\u2009=\u200999, 67%) or other objects (n\u2009=\u200935, 24%). In 94% of cases, the Injury Severity Score was &amp;gt;25. Head injury was the most common cause of death (62%). Among 15-year-olds, every fifth death was due to accidents on two-wheeled vehicles.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Fatal transport accidents among adolescents comprise several elements that should be incorporated into driver\u2019s education and in case of minors, also communicated to parents. These include the condition of the vehicle, proper helmet use and effects of speed on both control of the vehicle and the consequences of a possible collision.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckad198","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T13:17:56Z","timestamp":1699622276000},"page":"267-271","source":"Crossref","is-referenced-by-count":4,"title":["On a collision course: fatal motorcycle and bicycle accidents of adolescents in Finland from 2008 to 2019"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9528-6782","authenticated-orcid":false,"given":"Jani","family":"Unkuri","sequence":"first","affiliation":[{"name":"Pediatric Surgery, New Children\u2019s Hospital, Helsinki University Hospital and University of Helsinki , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4ivi","family":"Salminen","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, New Children\u2019s Hospital, Helsinki University Hospital and University of Helsinki , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niina","family":"Sihvola","sequence":"additional","affiliation":[{"name":"Finnish Crash Data Institute , Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silja","family":"Kosola","sequence":"additional","affiliation":[{"name":"Pediatric Research Center, New Children\u2019s Hospital, Helsinki University Hospital and University of Helsinki , Finland"},{"name":"Research, Development and Innovations, Western Uusimaa Welfare Services County , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,11,8]]},"reference":[{"key":"2024040320145334600_ckad198-B1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/S2352-4642(18)30022-1","article-title":"The age of adolescence","volume":"2","author":"Sawyer","year":"2018","journal-title":"Lancet Child Adolesc Health"},{"key":"2024040320145334600_ckad198-B2","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1016\/S0140-6736(21)01546-4","article-title":"Global, regional, and national mortality among young people aged 10-24 years, 1950-2019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"398","author":"Ward","year":"2021","journal-title":"Lancet"},{"key":"2024040320145334600_ckad198-B3","author":"Centers for Disease Control and Prevention","year":"2021"},{"key":"2024040320145334600_ckad198-B4","author":"Eurostat:"},{"key":"2024040320145334600_ckad198-B5","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1136\/bmj.330.7488.411","article-title":"Epidemiology of health and illness","volume":"330","author":"Viner","year":"2005","journal-title":"BMJ"},{"key":"2024040320145334600_ckad198-B6","author":"European Transport Safety Council","year":"2021"},{"key":"2024040320145334600_ckad198-B7","author":"European Road Safety Observatory"},{"key":"2024040320145334600_ckad198-B8","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1136\/ip.2004.006957","article-title":"Driver dependent factors and the risk of causing a collision for two wheeled motor vehicles","volume":"11","author":"Lardelli-Claret","year":"2005","journal-title":"Inj Prev"},{"key":"2024040320145334600_ckad198-B9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.aap.2015.11.008","article-title":"Factors contributing to young moped rider accidents in Denmark","volume":"87","author":"Moller","year":"2016","journal-title":"Accid Anal Prev"},{"key":"2024040320145334600_ckad198-B10","author":"European Transport Safety Council"},{"key":"2024040320145334600_ckad198-B11","doi-asserted-by":"crossref","first-page":"e000123","DOI":"10.1136\/bmjpo-2017-000123","article-title":"Public health approaches to safer cycling for children based on developmental and physiological readiness: implications for practice","volume":"2","author":"Lenton","year":"2018","journal-title":"BMJ Paediatr Open"},{"key":"2024040320145334600_ckad198-B12","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1055\/s-0040-1712930","article-title":"Teens on wheels and consequences: a six-year population-based study of bicycle and moped injuries","volume":"31","author":"Unkuri","year":"2021","journal-title":"Eur J Pediatr Surg"},{"key":"2024040320145334600_ckad198-B13","author":"The Motorcycle Industry in Europe"},{"key":"2024040320145334600_ckad198-B14","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.injury.2015.10.074","article-title":"Driver's education may reduce annual incidence and severity of moped and scooter accidents. 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