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

Accident; Analysis and Prevention
Ram Nirula, Frank A Pintar

Abstract

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

Citations

Dec 25, 2012·Traffic Injury Prevention·T SmythV Siskind
Jul 1, 2012·Archives of Trauma Research·Mahdi MohammadzadehMohammad Ghannaee Arani
May 1, 2015·The American Journal of Clinical Hypnosis·Steven Jay LynnIrving Kirsch
Jun 17, 2011·Journal of Biomechanics·Jason J HallmanFrank A Pintar
Dec 1, 2009·Magyar sebészet·Agoston EmberTamás Molnár F
Nov 3, 2016·Traffic Injury Prevention·Greg ShawJeff Crandall
May 27, 2010·The American Journal of Clinical Hypnosis·Ronald J PekalaKaren Mullen
Mar 17, 2017·The American Journal of Clinical Hypnosis·Steven Jay LynnJoseph P Green
Mar 17, 2017·The American Journal of Clinical Hypnosis·Anthony D Kauders

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