Injury severity of pedestrians, bicyclists and motorcyclists resulting from crashes with reversing cars

Decker, Sebastian; Otte, Dietmar; Cruz, Dana; Müller, Christian; Omar, Mohammed A.; Krettek, Christian; Brand, Stephan

doi:10.1016/j.aap.2016.05.010

Cited by 20 publications

(12 citation statements)

References 24 publications

(25 reference statements)

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“…Body region was one of the most significant factors, and the extremities and head had the highest incidence of injury[29, 30]. The influence on mortality varied among different body regions.…”

Section: Discussionmentioning

confidence: 99%

“…For single-RTI patients, the highest mortality was among patients injured in the head, thorax, and pelvis. Such patients were more likely to be in a coma and develop complications, and the injury condition was more complicated and severe, and always threatened patients’ lives[12, 13, 29]. For multiple-RTI patients, the more body regions were injured, the more severe the patients’ injury condition was likely to be.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011-2014)

Chen

et al. 2017

PLoS ONE

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IntroductionTo identify key intervention factors and reduce road traffic injury (RTI)-associated mortality, this study compared outcomes and influencing factors of single and multiple road traffic injuries (RTIs) in Shanghai.MethodsBased on the design of National Trauma Data Bank, this study collected demographic, injury, and outcome data from RTI patients treated at the four largest trauma centers in Shanghai from January 2011 to January 2015. Data were analyzed with descriptive statistics, univariate analysis, and hierarchical logistic regression analysis.ResultsAmong 2397 participants, 59.4% had a single injury, and 40.6% had multiple injuries. Most patients’ outcome was cure or improvement. For single-RTI patients, length of stay, body region, central nervous system injury, acute renal failure, multiple organ dysfunction syndrome, bacterial infection, and coma were significantly related to outcome. For multiple-RTI patients, age, admission pathway, prehospital time, length of stay, number of body regions, body region, injury condition, injury severity score, and coma were significantly related to outcome.ConclusionsEmergency rescue in road traffic accidents should focus on high-risk groups (the elderly), high-incidence body regions (head, thorax, pelvis) and number of injuries, injury condition (central nervous system injury, coma, complications, admission pathway), injury severity (critically injured patients), and time factors (particularly prehospital time).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011-2014)

Chen

et al. 2017

PLoS ONE

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“…Other researchers tend to study all types of non-motorist accidents altogether (6,(25)(26)(27). For example, Decker et al used the descriptive statistical method to analyze the injury severity of non-motorist crashes including pedestrians, bicyclists, and motorcyclists, caused by reversing cars (27). They found that though most of these crashes were not severe, pedestrians suffered more severe injury compared with other nonmotorists.…”

Section: Previous Researchmentioning

confidence: 99%

“…The results also indicated that the accident rate would increase with the growth of vehicle and cyclist volumes. Other researchers tend to study all types of non-motorist accidents altogether ( 6 , 25 – 27 ). For example, Decker et al used the descriptive statistical method to analyze the injury severity of non-motorist crashes including pedestrians, bicyclists, and motorcyclists, caused by reversing cars ( 27 ).…”

Section: Previous Researchmentioning

confidence: 99%

Analyzing the Injury Severity Sustained by Non-Motorists at Mid-Blocks considering Non-Motorists’ Pre-Crash Behavior

Dong

Chen

2018

Transportation Research Record

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Non-motorized travel is considered as one of the most beneficial transportation modes. Compared with other road users, non-motorists as a whole account for about 13% of all fatal transportation-related accidents, and from 2002 to 2009 nearly 30% of those fatalities occur at mid-blocks. In addition, there are few reported studies that investigated the impact of non-motorists’ pre-crash behavior on injury severities. To examine the risk factors of non-motorist injury severity at mid-blocks, 8-year crash-related data from the General Estimates System were explored, based on the mixed logit model. The data contain various information including time characteristics, crash features, environmental conditions, roadway attributes, non-motorists’ characteristics, and their pre-crash behaviors. The results show that five factors tend to have mixed effects on injury severities, including the speed limit between 30 and 55 mph, night time indicator, right-side collision, and hit-and-run action on the incapacitating injury, as well as no action of motorists on the non-incapacitating injury. Moreover, heavy and light truck, dark not lighted indicator, and age over 65 are found to increase the likelihood of fatal injury, while age below 25 decreases the likelihood of fatality. Other indicators including roadway alignment, number of lanes, and so forth also affected injury severity. After controlling for these factors, non-motorists’ pre-crash behaviors such as darting or running into the road, activities in the roadway, and improper passing are found to have a significant impact on severity outcomes.

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“…We further classified the data according to whether the victims were vulnerable road users (which included pedestrians, cyclists, and motorcyclists) or non-vulnerable road users. 10 We also categorized the time of the day that patients visited hospitals, dividing the day by 06:00–17:59 and 18:00–05:59. Patients who used helmets and seatbelts were combined.…”

Section: Methodsmentioning

confidence: 99%

Outcomes of Emergency Medical Service Usage in Severe Road Traffic Injury during Thai Holidays

Riyapan¹,

Thitichai²,

Chaisirin³

et al. 2018

WestJEM

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IntroductionThailand has the highest mortality from road traffic injury (RTI) in the world. There are usually higher incident rates of RTI in Thailand over long holidays such as New Year and Songkran. To our knowledge, there have been no studies that describe the impact of emergency medical service (EMS) utilization by RTI patients in Thailand. We sought to determine the outcomes of EMS utilization in severe RTIs during the holidays.MethodsWe conducted a retrospective review study by using a nationwide registry that collected RTI data from all hospitals in Thailand during the New Year holidays in 2008–2015 and Songkran holidays in 2008–2014. A severe RTI patient was defined as one who was admitted, transferred to another hospital, or who died at the emergency department (ED) or during referral. We excluded patients who died at the scene, those who were not transported to the ED, and those who were discharged from the ED. Outcomes associated with EMS utilization were identified by using multiple logistic regression and adjusted by using factors related to injury severity.ResultsOverall we included 100,905 patients in the final analysis; 39,761 severe RTI patients (39.40%; 95% confidence interval [CI] 95% CI [39.10%–39.71%]) used EMS transportation to hospitals. Severe RTI patients transported by EMS had a significantly higher mortality rate in the ED and during referral than that those who were not (2.00% vs. 0.78%, p < 0.001). Moreover, EMS use was significantly associated with increased mortality rate in the first 24 hours of admission to hospitals (1.38% for EMS use vs. 0.57% for no EMS use, p < 0.001). EMS utilization was a significant predictor of mortality in EDs and during referral (adjusted odds ratio [OR] 2.19; 95% CI [1.88–2.55]), and mortality in the first 24 hours of admission (adjusted OR 2.31; 95% CI [1.95–2.73]).ConclusionIn this cohort, severe RTI patients transported by EMS had a significantly higher mortality rate than those who went to hospitals using private vehicles during these holidays.

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Injury severity of pedestrians, bicyclists and motorcyclists resulting from crashes with reversing cars

Cited by 20 publications

References 24 publications

Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011-2014)

Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011-2014)

Analyzing the Injury Severity Sustained by Non-Motorists at Mid-Blocks considering Non-Motorists’ Pre-Crash Behavior

Outcomes of Emergency Medical Service Usage in Severe Road Traffic Injury during Thai Holidays

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