MOPEDS: The high cost of cheap and poorly legislated transportation for negligent drivers

Accid Anal Prev. 2018 Aug:117:121-127. doi: 10.1016/j.aap.2018.03.023. Epub 2018 Apr 23.

Abstract

Introduction: This study evaluates the impact of moped crashes in North Carolina, a state with lenient moped legislation by(1) describing the characteristics of moped crashes and (2) estimating the cost burden of moped-related injuries.

Methods: Health and public records of moped crash subjects treated at our hospital were reviewed. Direct costs were billed hospital charges. Indirect costs based on age and outcomes were calculated.

Results: Between 2008-2013, 368 subjects were involved in 373 moped crashes. 52% of drivers were intoxicated. 38% of drivers had prior DWIs and 26% had prior revoked licenses. Hospitalized subjects (n = 305) had a combined 2687 hospital days, 695 ICU days and 449 trips to the operating room for treatment of their injuries. Average hospital charges were $70,561 per subject. Total direct and indirect costs of moped injuries were over $26 million and $81 million respectively. Medicaid absorbed most of the direct cost ($13.7 M). Estimated direct cost of moped crashes across the state totaled $133 million.

Conclusion: Healthcare and financial ramifications of moped collisions are substantial. Laws governing moped drivers and stricter penalties for intoxicated drivers are needed.

Keywords: Economic/cost analysis; Epidemiology/procedural/outcomes; Injury prevention; Outcomes.

MeSH terms

  • Accidents, Traffic / classification
  • Accidents, Traffic / economics
  • Accidents, Traffic / statistics & numerical data*
  • Adolescent
  • Adult
  • Driving Under the Influence / statistics & numerical data
  • Female
  • Health Care Costs / statistics & numerical data*
  • Hospitalization / economics*
  • Hospitalization / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Motorcycles / economics
  • Motorcycles / legislation & jurisprudence*
  • Motorcycles / statistics & numerical data
  • North Carolina / epidemiology
  • Wounds and Injuries* / economics
  • Wounds and Injuries* / epidemiology