Objective:​ This article aimed to identify the main features of older driver casualty crashes, including detailed descriptions of injury outcomes.

Methods:​ Data were obtained from the Transport Accident Commission insurance claims database for 2 groups of drivers:​ aged 41 to 55 years (middle-aged drivers) and aged 65 years and older (older drivers).

Results:​ In terms of crash circumstances, the majority of crashes involved a collision with another vehicle (70.0% of middle-aged drivers and 68.7% of older drivers). The 2 main maneuvers at the time of crash were driving straight ahead (44.6% of middle-aged drivers and 42.8% of older drivers) and turning right (equivalent of left turn in North America;​ 15.2% of middle-aged drivers and 17.6% of older drivers). In terms of injury outcomes, older drivers sustained a significantly higher proportion of injuries to the thorax (30.9% compared to 18.5% of middle-aged drivers). Conversely, a significantly higher proportion of middle-aged drivers sustained some form of injury to the neck (30.6% compared to 12.1% of older drivers).

Conclusion:​ These findings highlight the situations that are particularly risky for older drivers and provide important insights for developing solutions to reduce older driver crash and injury risk.