[Injury situation of novice drivers in road traffic--a medical and technical analysis].
OBJECTIVE
Novice drivers are at high risk for crash involvement. We performed an analysis of causations, injury patterns and distributions of novice drivers in cars and on motorcycles in road traffic as a basis for proper measurements.


METHODS
Data of accident and hospital records of novice drivers (licence < 2 years) were analysed focusing on the following parameters: injury type, localisation and mechanism, abbreviated injury scale (AIS), maximum AIS (MAIS), delta-v, collision speed and other technical parameters and compared with those of experienced drivers.


RESULTS
In 18 352 accidents in the area of Hannover (years 1985-2004), 2602 novice drivers and 18 214 experienced drivers were recorded as having an accident. Novice car drivers were more often and more severely injured whereas on motorcycles the experienced drivers were at higher risk. Novice drivers of both groups sustained more often extremity injuries. 4.5 % of the novice car drivers were not restrained by seatbelts as compared to 3.7 % of the experienced drivers and 6.1 % of the novice motorcycle drivers did not wear a proper helmet (versus 6.5 %). Severe injuries were sustained in 20 % at collision speeds below 30 km/h and in 80 % at collision speeds above 50 km/h. Novice car drivers drove significantly older cars. The risk profile of novice drivers is similar to that of drivers older than 65.


CONCLUSIONS
Structural protection and special lectures like skidding courses could be proper measurements next to harder punishment of violations.
Haasper
C
C
Unfallchirurgische Klinik, Medizinische Hochschule Hannover. haasper.carl@mh-hannover.de
Otte
D
D
Probst
C
C
Müller
C W
CW
Panzica
M
M
Frink
M
M
Hesse
E
E
Stübig
T
T
Richter
M
M
Hüfner
T
T
Krettek
C
C
D015998:Abbreviated Injury Scale; D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001334:Automobile Driving / Q000193:education* / Q000706:statistics & numerical data; D001336:Automobiles / Q000706:statistics & numerical data*; D015984:Causality; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006260:Head Protective Devices / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D009049:Motorcycles / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012622:Seat Belts / Q000706:statistics & numerical data; D012737:Sex Factors; D014600:Utilization Review / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology*; D055815:Young Adult