The Influence of Occupant Anthropometry and Seat Position on Ejection Risk in a Rollover

Atkinson, Theresa; Fras, Andrew; Telehowski, Paul

doi:10.1080/15389588.2010.485284

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…In our study, the majority of the victims were drivers (54%) and front seat (15.6%) passengers. This is similar to Atkinson et al [20] who reported a significantly higher rate of ejection among drivers in comparison to other passengers. Among unrestrained occupants, 62% of drivers and 51% of front seat passengers experienced ejection.…”

Section: Discussionsupporting

confidence: 91%

Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients

Latifi

El‐Menyar

Hennawy

et al. 2014

The Scientific World Journal

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Rollover car crashes (ROCs) are serious public safety concerns worldwide. Objective. To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar. Methods. A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar (2011-2012). Patients were divided into Group I (ROC with ejection) and Group II (ROC without ejection). Results. A total of 719 patients were evaluated (237 in Group I and 482 in Group II). The mean age in Group I was lower than in Group II (24.3 ± 10.3 versus 29 ± 12.2; P = 0.001). Group I had higher injury severity score and sustained significantly more head, chest, and abdominal injuries in comparison to Group II. The mortality rate was higher in Group I (25% versus 7%; P = 0.001). Group I patients required higher ICU admission rate (P = 0.001). Patients in Group I had a 5-fold increased risk for age-adjusted mortality (OR 5.43; 95% CI 3.11–9.49), P = 0.001). Conclusion. ROCs with ejection are associated with higher rate of morbidity and mortality compared to ROCs without ejection. As an increased number of young Qatari males sustain ROCs with ejection, these findings highlight the need for research-based injury prevention initiatives in the country.

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Section: Discussionsupporting

confidence: 91%

Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients

Latifi

El‐Menyar

Hennawy

et al. 2014

The Scientific World Journal

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“…In our study, ejection was reduced in patients in the post-implementation versus pre-implementation periods. This is similar to other studies that showed a 38% reduction rate in patines who were restrained, and another study that reported 62% of unrestrained drivers ejected from the vehicle [18][19].…”

Section: Discussionsupporting

confidence: 90%

Outcomes of Road Traffic Accidents Before and After the Implementation of a Seat Belt Detection System: A Comparative Retrospective Study in Riyadh

Babtain¹,

Alabdulkarim²,

Alquwaiee³

et al. 2022

Cureus

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IntroductionRoad traffic accidents (RTAs) are considered a major cause of death in Saudi Arabia. As seat belt compliance provides significant safety among drivers, a camera detection system has been implemented in March 2018 to enforce seat belt utilization, which can decrease the severity of road traffic injuries. There are no previous studies in the country that have assessed the effectiveness of a seat belt camera detection system on the severity of RTA-related injuries. MethodsA retrospective cohort study was conducted at King Abdulaziz Medical Trauma Center in Riyadh, Saudi Arabia. The study included 688 adult patients who were involved in RTAs from the period of March 2016 to March 2020. A data extraction form included sociodemographics, clinical variables, and outcome measures. The data were analyzed using Statistical Analysis Software (SAS) to evaluate the primary outcome measures: mortality, ejection from the vehicle, ICU admissions, and severity measures (injury severity score (ISS) and Glasgow Coma Scale (GCS)) before and after the implementation of seat belt detection system. Associations of the outcome measures in the pre-implementation and the post-implementation periods' seat belt detection were assessed using regression tests. ResultsThere was no significant difference in the mean age between the pre-implementation and postimplementation periods of the seat belt detection system (31.39 years and 32.57 years, respectively). All of the outcome measures have improved following the implementation of the seat belt detection system. Mortality and ejection rates decreased significantly with 58% lower risk of death (OR= 0.42; 95% CI= 0.2,0.8) and 37% lower risk of ejection (OR= 0.63; 95% CI= 0.42,0.94). ICU admissions showed a slight decline in the post-implementation period compared to the pre-implementation period (30.37% vs. 31.37, p<0.7764). Severity measures (ISS and GCS) were slightly improved in the post-implementation period. Head and neck injuries were dominant in the pre-implementation period, and chest injuries were the most common body injuries after the implementation. ConclusionThis study highlights the direct association between compliance with seat belt use and the primary outcome measures among patients who survived a road traffic accident. All of the outcome measures showed improvement in the post-implementation period, which indicates the effectiveness of the newly implemented seat belt detection system. These findings raise awareness to the public in regard to seat belt compliance.

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“…Actually, these practices cannot protect a baby during a car crash. During rollover crashes, ejection increases an occupant’s risk of severe to fatal injury as compared to risks for those retained in the vehicle [ 14 ]. Thus, parents should be taught about the serious threat to their children’s lives if these children are not correctly secured in safety seats.…”

Section: Discussionmentioning

confidence: 99%

Parents’ experience with child safety restraint in China

et al. 2014

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BackgroundChild safety restraints are effective measures in protecting children from an injury while traveling in a car. However, the rate of child restraint use is extremely low in Chinese cities. Parent drivers could play an important role in promoting child safety restraint use, but not all of them take active responsibility.MethodsThis study used a qualitative approach and included 14 in-depth interviews among parents with a child, under the age of 6, living in Shantou City (7 child safety restraint users and 7 non-users). Purposive sampling was used to recruit eligible parent drivers who participated in a previous observation study. Interview data were collected from March to April 2013. The audio taped and transcribed data were coded and analyzed to identify key themes.ResultsFour key themes on child safety restraint emerged from the in-depth interviews with parents. These included 1) Having a child safety restraint installed in the rear seat with an adult sitting next to the restrained child is ideal, and child safety restraint is seen as an alternative when adult accompaniment is not available; 2) Having effective parental education strategies could help make a difference in child safety restraint use; 3) Inadequate promotion and parents’ poor safety awareness contribute to the low rate of child safety restraint in China; 4) Mandatory legislation on child safety restraint use could be an effective approach.ConclusionInadequate promotion and low awareness of safe traveling by parents were closely linked to low child safety seat usage under the circumstance of no mandatory legislation. Future intervention efforts need to focus on increasing parents’ safe travel awareness combined with CSS product promotion before the laws are enacted.

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The Influence of Occupant Anthropometry and Seat Position on Ejection Risk in a Rollover

Cited by 3 publications

References 9 publications

Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients

Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients

Outcomes of Road Traffic Accidents Before and After the Implementation of a Seat Belt Detection System: A Comparative Retrospective Study in Riyadh

Parents’ experience with child safety restraint in China

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