TY - JOUR PY - 2018// TI - Estimated total costs from non-fatal and fatal bicycle crashes in the USA: 1997-2013 JO - Injury prevention A1 - Gaither, Thomas W. A1 - Sanford, Thomas A. A1 - Awad, Mohannad A. A1 - Osterberg, E. Charles A1 - Murphy, Gregory P. A1 - Lawrence, Bruce A. A1 - Miller, Ted R. A1 - Breyer, Benjamin N. SP - 135 EP - 141 VL - 24 IS - 2 N2 - INTRODUCTION: Emergency department visits and hospital admissions resulting from adult bicycle trauma have increased dramatically. Annual medical costs and work losses of these incidents last were estimated for 2005 and quality-of-life losses for 2000.

METHODS: We estimated costs associated with adult bicycle injuries in the USA using 1997-2013 non-fatal incidence data from the National Electronic Injury Surveillance System with cost estimates from the Consumer Product Safety Commission's Injury Cost Model, and 1999-2013 fatal incidence data from the National Vital Statistics System costed by similar methods.

RESULTS: Approximately 3.8 million non-fatal adult bicycle injuries were reported during the study period and 9839 deaths. In 2010 dollars, estimated adult bicycle injury costs totalled $24.4 billion in 2013. Estimated injury costs per mile bicycled fell from $2.85 in 2001 to $2.35 in 2009. From 1999 to 2013, total estimated costs were $209 billion due to non-fatal bicycle injuries and $28 billion due to fatal injuries. Inflation-free annual costs in the study period increased by 137% for non-fatal injuries and 23% for fatal injuries. The share of non-fatal costs associated with injuries to riders age 45 and older increased by 1.6% (95% CI 1.4% to 1.9%) annually. The proportion of costs due to incidents that occurred on a street or highway steadily increased by 0.8% (95% CI 0.4% to 1.3%) annually.

CONCLUSIONS: Inflation-free costs per case associated with non-fatal bicycle injuries are increasing. The growth in costs is especially associated with rising ridership, riders 45 and older, and street/highway crashes.

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Language: en

LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/injuryprev-2016-042281 ID - ref1 ER -