Factors associated with clinically significant head injury in children involved in motor vehicle crashes.

Abstract:

OBJECTIVE:Head injury is the most common cause of death for child occupants in motor vehicle crashes (MVCs). The morbidity associated with nonlethal MVC-related head injuries is of great clinical consequence as well. The purpose of this study was to identify the frequency of, and risk factors for, clinically significant head injury (CSHI) in child occupants in MVCs. METHODS:A large, child-specific crash surveillance system linking insurance claims data to telephone survey data was utilized. Qualifying crashes involved model year 1990 or newer vehicles in crashes with one or more child occupants (age 4 to 15 years) occurring in 15 U.S. states. Data were accrued between March 2000 and December 2007. A probability sample of crashes was selected for telephone survey with the driver of the insured vehicle. A clinically significant head injury, as reported by the child's parent using a validated survey, included concussions, skull fractures, and intracranial hemorrhages. Multivariate logistic regression was used to identify factors associated with a CSHI. RESULTS:During the period of study, completed interviews were obtained on 19,075 children aged 4-15, representing 318,527 children involved in 219,511 crashes. The overall rate of CSHI in child occupants was 1.08 percent. Factors associated with an increased risk of head injury included rollover (odds ratio [OR] = 8.60, 95% confidence interval [CI] 6.40-11.57) and near-side impact crashes (OR = 2.39, 95% CI 1.73-3.30) vs. frontal impact; lack of restraint (OR = 3.13, 95% CI 2.26-4.33) vs. restrained; and driver age < 25 years (OR = 1.43, 95% CI 1.12-1.81) vs. driver age ≥ 25 years. Some factors varied based on occupant age, and younger child age had a protective effect on the risk for head injury. CONCLUSION:The risk of CSHI for 4- to 15-year-old child occupants was 1.08 percent. Several demographic and crash factors were associated with CSHI in child occupants. This information may help inform design safety initiatives.

journal_name

Traffic Inj Prev

authors

Nance ML,Kallan MJ,Arbogast KB,Park MS,Durbin DR,Winston FK

doi

10.1080/15389588.2010.513072

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

600-5

issue

6

eissn

1538-9588

issn

1538-957X

pii

930472639

journal_volume

11

pub_type

杂志文章
  • Determining vehicle operating speed and lateral position along horizontal curves using linear mixed-effects models.

    abstract:OBJECTIVE:Despite recent improvements in highway safety in the United States, serious crashes on curves remain a significant problem. To assist in better understanding causal factors leading to this problem, this article presents and demonstrates a methodology for collection and analysis of vehicle trajectory and speed...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2012.701356

    authors: Fitzsimmons EJ,Kvam V,Souleyrette RR,Nambisan SS,Bonett DG

    更新日期:2013-01-01 00:00:00

  • Evaluation of the effectiveness of toe board energy-absorbing material for foot, ankle, and lower leg injury reduction.

    abstract:OBJECTIVE:Since 2000, numerous improvements have been made to the National Association for Stock Car Auto Racing, Incorporated (NASCAR®) driver restraint system, resulting in improved crash protection for motorsports drivers. Advancements have included seats, head and neck restraints (HNRs), seat belt restraint systems...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2017.1354128

    authors: Patalak JP,Stitzel JD

    更新日期:2018-02-17 00:00:00

  • Effectiveness of social host and fake identification laws on reducing underage drinking driver fatal crashes.

    abstract:OBJECTIVE:The public generally assumes that the minimum legal drinking age of 21 (MLDA-21) legislation in the United States is embodied in a single law and therefore all states have the same law. Actually, the MLDA-21 state laws consist of multiple provisions that support the core MLDA-21 laws and include a family of p...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2014.928929

    authors: Fell JC,Scherer M,Thomas S,Voas RB

    更新日期:2014-01-01 00:00:00

  • The result of a baseline survey on drink driving in Nanning and Liuzhou of Guangxi Province, China.

    abstract:OBJECTIVE:Because the official data in China on drink-driving accidents as well as related fatalities and injuries are much lower than many of the developed and developing countries in the world, the Global Road Safety Partnership (GRSP) decided to conduct a baseline survey to understand the prevalence of drink driving...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2012.701785

    authors: Yuan A,Li Y,Zhang J

    更新日期:2013-01-01 00:00:00

  • Land motor vehicle-related drownings in Sweden.

    abstract:OBJECTIVES:Knowledge regarding drownings related to land motor vehicle events is limited although reports of these events occur globally. This study elucidates crash and injury mechanisms in motor vehicle-related drownings in a Swedish population during 1992 through 2006 in order to suggest preventive countermeasures. ...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580802339150

    authors: Stjernbrandt A,Oström M,Eriksson A,Björnstig U

    更新日期:2008-12-01 00:00:00

  • Roof strength and injury risk in rollover crashes of passenger cars.

    abstract:OBJECTIVE:A 2009 study by the Insurance Institute for Highway Safety found that midsize SUVs with stronger roofs, as measured in quasi-static tests, had lower risk of ejection and lower risk of injury for nonejected drivers. The objective of the present study was to determine whether a similar association exists for ot...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580903168474

    authors: Brumbelow ML,Teoh ER

    更新日期:2009-12-01 00:00:00

  • Evaluation of the biofidelity of FMVSS No. 218 injury criteria.

    abstract:OBJECTIVE:The biofidelity of the injury criteria used by Federal Motor Vehicle Safety Standards (FMVSS) No. 218 was examined against biomechanically based injury metrics. METHODS:An experimental method was developed to measure the helmet contact pressure distribution on a headform during an impact attenuation test. Th...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580802607796

    authors: Rigby P,Chan P

    更新日期:2009-04-01 00:00:00

  • Comparison of cervical vertebrae rotations for PMHS and BioRID II in rear impacts.

    abstract:OBJECTIVE:The objectives of this study are to propose a new instrumentation technique for measuring cervical spine kinematics, validate it, and apply the instrumentation technique to postmortem human subjects (PMHS) in rear impact sled tests so that cervical motions can be investigated. METHODS:First, a new instrument...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2013.799280

    authors: Kang YS,Moorhouse K,Herriott R,Bolte JH 4th

    更新日期:2013-01-01 00:00:00

  • Children at risk: A comparison of child pedestrian traffic collisions in Santiago, Chile, and Seoul, South Korea.

    abstract:OBJECTIVE:We examine and compare pedestrian-vehicle collisions and injury outcomes involving school-age children between 5 and 18 years of age in the capital cities of Santiago, Chile, and Seoul, South Korea. METHODS:We conduct descriptive analysis of the child pedestrian-vehicle collision (P-VC) data (904 collisions ...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2015.1060555

    authors: Blazquez C,Lee JS,Zegras C

    更新日期:2016-01-01 00:00:00

  • Importance of awareness in improving performance of emergency medical services (EMS) systems in enhancing traffic safety: A lesson from India.

    abstract:OBJECTIVE:India has been slow in implementing a central emergency medical services (EMS) system across the country. "108 services" is one of the most popular services that is functional under the public-private partnership model. Limited available literature shows that despite access to services, many traffic crash vic...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2016.1163689

    authors: Vasudevan V,Singh P,Basu S

    更新日期:2016-10-02 00:00:00

  • Evaluating the role of weaving section characteristics and traffic on crashes in weaving areas.

    abstract:OBJECTIVE:The likelihood of being involved in a crash on a freeway, in general, is greater on weaving sections than on basic freeway sections and in ramp influence areas. This is due to possible crossing of entry and/or exit traffic over a short distance while traveling in the same direction without the aid of traffic ...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580903370039

    authors: Pulugurtha SS,Bhatt J

    更新日期:2010-02-01 00:00:00

  • Decomposition analysis of the effects of vehicle safety technologies on the motor vehicle collision-related mortality rate from 1994 to 2015.

    abstract:OBJECTIVE:Though the mortality rate for motor vehicle collisions (MVCs) has been decreasing since the 1960s with the advent of the first federal seat belt laws in 1968, MVC remains a leading cause of death for individuals aged 1 to 44 years. The purpose of this study is to examine the effects of frontal (FABs) and side...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2018.1532218

    authors: Griffin R,McGwin G,Kerby J

    更新日期:2018-01-01 00:00:00

  • Controlling impaired driving through vehicle programs: an overview.

    abstract::The growing recognition of the problem presented by illicit vehicle operation by those whose license has been suspended for driving while intoxicated (DWI) has led to the increasing use of vehicle sanctions. These sanctions include vehicle impoundment and forfeiture, vehicle registration cancellation, and vehicle inte...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章,评审

    doi:10.1080/15389580490465409

    authors: Voas RB,Fell JC,McKnight AS,Sweedler BM

    更新日期:2004-09-01 00:00:00

  • Real-World Rib Fracture Patterns in Frontal Crashes in Different Restraint Conditions.

    abstract:OBJECTIVE:The purpose of this study was to use the detailed medical injury information in the Crash Injury Research and Engineering Network (CIREN) to evaluate patterns of rib fractures in real-world crash occupants in both belted and unbelted restraint conditions. Fracture patterns binned into rib regional levels were...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2015.1062888

    authors: Lee EL,Craig M,Scarboro M

    更新日期:2015-01-01 00:00:00

  • Motorcycle fuel tanks and pelvic fractures: A motorcycle fuel tank syndrome.

    abstract:OBJECTIVE:Pelvic injuries are a serious and commonly occurring injury to motorcycle riders involved in crashes, yet there has been limited research investigating the mechanisms involved in these injuries. This study aimed to investigate the mechanisms involved in pelvic injuries to crashed motorcyclists. METHOD:This s...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2015.1136061

    authors: Meredith L,Baldock M,Fitzharris M,Duflou J,Dal Nevo R,Griffiths M,Brown J

    更新日期:2016-08-17 00:00:00

  • Motor vehicle fatalities among Gulf War era veterans: characteristics, mechanisms, and circumstances.

    abstract:OBJECTIVES:Our objective was to describe fatal motor vehicle crashes (MVC) among veterans of the 1991 Gulf War era and to compare the distribution of crash and individual characteristics between those deployed to the Gulf War (GWV) and those not deployed (NDV). METHODS:We compared individual characteristics, crash mec...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580500412028

    authors: Lincoln AE,Hooper TI,Kang HK,Debakey SF,Cowan DN,Gackstetter GD

    更新日期:2006-03-01 00:00:00

  • Factors associated with prehospital death among traffic accident patients in Osaka City, Japan: A population-based study.

    abstract:OBJECTIVE:Although it is important to assess the factors associated with traffic accident fatalities to decrease them as a matter of public health, such factors have not been fully identified. METHODS:Using a large-scale data set of ambulance records in Osaka City, Japan, we retrospectively analyzed all traffic accide...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2017.1347645

    authors: Katayama Y,Kitamura T,Kiyohara K,Iwami T,Kawamura T,Hayashida S,Ogura H,Shimazu T

    更新日期:2018-01-02 00:00:00

  • Determinants of seat belt use among drivers in Sabzevar, Iran: a comparison of theory of planned behavior and health belief model.

    abstract:OBJECTIVE:Although seat belt use can significantly decrease the risk of injury, few car drivers make use of seat belts in Iran. The aim of this study was to test the utility and efficiencyof the theory of planned behavior (TPB) and the health beliefmodel (HBM) in predicting intention to use a seat belt among car driver...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2010.535227

    authors: Ali M,Haidar N,Ali MM,Maryam A

    更新日期:2011-02-01 00:00:00

  • When policy meets the pedal: A reduction in motorcyclist fatalities following the implementation of a road traffic law in Lagos, Nigeria.

    abstract::Objective: The Lagos State Road Traffic Law of 2012 sought to curb reckless okada use and the objective of this study is to determine its impact on motorcyclist fatalities in Nigeria's most densely populated state. This is the first study to date that analyzes the potential impact of the Law on motorcyclist fatalities...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2019.1663346

    authors: Venkatraman C,Kim H,Idowu A,Idris J,Hynan L,Kim D,Nwariaku FE

    更新日期:2019-01-01 00:00:00

  • Catalyzing traffic safety advancements via data linkage: Development of the New Jersey Safety and Health Outcomes (NJ-SHO) data warehouse.

    abstract::Objective: Our objective is to describe the development of the New Jersey Safety and Health Outcomes (NJ-SHO) data warehouse, a unique and comprehensive data source that integrates various state-level administrative databases in New Jersey to enable the field of traffic safety to address critical, high-priority resear...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2019.1679552

    authors: Curry AE,Pfeiffer MR,Carey ME,Cook LJ

    更新日期:2019-01-01 00:00:00

  • Ethylglucuronide in hair is a top predictor of impaired driving recidivism, alcohol dependence, and a key marker of the highest BAC interlock tests.

    abstract:OBJECTIVES:This study focuses on the predictive and comparative significance of ethyl glucuronide measured in head hair (hEtG) for estimating risks associated with alcohol-impaired driving offenders. Earlier work compared different alcohol biomarkers for estimating rates of failed blood alcohol concentration (BAC) test...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2013.824569

    authors: Marques PR,Tippetts AS,Yegles M

    更新日期:2014-01-01 00:00:00

  • Alcohol-impaired driving: average quantity consumed and frequency of drinking do matter.

    abstract:OBJECTIVE:The objective of this article is to estimate and validate a logistic model of alcohol-impaired driving using previously ignored alcohol consumption behaviors, other risky behaviors, and demographic characteristics as independent variables. METHODS:The determinants of impaired driving are estimated using the ...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2011.629700

    authors: Birdsall WC,Reed BG,Huq SS,Wheeler L,Rush S

    更新日期:2012-01-01 00:00:00

  • Proposal for a frontal impact and compatibility assessment approach based on the European FIMCAR Project.

    abstract:OBJECTIVE:To improve vehicle safety in frontal collisions, the crash compatibility between the colliding vehicles is crucial. Compatibility aims to improve both the self and partner protection properties of vehicles. Although compatibility has received worldwide attention for many years, no final assessment approach ha...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2013.790538

    authors: Johannsen H,Adolph T,Edwards M,Lazaro I,Versmissen T,Thomson R

    更新日期:2013-01-01 00:00:00

  • SAM survey on "drugs and fatal accidents": search of substances consumed and comparison between drivers involved under the influence of alcohol or cannabis.

    abstract:OBJECTIVES:A survey was conducted to produce reliable epidemiological data concerning the role played by alcohol and drugs in fatal road accidents in France. The aims are to describe the conduct of the survey, evaluate the overall quality of the findings, and analyze the substances consumed by the involved drivers. A c...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580701737561

    authors: Biecheler MB,Peytavin JF,Sam Group.,Facy F,Martineau H

    更新日期:2008-03-01 00:00:00

  • Post and during event effect of cell phone talking and texting on driving performance--a driving simulator study.

    abstract:OBJECTIVE:A number of studies have been done in the field of driver distraction, specifically on the use of cell phone for either conversation or texting while driving. Researchers have focused on the driving performance of drivers when they were actually engaged in the task; that is, during the texting or phone conver...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2014.969803

    authors: Thapa R,Codjoe J,Ishak S,McCarter KS

    更新日期:2015-01-01 00:00:00

  • Recent changes in the age composition of drivers in 15 countries.

    abstract:OBJECTIVE:This study examined the recent changes in the percentage of persons with a driver's license in 15 countries as a function of age. METHOD:The countries included were Canada, Finland, Germany, Great Britain, Israel, Japan, Latvia, The Netherlands, Norway, Poland, South Korea, Spain, Sweden, Switzerland, and th...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2011.638016

    authors: Sivak M,Schoettle B

    更新日期:2012-01-01 00:00:00

  • Driving safety improves after individualized training: An RCT involving older drivers in an urban area.

    abstract::Objective: This study aimed to reproduce the results of a previous investigation on the safety benefits of individualized training for older drivers. We modified our method to address validity and generalizability issues. Methods: Older drivers were randomly assigned to one of the 3 arms: (1) education alone, (2) educ...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/15389588.2019.1630826

    authors: Gagnon S,Stinchcombe A,Curtis M,Kateb M,Polgar J,Porter MM,Bédard M

    更新日期:2019-01-01 00:00:00

  • Bibliometric analysis of simulated driving research from 1997 to 2016.

    abstract:OBJECTIVE:The objective of this study was to explore the evolution footprints of simulated driving research in the past 20 years through rigorous and systematic bibliometric analysis, to provide insights regarding when and where the research was performed and by whom and how the mainstream content evolved over the year...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2018.1511896

    authors: Guo F,Lv W,Liu L,Wang T,Duffy VG

    更新日期:2019-01-01 00:00:00

  • Buick Lucerne drivers' experiences with rear parking sensors.

    abstract:OBJECTIVE:Rear parking sensors may have the potential to reduce property damage caused by some low-speed backing crashes, but their effectiveness depends on drivers' acceptance and proper use. This study examined owners' experiences with Buick Lucerne models with a rear parking sensor system. METHODS:Mail surveys were...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389588.2014.924624

    authors: Cicchino JB,Eichelberger AH,McCartt AT

    更新日期:2015-01-01 00:00:00

  • Toward a more parsimonious approach to drug recognition expert evaluations.

    abstract:OBJECTIVE:The purpose of this study is to statistically identify the set of drug-related cues from Drug Evaluation and Classification (DEC) evaluations that significantly predict the substance used by suspected drug-impaired drivers. METHODS:Data from 742 completed Canadian DEC evaluations of central nervous system (C...

    journal_title:Traffic injury prevention

    pub_type: 杂志文章

    doi:10.1080/15389580903191617

    authors: Porath-Waller AJ,Beirness DJ,Beasley EE

    更新日期:2009-12-01 00:00:00