کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
573616 877404 2008 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Defining the “older” crash victim: The relationship between age and serious injury in motor vehicle crashes
موضوعات مرتبط
مهندسی و علوم پایه مهندسی شیمی بهداشت و امنیت شیمی
پیش نمایش صفحه اول مقاله
Defining the “older” crash victim: The relationship between age and serious injury in motor vehicle crashes
چکیده انگلیسی

ObjectiveAge is often used as a predictor of injury and mortality in motor vehicle crashes (MVCs), however, the age that defines an “older” occupant in terms of injury-risk remains unclear, as do specific injury patterns associated with increasing age. The objective of this study was to evaluate the relationship between age and serious injury (including injury patterns) for occupants involved in MVCs.MethodsThis was a retrospective cohort study using a national population-based cohort of adult front-seat occupants involved in MVCs and included in the National Automotive Sampling System Crashworthiness Data System database from 1995 to 2006. The primary outcome was serious injury, defined as an abbreviated injury scale (AIS) score ≥3 in any body region. Anatomic injury patterns were also assessed by age.ResultsOne hundred thousand one hundred and fifty-six adult front-seat occupants were included in the analysis, of which 14,128 (2%) were seriously injured. Age was a strong predictor of serious injury using a variety of different age covariates (categorical, continuous, and polynomial) in multivariable regression models (p < 0.0001 for all). There was evidence of a strong non-linear relationship between age and serious injury (p < 0.001 for comparison of non-linear to linear representation of age). There was no age that clearly defined an “older” occupant by injury risk, as the odds of injury increased with increasing age across all age groups. The proportion of serious head and extremity injuries gradually increased with increasing age, while serious chest injuries markedly increased after 60 years.ConclusionsAge is a strong predictor of serious injury from motor vehicle trauma, the risk of which increases in non-linear fashion as age increases. There is no specific age that clearly defines an “older” occupant by injury risk.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Accident Analysis & Prevention - Volume 40, Issue 4, July 2008, Pages 1498–1505
نویسندگان
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