The human impact of commercial delivery cycling injuries : a pilot retrospective cohort study

Journal article


Sarkies, Mitchell N., Hemmert, Cameron, Pang, Yu-Chen, Shiner, Christine T., McDonell, Karon, Mitchell, Rebecca, Lystad, Reidar P., Novy, Michael and Christie, Lauren J.. (2022). The human impact of commercial delivery cycling injuries : a pilot retrospective cohort study. Pilot and Feasibility Studies. 8(1), pp. 1-11. https://doi.org/10.1186/s40814-022-01077-1
AuthorsSarkies, Mitchell N., Hemmert, Cameron, Pang, Yu-Chen, Shiner, Christine T., McDonell, Karon, Mitchell, Rebecca, Lystad, Reidar P., Novy, Michael and Christie, Lauren J.
Abstract

Background
Commercial delivery cyclists represent a uniquely vulnerable and poorly understood road user. The primary aim of this study was to pilot whether cycling injuries could be categorised as either commercial or non-commercial using documentation entered into routine hospital medical records, in order to determine the feasibility of conducting a large cohort study of commercial cycling injuries in the future. A secondary aim was to determine which key demographic, incident and injury characteristics were associated with commercial versus non-commercial cycling injuries in emergency.

Methods
Pilot retrospective cohort study of adults presenting to an acute public hospital emergency department between May 2019 and April 2020 after sustaining a cycling-related injury. Multinomial logistic regression was used to examine the demographic, incident and injury characteristics associated with commercial compared to non-commercial cycling.

Results
Of the 368 people presenting to the emergency department with a cycling-related injury, we were able to categorise 43 (11.7%) as commercial delivery cyclists, 153 (41.6%) as non-commercial cyclists and the working status of 172 (46.7%) was unable to be confirmed. Both commercial and unconfirmed cyclists were more likely to be younger than non-commercial cyclists. Compared to non-commercial cyclists, commercial cyclists were 11 times more likely to speak a language other than English (AOR 11.3; 95% CI 4.07–31.30; p<0.001), less likely to be injured from non-collision incidents than vehicle collisions (AOR 0.36; 95% CI 0.15–0.91; p=0.030) and were over 13 times more likely to present to the emergency department between 8.00pm and 12.00am compared to the early morning hours (12.00 to 8.00am) (AOR 13.43; 95% CI 2.20–82.10; p=0.005).

Conclusions
The growth of commercial cycling, particularly through online food delivery services, has raised concern regarding commercial cyclist safety. Improvements in the recording of cycling injury commercial status is required to enable ongoing surveillance of commercial cyclist injuries and establish the extent and risk factors associated with commercial cycling.

Keywordsaccident prevention; accidents; traffic; injuries; occupational health; road ; safety management; cycling; commercial; delivery
Year01 Jan 2022
JournalPilot and Feasibility Studies
Journal citation8 (1), pp. 1-11
PublisherBioMed Central Ltd.
ISSN2055-5784
Digital Object Identifier (DOI)https://doi.org/10.1186/s40814-022-01077-1
Web address (URL)https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-022-01077-1#Abs1
Open accessOpen access
Research or scholarlyResearch
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online01 Jun 2022
Publication process dates
Accepted26 May 2022
Deposited11 Dec 2024
Additional information

© The Author(s) 2022.

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Funding: This study was partially funded by an Early Career Research Enabling Scheme from Macquarie University. The funding body had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.

Place of publicationUnited Kingdom
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