Identification of vehicle components associated with severe thoracic injury in motor vehicle crashes: A CIREN and NASS analysis

作者: R. Nirula , F.A. Pintar

DOI: 10.1016/J.AAP.2007.04.013

关键词:

摘要: Abstract Introduction Thoracic trauma secondary to motor vehicle crashes (MVC) continues be a major cause of morbidity and mortality. Specific features may increase the risk severe thoracic injury when striking occupant. We sought determine which contact points were associated with an increased in MVC focus subsequent design modifications necessary reduce injury. Methods The National Automotive Sampling System (NASS) databases from 1993 2001 Crash Injury Research Engineering Network (CIREN) 1996 2004 analyzed separately using univariate multivariate logistic regression stratified by restraint use crash direction. driver injury, defined as abbreviated scale (AIS) score ≥3, was determined it related specific between driver. Results incidence chest NASS CIREN 5.5% 33%, respectively. steering wheel, door panel, armrest, seat identified panel arm rest consistently frequent both data. Conclusions Several points, including armrest are These elements need further investigated characteristics manipulated order during crash.

参考文章(7)
Nadegda Tenenbaum, Laurie McCammon, John H. Siegel, Joyce A. Smith, Shabana Q. Siddiqi, Geetha Natarajan, Lyla Perez, Kenneth Hutchins, J. Shaikh, Wayne Williams, Faruk Presswalla, Leonard Zaretski, Phito Pierre-Louis, Deceleration energy and change in velocity on impact: key factors in fatal versus potentially survivable motor vehicle crash (MVC) aortic injuries (AI): the role of associated injuries as determinants of outcome Association for the Advancement of Automotive Medicine 46th Annual ConferenceAssociation for the Advancement of Automotive Medicine (AAAM). ,vol. 46, pp. 315- 338 ,(2002)
Deepak Katyal, Barry A. McLellan, Frederick D. Brenneman, Bernard R. Boulanger, Philip W. Sharkey, James P. Waddell, Lateral Impact Motor Vehicle Collisions The Journal of Trauma: Injury, Infection, and Critical Care. ,vol. 42, pp. 769- 772 ,(1997) , 10.1097/00005373-199705000-00002
Ricardo Martinez, Ghazala Sharieff, Jeffrey Hooper, Three-point restraints as a risk factor for chest injury in the elderly Journal of Trauma-injury Infection and Critical Care. ,vol. 37, pp. 980- 984 ,(1994) , 10.1097/00005373-199412000-00019
R Kaufman, F.P Rivara, D.C Grossman, R Nirula, C Mock, Correlation of head injury to vehicle contact points using crash injury research and engineering network data Accident Analysis & Prevention. ,vol. 35, pp. 201- 210 ,(2003) , 10.1016/S0001-4575(01)00104-X
Tristram G. Horton, Stephen M. Cohn, Michael P. Heid, Jeffrey S. Augenstein, Jami C. Bowen, Mark G. McKenney, Robert C. Duncan, Identification of trauma patients at risk of thoracic aortic tear by mechanism of injury. Journal of Trauma-injury Infection and Critical Care. ,vol. 48, pp. 1008- 1014 ,(1999) , 10.1097/00005373-200006000-00003
John H. Siegel, Stephanie Mason-Gonzalez, Patricia Dischinger, Brad Cushing, Kathy Read, Richard Robinson, John Smialek, Barry Heatfield, Wendy Hill, Frances Bents, Jerry Jackson, Doc Livingston, Carl C. Clark, SAFETY BELT RESTRAINTS AND COMPARTMENT INTRUSIONS IN FRONTAL AND LATERAL MOTOR VEHICLE CRASHES: MECHANISMS OF INJURIES, COMPLICATIONS, AND ACUTE CARE COSTS Journal of Trauma-injury Infection and Critical Care. ,vol. 34, pp. 736- 759 ,(1993) , 10.1097/00005373-199305000-00017