Cargando…
Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults
BACKGROUND: Most studies of rear-seated occupants have focused on or included pediatric occupants which may not translate to adults. This study examines passenger, driver, vehicle and crash characteristics for rear-seated adult occupants involved in side crashes. METHODS: The National Automotive Sam...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045916/ https://www.ncbi.nlm.nih.gov/pubmed/27747559 http://dx.doi.org/10.1186/s40621-016-0088-1 |
_version_ | 1782457193179643904 |
---|---|
author | Liu, Chang Pressley, Joyce C. |
author_facet | Liu, Chang Pressley, Joyce C. |
author_sort | Liu, Chang |
collection | PubMed |
description | BACKGROUND: Most studies of rear-seated occupants have focused on or included pediatric occupants which may not translate to adults. This study examines passenger, driver, vehicle and crash characteristics for rear-seated adult occupants involved in side crashes. METHODS: The National Automotive Sampling System General Estimates System (NASS/GES) for calendar years 2011–2014 was used with accompanying weights to examine the occupant, vehicle and crash characteristics associated with injury in rear-seated adults (n = 395,504) involved in a side crash. A weighted subpopulation analysis includes occupants travelling in a vehicle with an IIHS safety rating (n = 39,208), which was used to control for vehicle safety. Statistical analysis used Chi-square tests and multilevel multivariable logistic regression. Unadjusted and adjusted odds ratios (ORs) are reported with 95 % confidence intervals (95 % CIs). RESULTS: Rear-seated occupants on the same side as the crash impact were more likely to be severely/fatally injured than occupants seated on the opposite side (Multivariable adjusted OR: 2.54, 95 % CI: 2.31–2.79), as were those in angle crashes (Multivariable adjusted OR: 10.85, 95 % CI: 9.24–12.73). Rear-seated occupants of belted drivers were 3.28 times more likely to be belted compared to rear-seated occupants of an unbelted driver. In a subpopulation analysis of all same-side crashes, unrestrained occupants were 5.96 times more likely to be severely/fatally injured compared to restrained occupants. CONCLUSION: Restraint use was protective for rear-seated adult occupants involved in side crashes, including those in same-side crashes. Angle and same-side crashes are associated with increased injury severity. |
format | Online Article Text |
id | pubmed-5045916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-50459162016-10-17 Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults Liu, Chang Pressley, Joyce C. Inj Epidemiol Original Contribution BACKGROUND: Most studies of rear-seated occupants have focused on or included pediatric occupants which may not translate to adults. This study examines passenger, driver, vehicle and crash characteristics for rear-seated adult occupants involved in side crashes. METHODS: The National Automotive Sampling System General Estimates System (NASS/GES) for calendar years 2011–2014 was used with accompanying weights to examine the occupant, vehicle and crash characteristics associated with injury in rear-seated adults (n = 395,504) involved in a side crash. A weighted subpopulation analysis includes occupants travelling in a vehicle with an IIHS safety rating (n = 39,208), which was used to control for vehicle safety. Statistical analysis used Chi-square tests and multilevel multivariable logistic regression. Unadjusted and adjusted odds ratios (ORs) are reported with 95 % confidence intervals (95 % CIs). RESULTS: Rear-seated occupants on the same side as the crash impact were more likely to be severely/fatally injured than occupants seated on the opposite side (Multivariable adjusted OR: 2.54, 95 % CI: 2.31–2.79), as were those in angle crashes (Multivariable adjusted OR: 10.85, 95 % CI: 9.24–12.73). Rear-seated occupants of belted drivers were 3.28 times more likely to be belted compared to rear-seated occupants of an unbelted driver. In a subpopulation analysis of all same-side crashes, unrestrained occupants were 5.96 times more likely to be severely/fatally injured compared to restrained occupants. CONCLUSION: Restraint use was protective for rear-seated adult occupants involved in side crashes, including those in same-side crashes. Angle and same-side crashes are associated with increased injury severity. Springer International Publishing 2016-10-03 /pmc/articles/PMC5045916/ /pubmed/27747559 http://dx.doi.org/10.1186/s40621-016-0088-1 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Contribution Liu, Chang Pressley, Joyce C. Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
title | Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
title_full | Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
title_fullStr | Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
title_full_unstemmed | Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
title_short | Side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
title_sort | side impact motor vehicle crashes: driver, passenger, vehicle and crash characteristics for fatally and nonfatally-injured rear-seated adults |
topic | Original Contribution |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045916/ https://www.ncbi.nlm.nih.gov/pubmed/27747559 http://dx.doi.org/10.1186/s40621-016-0088-1 |
work_keys_str_mv | AT liuchang sideimpactmotorvehiclecrashesdriverpassengervehicleandcrashcharacteristicsforfatallyandnonfatallyinjuredrearseatedadults AT pressleyjoycec sideimpactmotorvehiclecrashesdriverpassengervehicleandcrashcharacteristicsforfatallyandnonfatallyinjuredrearseatedadults |