Injury Pattern and Severity in Lateral Motor Vehicle Collisions

撞车 医学 机动车碰撞 毒物控制 伤害预防 侧面碰撞 安全带 损伤严重程度评分 职业安全与健康 物理医学与康复 急诊医学 工程类 汽车工程 结构工程 病理 程序设计语言 计算机科学
作者
Barry A. McLellan,Sandro Rizoli,Frederick D. Brenneman,Bernard R. Boulanger,Philip Sharkey,John Paul Szalai
出处
期刊:Journal of Trauma-injury Infection and Critical Care [Ovid Technologies (Wolters Kluwer)]
卷期号:41 (4): 708-713 被引量:59
标识
DOI:10.1097/00005373-199610000-00019
摘要

To determine the pattern and severity of injury and the outcome of front seat motor vehicle occupants after lateral impact crashes.Retrospective review undertaken in a Regional Trauma Unit (Sunnybrook Health Science Centre).Review of seriously injured front seat motor vehicle occupants admitted to a Regional Trauma Unit over a 46-month period (September 15, 1989, to July 15, 1993) for whom vehicle crash information and occupant seat belt use were known.Three hundred forty-eight front seat vehicle occupants were available for study; one hundred forty-one (41%) were involved in a lateral impact motor vehicle crash. Driver side lateral crashes (57%) were more common than passenger side impacts. Victims of lateral impact crashes had a significantly higher mean Injury Severity Score (25 compared with 20 for nonlateral crashes: p < 0.05), and the direction of impact was strongly associated with injury severity (p < 0.05). Lateral impact crashes resulted in substantially more significant chest (p < 0.01) and intra-abdominal (p < 0.0001) injuries. Type of injury was significantly different between the lateral and nonlateral impact groups for facial, chest, abdominal, and musculoskeletal injuries.The direction of impact in motor vehicle crashes is strongly associated with the pattern and severity of organ injuries. Further attention to automobile safety design is necessary to better protect occupants involved in lateral impact crashes.

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