Previous epidemiological studies have highlighted the high risk of injury to the head, thorax, and cervical spine in rollover crashes. However, such results provide limited information on whole-body injury distribution and multiple region injury patterns necessary for the improvement and prioritization of rollover-focused injury countermeasures. Sampled cases representing approximately 133,000 U.S. adult occupants involved in rollover crashes (between 1995 and 2013) sustaining moderate-to-severe injuries were selected from the National Automotive Sampling System Crashworthiness Data System database. A retrospective cohort study, based on a survey of population-based data, was used to identify relevant whole body injury patterns. Among belted occupants injured in rollover crashes, 79.2% sustained injuries to only one body region. The three most frequently injured (AIS2+) body regions were head (42.1%), upper extremity (28.0%), and thorax (27.1%). The most frequent multi-region injury pattern involved the head and upper extremity, but this pattern only accounted for 2.3% of all of occupants with moderate or worse injuries. The results indicated that for rollover-dominated crashes, the frequently observed injury patterns involved isolated body regions. In contrast, multi-region injury patterns are more frequently observed in rollovers with significant planar impacts. Identification of region-specific injury patterns in pure rollover crashes is essential for clarifying injury mitigation targets and developing whole-body injury metrics specifically applicable to rollovers.


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    Titel :

    Epidemiology of moderate-to-severe injury patterns observed in rollover crashes




    Erscheinungsdatum :

    2016



    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Print


    Sprache :

    Englisch



    Klassifikation :

    BKL:    44.80 / 44.80 Unfallmedizin, Notfallmedizin / 55.84 / 55.24 / 55.84 Straßenverkehr / 55.24 Fahrzeugführung, Fahrtechnik



    Epidemiology of moderate-to-severe injury patterns observed in rollover crashes

    McMurry, Timothy L. / Bose, Dipan / Ridella, Stephen A. et al. | Elsevier | 2016


    Planar Impacts in Rollover Crashes: Significance, Distribution and Injury Epidemiology

    Bose, D. / Kerrigan, J.R. / Foster, J.B. et al. | British Library Conference Proceedings | 2011




    Mortality and injury patterns associated with roof crush in rollover crashes

    Mandell, Samuel P. / Kaufman, Robert / Mack, Christopher D. et al. | Elsevier | 2010