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1.
Accid Anal Prev ; 37(1): 5-17, 2005 Jan.
Article in English | MEDLINE | ID: mdl-15607270

ABSTRACT

Although the effectiveness of seat belts for reducing injury to rear seat passengers in traffic accidents has been well documented, the ratio of rear-seat passengers restrained by seatbelts remains lower than that of drivers or passengers in front seats. If passengers in rear seats do not wear seat belts, they may sustain unexpected injury to themselves when involved in accidents, and also endanger front occupants (drivers or front seat passengers). This paper focuses on the tendency of front seat occupants to sustain severer injuries due to forward movement of passengers in rear seats at the moment of frontal collisions, and evaluates the effectiveness of rear passengers' wearing seat belts in reducing injuries of front seat occupants. Since the occurrence of occupant injuries depends considerably on the crash severity, we proposed to use pseudo-delta V in regression analysis to represent velocity change during a collision when analyzing statistical accident data. As the crash severity can be estimated from pseudo-delta V, it becomes possible to make appropriate estimations even when the crash severity differs in data. The binary model derived from the ordered response model was used to evaluate the influence on the injury level based on pseudo-delta V, belted or unbelted status, gender and age. Occupants in cars with a hood in the case of car-to-car frontal collisions were extracted from the statistical data on accidents in Japan. Among 81,817 cars, where at least one passenger was present, a total of 6847 cars in which all passengers sustained injuries and which had at least one rear seat passenger aboard were analyzed. The number of killed or seriously injured drivers is estimated to decrease by around 25% if rear seat occupants come to wear seat belts. Also, the number of killed or seriously injured passengers in front seats is estimated to decrease by 28% if unbelted rear seat occupants come to wear seat belts. Thus, wearing of seat belts by previously unbelted rear seat passengers is considered effective in reducing not only injuries to the rear seat passengers themselves but also injuries to front seat occupants.


Subject(s)
Accidents, Traffic/statistics & numerical data , Seat Belts/statistics & numerical data , Wounds and Injuries/prevention & control , Adult , Female , Humans , Logistic Models , Male , Middle Aged , Regression Analysis
2.
Stapp Car Crash J ; 47: 349-65, 2003 Oct.
Article in English | MEDLINE | ID: mdl-17096256

ABSTRACT

The injuries sustained by elderly car occupants in traffic accidents are usually more severe than those of younger occupants. Accident statistics data show that injuries to elderly occupants frequently occur in the chest. Belted drivers and front seat passengers in cars involved in frontal collisions were investigated using detailed data on traffic accidents in Japan. From a total of 246 vehicle occupants, the total number of injuries among the 167 occupants listed as injured was 462. Most of the injuries to the chest were minor ones such as skin abrasions or contusions. However, 21 occupants sustained rib fractures and 7 persons even sustained internal organ injuries. Younger occupants appeared not to sustain rib fractures even in higher impact collisions. Conversely, elderly occupants frequently experienced rib fractures near the seat belt line even under lower impact severity. It was also typically observed that rib fractures in case of airbag deployment were more often found in the lower part of chest compared with those cases of seat belt restraint alone. Symptoms of these differences in injury are described in detail in consideration of the gender and age of occupants, airbag deployments, and accident severity. In addition, regression analysis was carried out to evaluate the influence of age on rib fractures. Results show that rib fractures in elderly occupants occur at a delta V 30 km/h lower than that of younger occupants.

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