Injury Risks in Frontal Crashes by Delta V and Body Region With Focus on Head Injuries in Low-Speed Collisions

Viano, David C.; Parenteau, Chantal S.

doi:10.1080/15389581003751623

Cited by 28 publications

(10 citation statements)

References 57 publications

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“…There is a high degree of variation in the sampling weights in the NASS-CDS, so concerns may arise when analyses with small subpopulations are conducted (26); 1 case with a large sampling weight may unduly influence the results. Even with 9 years of data, sample sizes are somewhat small, and standard errors can be large (27). Our small sample size precluded the ability to analyze groups other than whites, blacks, and Hispanics.…”

Section: Discussionmentioning

confidence: 97%

Racial Disparities in Survival Among Injured Drivers

Haskins¹,

Clark²,

Travis³

2013

American Journal of Epidemiology

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Prior studies on racial and ethnic disparities in survival after motor vehicle crashes have examined only population-based death rates or have been restricted to hospitalized patients. In the current study, we examined 3 components of crash survival by race/ethnicity: survival overall, survival to reach a hospital, and survival among those hospitalized. Nine years of data (from 2000 through 2008) from the National Automotive Sampling System Crashworthiness Data System were used to examine white non-Hispanic, black non-Hispanic, and Hispanic drivers aged ≥ 15 years with serious injuries (injury severity scores of ≥ 9). By using multivariable logistic regression, we found that a driver's race/ethnicity was not significantly associated with overall survival after being injured in a crash (for blacks, odds ratio (OR) = 0.69, 95% confidence interval (CI): 0.36, 1.32; for Hispanics, OR = 1.00, 95% CI: 0.59, 1.72), and blacks and Hispanics were equally likely to survive to be treated at a hospital compared with whites (for blacks, OR = 1.00, 95% CI: 0.52, 1.93; for Hispanics, OR = 1.13, 95% CI: 0.71, 1.79). However, among patients who were treated at a hospital, blacks were 50% less likely to survive 30 days compared with whites (OR = 0.50, 95% CI: 0.33, 0.76). The disparity in survival after serious traffic injuries among blacks appears to occur after hospitalization, not in prehospital survival.

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Section: Discussionmentioning

confidence: 97%

Racial Disparities in Survival Among Injured Drivers

Haskins¹,

Clark²,

Travis³

2013

American Journal of Epidemiology

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“…A study conducted by Afukaar [51] reported that speeding was highly associated with fatal injuries because the high impact force exceeds human tolerance. Other studies have revealed that drivers involved in head-on crashes are more likely to sustain head, cervical, and chest injuries [52][53][54][55], which generally lead to unfavourable trauma outcomes.…”

Section: Discussionmentioning

confidence: 99%

Effect of Distance to Trauma Centre, Trauma Centre Level, and Trauma Centre Region on Fatal Injuries among Motorcyclists in Taiwan

Wiratama

Chen

Chao

et al. 2021

IJERPH

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Background: Studies have suggested that trauma centre-related risk factors, such as distance to the nearest trauma hospital, are strong predictors of fatal injuries among motorists. Few studies have used a national dataset to study the effect of trauma centre-related risk factors on fatal injuries among motorists and motorcyclists in a country where traffic is dominated by motorcycles. This study investigated the effect of distance from the nearest trauma hospital on fatal injuries from two-vehicle crashes in Taiwan from 2017 to 2019. Methods: A crash dataset and hospital location dataset were combined. The crash dataset was extracted from the National Taiwan Traffic Crash Dataset from 1 January 2017 through 31 December 2019. The primary exposure in this study was distance to the nearest trauma hospital. This study performed a multiple logistic regression to calculate the adjusted odds ratios (AORs) for fatal injuries. Results: The multivariate logistic regression models indicated that motorcyclists involved in crashes located ≥5 km from the nearest trauma hospital and in Eastern Taiwan were approximately five times more likely to sustain fatal injuries (AOR = 5.26; 95% CI: 3.69–7.49). Conclusions: Distance to, level of, and region of the nearest trauma centre are critical risk factors for fatal injuries among motorcyclists but not motorists. To reduce the mortality rate of trauma cases among motorcyclists, interventions should focus on improving access to trauma hospitals.

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“…Cervical and lumbar radiculitis – despite being common clinical diagnoses with ICD-10 codes – are not typically reported pathologies in studies pertaining to MVCs. Rather, much research has examined the influence of intrinsic and/or extrinsic factors on sustaining AIS-3 injuries [ 25 – 29 ]. The Abbreviated Injury Scale, however, is a threat to life scale, with a score of 3 indicating to a serious threat [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Frequency of acute cervical and lumbar pathology in common types of motor vehicle collisions: a retrospective record review

Hashish¹,

Badday²

2017

BMC Musculoskelet Disord

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BackgroundThere are more than 5 million motor vehicle collisions annually in the United States, resulting in more than 2 million injured occupants. The most common types of collisions are head-on impacts, rear-ends, side-swipes, and t-bones, whilst the most common injury sites are the cervical and lumbar spine. The purpose of this retrospective record review was to examine the differences in frequency of cervical and lumbar pathology across and between these common collision types.MethodsNine-hundred and three patients were included in this analysis, 88 of whom described being in a head-on collision, 546 in a rear-end, 123 in a side-swipe, and 146 in a t-bone. Four diagnoses were examined, two each for the cervical and lumbar regions: disc derangement and radiculitis. Pearson’s Chi-squared contingency tables were used to test whether there were differences in clinical diagnosis frequencies across collision type, while Marascuilo’s post hoc multiple proportion comparisons were conducted to determine inter-group differences.ResultsThere were significant differences across collision type for cervical disc derangement (p < 0.0001), cervical radiculitis (p < 0.00001), lumbar disc derangement (p = 0.0002) and lumbar radiculitis (p < 0.00001). There were also significant differences in pathology frequency between collision types.ConclusionsSymptomatic cervical disc derangements were more common among patients who were involved in aside-swipe, whereas symptomatic lumbar disc derangements were more common among those in head-on or side-swipe collisions. Expanded controlled prospective studies are encouraged to better understand the mechanisms of injury and determine radiculitis tolerance limits.Electronic supplementary materialThe online version of this article (10.1186/s12891-017-1797-5) contains supplementary material, which is available to authorized users.

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Injury Risks in Frontal Crashes by Delta V and Body Region With Focus on Head Injuries in Low-Speed Collisions

Cited by 28 publications

References 57 publications

Racial Disparities in Survival Among Injured Drivers

Racial Disparities in Survival Among Injured Drivers

Effect of Distance to Trauma Centre, Trauma Centre Level, and Trauma Centre Region on Fatal Injuries among Motorcyclists in Taiwan

Frequency of acute cervical and lumbar pathology in common types of motor vehicle collisions: a retrospective record review

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