Dataset Information

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

ABSTRACT:

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.

SUBMITTER: Breen JM

PROVIDER: S-EPMC9636123 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

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

Breen Jan Mario JM Næss Pål Aksel PA Hansen Trond Boye TB Gaarder Christine C Klemmetsen Harald H Stray-Pedersen Arne A

Forensic science, medicine, and pathology 20221017 4

<h4>Purpose</h4>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.<h4>Methods</h4>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 ...[more]

PMID: 36251237

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Project description:Head-to-vehicle contact boundary condition and criteria and corresponding thresholds of head injuries are crucial in evaluation of vehicle safety performance for pedestrian protection, which need a constantly updated understanding of pedestrian head kinematic response and injury risk in real-world collisions. Thus, the purpose of the current study is to investigate the characteristics of pedestrian head-to-vehicle contact boundary condition and pedestrian AIS3+ (Abbreviated Injury Scale) head injury risk as functions of kinematic-based criteria, including HIC (Head Injury Criterion), HIP (Head Impact Power), GAMBIT (Generalized Acceleration Model for Brain Injury Threshold), RIC (Rotational Injury Criterion), and BrIC (Brain Injury Criteria), in real-world collisions. To achieve this, 57 vehicle-to-pedestrian collision cases were employed, and a multi-body modeling approach was applied to reconstruct pedestrian kinematics in these real-world collisions. The results show that head-to-windscreen contacts are dominant in pedestrian collisions of the analysis sample and that head WAD (Wrap Around Distance) floats from 1.5 to 2.3 m, with a mean value of 1.84 m; 80% of cases have a head linear contact velocity below 45 km/h or an angular contact velocity less than 40 rad/s; pedestrian head linear contact velocity is on average 83 ± 23% of the vehicle impact velocity, while the head angular contact velocity (in rad/s) is on average 75 ± 25% of the vehicle impact velocity in km/h; 77% of cases have a head contact time in the range 50-140 ms, and negative and positive linear correlations are observed for the relationships between pedestrian head contact time and WAD/height ratio and vehicle impact velocity, respectively; 70% of cases have a head contact angle floating from 40° to 70°, with an average value of 53°; the pedestrian head contact angles on windscreens (average = 48°) are significantly lower than those on bonnets (average = 60°); the predicted thresholds of HIC, HIP, GAMBIT, RIC, BrIC2011, and BrIC2013 for a 50% probability of AIS3+ head injury risk are 1,300, 60 kW, 0.74, 1,470 × 104, 0.56, and 0.57, respectively. The findings of the current work could provide realistic reference for evaluation of vehicle safety performance focusing on pedestrian protection.

Dataset Information

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

Purpose

Methods

Results

Conclusion

Publications

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

Similar Datasets

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