Comparison of risk factors for cervical spine, head, serious, and fatal injury in rollover crashes

Funk, James R.; Cormier, Joseph M.; Manoogian, Sarah J.

doi:10.1016/j.aap.2011.11.009

Cited by 47 publications

(36 citation statements)

References 19 publications

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“…However, the highest risk for PMI for spine fractures was found in far-side impacts. These findings show the same trend as for serious spine injuries where the risk of injury was highest in rollover followed by far-side crashes (Funk et al 2012). Furthermore, side impacts compared to frontal impacts have been shown to generate a higher risk of cervical spine fracture (Stein et al 2011).…”

Section: Discussionsupporting

confidence: 69%

“…Rollover crashes often occur at high speed and as a result of another event, causing whole or partial ejection from the seat belt (if belted) or the car. Occupant ejection or contact to vehicle interior, in combination with roof crush, has increases the risk of serious injuries (Funk et al 2012). To provide protection in rollovers, car manufacturers have added side curtain airbags.…”

Section: Discussionmentioning

confidence: 99%

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Differences in Long-term Medical Consequences Depending on Impact Direction Involving Passenger Cars

Stigson¹,

Gustafsson

Sunnevång

et al. 2015

Traffic Injury Prevention

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Objective: There is limited knowledge of the long-term medical consequences for occupants injured in car crashes in various impact directions. Thus, the objective was to evaluate whether injuries leading to permanent medical impairment differ depending on impact direction.Methods: In total, 36,743 injured occupants in car crashes that occurred between 1995 and 2011 were included. All initial injuries (n = 61,440) were classified according to the Abbreviated Injury Scale (AIS) 2005. Injured car occupants were followed for at least 3 years to assess permanent medical impairment. The data were divided into different groups according to impact direction and levels of permanent impairment. The risk of permanent medical impairment was established for different body regions and injury severity levels, according to AIS.Results: It was found that almost 12% of all car occupants sustained a permanent medical impairment. Given an injury, car occupants involved in rollover crashes had the highest overall risk to sustain a permanent medical impairment. Half of the head injuries leading to long-term consequences occurred in frontal impacts. Far-side occupants had almost the same risk as near-side occupants. Occupants who sustained a permanent medical impairment from cervical spine injuries had similar risk in all impact directions (13%) except from rollover (17%). However, these injuries occurred more often in rear crashes. Most of the injuries leading to long-term consequences were classified as minor injuries by AIS for all impact directions.Conclusions: Studying crash data from a perspective of medical impairment is important to identify injuries that might not be prioritized only considering the AIS but might lead to lower quality of life for the occupant and also costs for society. These results can be used for road transport system strategies and for making priority decisions in vehicle design.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Differences in Long-term Medical Consequences Depending on Impact Direction Involving Passenger Cars

Stigson¹,

Gustafsson

Sunnevång

et al. 2015

Traffic Injury Prevention

View full text Add to dashboard Cite

show abstract

“…Numerous field data studies on rollover crashes have reported a higher incidence of serious injury and/or fatal injury for occupants seated on the far side than the near side of the rolling vehicle (Parenteau et al, 2001;Gloeckner et al, 2006;Jehle et al, 2007;Viano et al, 2007;Funk et al, 2012a). Explanations for the increased injury risk associated with the outboard seating position in rollover crashes have been proposed and include the "increased initial rotational torque and roof crush" (Jehle et al, 2007) and a greater energy due to a larger radius (Parenteau et al, 2001).…”

Section: Discussionmentioning

confidence: 94%

“…More recently, Funk et al (2012a), in a field data study on occupant injury risk factors in rollover crashes, pooled not only pure rollover crashes and single vehicle multiple event crashes for which the rollover portion is coded as the most severe event but also multiple vehicle rollover crashes for which the rollover portion is coded as the most severe event. This approach reportedly doubled the number of cases compared to if only pure rollovers had been included.…”

Section: Introductionmentioning

confidence: 99%

Occupant injury in rollover crashes – Contribution of planar impacts with objects and other vehicles

Ivarsson

Poplin

McMurry

et al. 2015

Accident Analysis & Prevention

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“…Occupant ejection and the lack of seatbelt use dramatically increased the occupants' risk for all types of injury in rollover crashes. Seatbelt use decreased the rate of partial ejection by a factor of 2.6 (from 5.6% to 2.2%) and virtually eliminated complete ejection, reducing it by a factor of 180 (from 17.6% to 0.1%) [25]. The concerns regarding the reduction of the number of deaths and seriously injured persons in road accidents have determined the performance of some studies, which showed the existing differences between wearing the seatbelt by the driver and the vehicle's passengers by gender and age, and other features which revealed the factors that influence road users' behavior regarding seatbelt wearing.…”

Section: Literature Reviewmentioning

confidence: 99%

Road Safety Education in the Context of the Sustainable Development of Society: The Romanian Case

et al. 2016

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Abstract:The increased number of road accidents, leading to deaths and serious injuries is a social problem facing most of the world countries, which can affect the sustainable development of a society. This has economic implications, because it impacts the increase of expenditure on hospitalization and the recovery costs of those injured. The current article is based on a quantitative research, coordinated by the authors, conducted among traffic participants from Romania. The major objective of the study was to quantify the main aspects of seatbelt wearing behavior. The research was carried out at national level and used a systematic probabilistic sampling. The sample contains 4346 subjects, of which 3120 were from the automobile section, representing the topic of this article, and being representative of the Romanian adult population. The main research results showed that the percentage of women always wearing seatbelts (76.4%) is higher than the percentage of men (69.9%). Additionally, the highest percentage of people always wearing seatbelts is found at the age group over 55 years (85.2%). The percentage decreases with age-the age group 18-25 are the least likely to wear seatbelts.

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Comparison of risk factors for cervical spine, head, serious, and fatal injury in rollover crashes

Cited by 47 publications

References 19 publications

Differences in Long-term Medical Consequences Depending on Impact Direction Involving Passenger Cars

Differences in Long-term Medical Consequences Depending on Impact Direction Involving Passenger Cars

Occupant injury in rollover crashes – Contribution of planar impacts with objects and other vehicles

Road Safety Education in the Context of the Sustainable Development of Society: The Romanian Case

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