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Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries

PURPOSE: We performed a multidisciplinary investigation of young adults involved in motor vehicle collisions (MVCs) to elucidate injury mechanisms and the role of passive safety equipment such as seat belts and airbags. METHODS: MVCs resulting in death or serious injuries to the driver or passengers...

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Autores principales: Breen, Jan Mario, Næss, Pål Aksel, Hansen, Trond Boye, Gaarder, Christine, Klemmetsen, Harald, Stray-Pedersen, Arne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9636123/
https://www.ncbi.nlm.nih.gov/pubmed/36251237
http://dx.doi.org/10.1007/s12024-022-00541-x
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author Breen, Jan Mario
Næss, Pål Aksel
Hansen, Trond Boye
Gaarder, Christine
Klemmetsen, Harald
Stray-Pedersen, Arne
author_facet Breen, Jan Mario
Næss, Pål Aksel
Hansen, Trond Boye
Gaarder, Christine
Klemmetsen, Harald
Stray-Pedersen, Arne
author_sort Breen, Jan Mario
collection PubMed
description PURPOSE: We performed a multidisciplinary investigation of young adults involved in motor vehicle collisions (MVCs) to elucidate injury mechanisms and the role of passive safety equipment such as seat belts and airbags. METHODS: MVCs resulting in death or serious injuries to the driver or passengers aged 16–24 years in southeastern Norway during 2013–2016 were investigated upon informed consent. We assessed the crash scene, the motor vehicle (MV) interior and exterior, and analyzed data from medical records, forensic autopsies and reports from police and civil road authorities. RESULTS: This study included 229 young adult occupants involved in 212 MVCs. The Maximum Abbreviated Injury Scale (MAIS) score was ≥2 in 111 occupants, of which 22 were fatalities. In 59% (65/111) of the cases with MAIS score ≥2 injuries, safety errors and occupant protection inadequacies were considered to have contributed to the injury outcome. Common errors were seatbelt non-use and misuse, carrying insecure luggage, and the seat back being too reclined. MAIS score ≥2 head/neck injuries were observed in side impacts despite correct seatbelt use, related to older MVs lacking side airbag curtains. The independent risk factors for MAIS score ≥2 injuries included not using a seatbelt, driving under the influence of alcohol or drugs, nighttime driving, side impacts, heavy collision partner, and MV deformation. CONCLUSION: User safety errors (not using a seatbelt, seatbelt misuse, excessive seat-back reclining, and insecure cargo) and a lack of occupant protection in older MVs resulted in young adults sustaining severe or fatal injuries in MVCs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12024-022-00541-x.
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spelling pubmed-96361232022-11-06 Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries Breen, Jan Mario Næss, Pål Aksel Hansen, Trond Boye Gaarder, Christine Klemmetsen, Harald Stray-Pedersen, Arne Forensic Sci Med Pathol Original Article PURPOSE: We performed a multidisciplinary investigation of young adults involved in motor vehicle collisions (MVCs) to elucidate injury mechanisms and the role of passive safety equipment such as seat belts and airbags. METHODS: MVCs resulting in death or serious injuries to the driver or passengers aged 16–24 years in southeastern Norway during 2013–2016 were investigated upon informed consent. We assessed the crash scene, the motor vehicle (MV) interior and exterior, and analyzed data from medical records, forensic autopsies and reports from police and civil road authorities. RESULTS: This study included 229 young adult occupants involved in 212 MVCs. The Maximum Abbreviated Injury Scale (MAIS) score was ≥2 in 111 occupants, of which 22 were fatalities. In 59% (65/111) of the cases with MAIS score ≥2 injuries, safety errors and occupant protection inadequacies were considered to have contributed to the injury outcome. Common errors were seatbelt non-use and misuse, carrying insecure luggage, and the seat back being too reclined. MAIS score ≥2 head/neck injuries were observed in side impacts despite correct seatbelt use, related to older MVs lacking side airbag curtains. The independent risk factors for MAIS score ≥2 injuries included not using a seatbelt, driving under the influence of alcohol or drugs, nighttime driving, side impacts, heavy collision partner, and MV deformation. CONCLUSION: User safety errors (not using a seatbelt, seatbelt misuse, excessive seat-back reclining, and insecure cargo) and a lack of occupant protection in older MVs resulted in young adults sustaining severe or fatal injuries in MVCs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12024-022-00541-x. Springer US 2022-10-17 2022 /pmc/articles/PMC9636123/ /pubmed/36251237 http://dx.doi.org/10.1007/s12024-022-00541-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Breen, Jan Mario
Næss, Pål Aksel
Hansen, Trond Boye
Gaarder, Christine
Klemmetsen, Harald
Stray-Pedersen, Arne
Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries
title Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries
title_full Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries
title_fullStr Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries
title_full_unstemmed Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries
title_short Young adults in motor vehicle collisions in Norway: user safety errors observed in majority of cases with severe or fatal injuries
title_sort young adults in motor vehicle collisions in norway: user safety errors observed in majority of cases with severe or fatal injuries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9636123/
https://www.ncbi.nlm.nih.gov/pubmed/36251237
http://dx.doi.org/10.1007/s12024-022-00541-x
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