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- W1963909060 abstract "Objective: To measure the combined contribution of change in velocity (Δv), principal direction of force (PDOF), and restraint use on mortality after vehicular trauma. Methods: The Crash Injury Research and Engineering Network population includes patients <8 years old with one injury with an Abbreviated Injury Scale score ≥3 or with two injuries with an Abbreviated Injury Scale score ≥2, who were occupants of a vehicle. Patients 15 years or younger; in rear collisions; back seat occupants; in crashes with Δv >80 km/h, unknown Δv, or unknown PDOF; or in vehicles without airbags were excluded. Mortality was analyzed in relation to Δv (km/h), restraint use, and PDOF using χ2. Multiple logistic regression models were built, including possible confounders (body mass index, age, gender) and interactions were explored. An [alpha] = 0.05 was used for all statistics. Results: A total of 1,261 cases were included. Mortality was higher for unrestrained than for restrained patients (17% vs. 9%) and was higher for lateral than for frontal impact patients (17% vs. 11%). Higher mortality rates were also observed for Δv 40–80 km/h than for Δv <40 km/h (17% vs. 9%). Multiple logistic regression findings, after adjusting for age, gender, and body mass index, revealed significant effects of lateral PDOF (odds ratio [OR] 3.06 [2.03–4.61]), unrestrained status (OR 2.95 [2.01–4.38]), and Δv 40–80 km/h (OR 3.65 [2.44–5.44]). Effect modification was found between PDOF and Δv. Conclusions: A Δv 40 km/h to 80 km/h, lack of restraint use, and lateral impact significantly affects mortality. A synergistic effect was found between Δv 40–80 km/h and lateral PDOF." @default.
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- W1963909060 date "2007-11-01" @default.
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- W1963909060 title "Delta V, Principal Direction of Force, and Restraint Use Contributions to Motor Vehicle Crash Mortality" @default.
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- W1963909060 doi "https://doi.org/10.1097/ta.0b013e31815885c8" @default.
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