- Injury Analysis of Child Passenger According to the Types of Safety Restraint Systems in Motor Vehicle Crashes
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Kang Min Sung, Sang Chul Kim, Hyuk Jin Jeon, Yeong Soo Kwak, Young Han Youn, Kang Hyun Lee, Jong Chan Park, Ji Hun Choi
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J Trauma Inj. 2015;28(3):98-103. Published online September 30, 2015
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DOI: https://doi.org/10.20408/jti.2015.28.3.98
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 Abstract
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- PURPOSE
To compare injury sustained and severity of child occupant according to the types of safety restraint systems in motor vehicle crashes.
METHODS
This was a retrospective observational study. The study subjects were child occupants under the age of 8 years who visited a local emergency center following a motor vehicle crash from 2010 to 2014. According to safety restraint: child restraint systems (CRS), belted, and unbelted, we compared injuries sustained and injury severity using the maximal Abbreviated Injury Scale (MAIS) and Injury Severity Score (ISS), and analyzed the characteristics of severe injuries (AIS2+).
RESULTS
Among 241 subjects, 9.1% were restrained in CRS, 14.5% were only belted, and 76.3% was unbelted at the time of the crashes. Fourteen had severe injuries (AIS2+), all of whom didn't be restrained by CRS. Injuries in face and neck were the highest in unbelted group, and MAIS and ISS were the lowest in CRS group.
CONCLUSION
Among safety restraint systems for child occupant in motor vehicle crashes, the CRS have the preventive effect of face and neck injuries, and are the most effective safety restraint systems.
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Summary
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Citations
Citations to this article as recorded by  - Predicting child occupant crash injury severity in the United Arab Emirates using machine learning models for imbalanced dataset
Muhammad Uba Abdulazeez, Wasif Khan, Kassim Abdulrahman Abdullah
IATSS Research.2023; 47(2): 134. CrossRef - Current use of safety restraint systems and front seats in Korean children based on the 2008–2015 Korea National Health and Nutrition Examination Survey
Seom Gim Kong
Korean Journal of Pediatrics.2018; 61(12): 381. CrossRef
- Injury Analysis of a 25-passenger Bus Left-quarter Turn Rollover Accident
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Sang Min Park, Sang Chul Kim, Kang Hyun Lee, Jae Wan Lee, Hyuk Jin Jeon, Ho Jung Kim, Jin Yong Kim, Young Soo Kwak, Woo Sung Lee
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J Trauma Inj. 2014;27(3):50-56.
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Abstract
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- PURPOSE
Rollover motor vehicle crashes have a higher injury severity and fatality than other motor vehicle crash types. From a left-quarter turn rollover accident of 25-passenger bus, we intend to assess the injury of the occupant and the injury severities according to the occupants' position.
METHODS
We carried out the 3 steps investigation of occupants' interview, visiting the repair shop and using the police report. We analyzed injuries sustained by occupants, and compared injury severities considering column, row in occupant's position and passenger interaction.
RESULTS
The rollover involved 14 passengers in the bus who were all old women except a man driver. The most common injury was in the upper extremity, with six occurrences being a left clavicle fracture. Major injuries including hemothorax and pneumothorax were diagnosed at left side of the occupant. In the comparison of injury severity among driver's column (left side), mid column and passengercolumn, ISS of passenger column was the highest (9.9+/-7.4, 8.8+/-5.5, and 10.3+/-4.0, respectively, p>0.05). The injury severity of multiple occupants by row was higher than that of single occupant (10.8 vs. 3, p<0.05).
CONCLUSION
An occupant must fasten their seat belt to prevent an injury by passenger interaction in the left-quarter turn rollover accident of a bus.
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