Traffic Injuries and Prevention

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Forensic Medicine".

Deadline for manuscript submissions: closed (15 December 2021) | Viewed by 21993

Special Issue Editor


E-Mail Website
Guest Editor
Department of Legal Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan
Interests: forensic medicine; trauma biomechanics; preventive medicine; traffic science
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Road traffic injuries are a major public health issue. According to the World Health Organization, 1.35 million people die annually in road collisions worldwide. An overwhelming majority of traffic deaths and injuries involve vulnerable road users, such as pedestrians and bicyclists.

To lessen the fatalities and casualties, road crash data are analyzed throughout the world. Because some interventions based on analyses in one area might be effective for other regions, an epidemiological approach is indispensable. A subsequent global traffic safety network would improve road safety in both developed and developing countries.

Improvements in medical techniques and prehospital care have, of course, reduced the fatality of traffic collisions. Deep analyses of traffic injuries have helped clinicians to consider the mechanism of injury when attending to a patient and making an initial diagnosis. As the trends of traffic collisions may change in accordance with the development of traffic in society, further knowledge about traffic injuries may be required.

The recent development of vehicle safety systems has greatly contributed to decreases in fatality and injury severity. For passenger safety, most vehicles are equipped with three-point seatbelt systems and airbags. Furthermore, as predicting a collision before it happens helps to reduce the damage caused, pre-crash safety technologies have been developed. Pre-crash brake assist may decrease the impact speed, and pre-crash seatbelt retraction may reduce the severity of passenger injuries. However, both the effects and limitations of these systems must be confirmed to further develop safety systems.

In traffic collisions, because the kinematics of the person involved differs depending on the collision velocity, type of vehicle, and the person’s age and size, the analyses are varied. Crash tests using several types of dummy models and computer simulations with finite element models have been applied to the investigation of the kinematics of the person involved and the prediction of injuries. Further research may elucidate the thresholds of human injuries, which may provide basic knowledge for developing next-stage safety systems.

Various potential technological solutions for automated driving have been developed in recent years. The obtainment of new information regarding automated driving through this Special Issue is expected. The impact of advancements in mobility with the introduction of autonomous vehicles would be visible on highways connecting urban areas; however, this system would not be beneficial in rural areas, in which irregular roads and circumstances that may confound the sensing techniques of automated vehicles are prevalent. Furthermore, when overtaking is required, the driver must drive the vehicle manually. There are still many problems to be solved in the introduction of self-driving vehicles. Therefore, despite developments in automated vehicle technology and systems, human drivers must still be responsible for safe vehicle driving for the next several years.

As road traffic injury is now the leading cause of death for children and young adults aged 5–29 years worldwide, this Special Issue will focus on vulnerable road users, e.g., children, pregnant women, elderly people, pedestrians, and bicyclists. There has been some progress in the planning, design, and operation of road environments. The enforcement of the law and safety standards have also contributed to safety promotion. Education on a wide variety of these issues is indispensable for road users.

This Special Issue aims to gather manuscripts that will contribute to the development of traffic injury research and injury prevention in the following fields:

  • Epidemiology;
  • Biomechanics;
  • Traumatology;
  • Psychology;
  • Forensic Medicine and Legal Science;
  • Preventive Medicine
  • Mechanical Engineering
  • Health Science.

Prof. Masahito Hitosugi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Fatality, casualty
  • Safety system (seatbelt, airbag)
  • Pedestrian, bicyclist, motorcyclist
  • Vehicle driver, passenger
  • Frontal collision, side collision, rear-end collision
  • Injuries (head, neck, face, chest, abdomen, extremities)
  • Pre-crash safety
  • Automated driving
  • Fetus, child, adolescent, elderly person
  • Simulation, FE model
  • Crash test
  • Law, safety standards
  • Environment
  • Education

Published Papers (11 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

8 pages, 1047 KiB  
Article
Common Pregnancy Complaints Can Lead to Motor Vehicle Collisions or Near-Miss Incidents
by Sachi Tsuchikawa, Kyoko Hanahara, Yumiko Tateoka and Masahito Hitosugi
Healthcare 2022, 10(2), 279; https://doi.org/10.3390/healthcare10020279 - 31 Jan 2022
Cited by 2 | Viewed by 1777
Abstract
Pregnant women commonly report various health complaints during pregnancy, the occurrence of which is believed to cause human error. However, no study has examined the relationship between the occurrence of pregnancy complaints and the risk of motor vehicle collisions (MVCs). This study aimed [...] Read more.
Pregnant women commonly report various health complaints during pregnancy, the occurrence of which is believed to cause human error. However, no study has examined the relationship between the occurrence of pregnancy complaints and the risk of motor vehicle collisions (MVCs). This study aimed to clarify the relationship between the frequency and severity of common pregnancy complaints and the occurrence of MVCs or near-miss incidents. We conducted a multicenter cross-sectional survey of 1000 pregnant women in Shiga Prefecture, Japan. The event group experiencing MVCs or near-miss incidents during pregnancy comprised 10.8% of respondents. The frequency of compression of the stomach or abdomen, tension and cramps in the lower abdomen, pelvic pain, irritability, depressed mood, distractedness, and hot flashes was significantly higher in the event group. The results of our multivariate logistic regression analysis revealed that tension and cramps in the lower abdomen, distractedness, and irritability were independent contributory factors to such events, with an odds ratio of 2.414, 1.849, and 1.746, respectively. Educating pregnant women to avoid driving when experiencing these symptoms would improve maternal and fetal safety. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

12 pages, 3205 KiB  
Article
Factors Affecting the Severity of Placental Abruption in Pregnant Vehicle Drivers: Analysis with a Novel Finite Element Model
by Katsunori Tanaka, Yasuki Motozawa, Kentaro Takahashi, Tetsuo Maki and Masahito Hitosugi
Healthcare 2022, 10(1), 27; https://doi.org/10.3390/healthcare10010027 - 24 Dec 2021
Cited by 1 | Viewed by 2218
Abstract
We clarified factors affecting the severity of placental abruption in motor vehicle collisions by quantitively analyzing the area of placental abruption in a numerical simulation of an unrestrained pregnant vehicle driver at collision velocities of 3 and 6 m/s. For the simulation, we [...] Read more.
We clarified factors affecting the severity of placental abruption in motor vehicle collisions by quantitively analyzing the area of placental abruption in a numerical simulation of an unrestrained pregnant vehicle driver at collision velocities of 3 and 6 m/s. For the simulation, we constructed a novel finite element model of a small 30-week pregnant woman, which was validated anthropometrically using computed tomography data and biomechanically using previous examinations of post-mortem human subjects. In the simulation, stress in the elements of the utero–placental interface was computed, and those elements exceeding a failure criterion were considered to be abrupted. It was found that a doubling of the collision velocity increased the area of placental abruption 10-fold, and the abruption area was approximately 20% for a collision velocity of 6 m/s, which is lower than the speed limit for general roads. This result implies that even low-speed vehicle collisions have negative maternal and fetal outcomes owing to placental abruption without a seatbelt restraint. Additionally, contact to the abdomen, 30 mm below the umbilicus, led to a larger placental abruption area than contact at the umbilicus level when the placenta was located at the uterus fundus. The results support that a reduction in the collision speed and seatbelt restraint at a suitable position are important to decrease the placental abruption area and therefore protect a pregnant woman and her fetus in a motor vehicle collision. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

8 pages, 572 KiB  
Article
Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
by Mamiko Sato, Yasutaka Kobayashi, Kazuki Fujita and Masahito Hitosugi
Healthcare 2021, 9(11), 1469; https://doi.org/10.3390/healthcare9111469 - 29 Oct 2021
Viewed by 1292
Abstract
Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social [...] Read more.
Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

12 pages, 227 KiB  
Article
Factors Influencing Fatalities or Severe Injuries to Pedestrians Lying on the Road in Japan: Nationwide Police Database Study
by Mirae Koh, Masahito Hitosugi, Eiko Kagesawa, Takahiro Narikawa and Kohei Takashima
Healthcare 2021, 9(11), 1433; https://doi.org/10.3390/healthcare9111433 - 24 Oct 2021
Cited by 4 | Viewed by 1267
Abstract
To help reduce the number of pedestrians lying on the road suffering fatal or severe injuries as a result of vehicle collisions, we investigated the influencing factors. We conducted an analysis of the records of the Institute for Traffic Accident Research and Data [...] Read more.
To help reduce the number of pedestrians lying on the road suffering fatal or severe injuries as a result of vehicle collisions, we investigated the influencing factors. We conducted an analysis of the records of the Institute for Traffic Accident Research and Data Analysis Japan between 2012 and 2018; we found that 2452 pedestrians lying on the road were involved in collisions (797 fatalities, 784 severely injured, 871 mildly injured). Multivariate logistic regression analysis identified the following as major factors that positively influenced the fatalities: head or neck injuries (odds ratio [OR], 90.221); trunk injuries (OR, 71.040); trucks as offending vehicle (OR, 2.741); collision velocity of 10–20 km/h (OR, 31.794), 20–30 km/h (OR, 2.982), 30–40 km/h (OR, 8.394), 40–50 km/h (OR, 16.831), and >50 km/h (OR, 18.639); and hit-and-run cases (OR, 1.967). The following had a positive influence on severe injuries: trunk injuries (OR, 4.060); collision velocity of 10–20 km/h (OR, 2.540), 20–30 km/h (OR, 3.700), 30–40 km/h (OR, 5.297), 40–50 km/h (OR, 5.719), and ≥50 km/h (OR, 5.244); and hit-and-run cases (OR, 2.628). Decreasing the collision velocity, avoiding collisions to the head and neck or trunk, and preventing hit-and-run cases would be effective in reducing fatal or severe injuries to pedestrians lying on the road. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
10 pages, 410 KiB  
Article
Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
by Wataru Ishii, Masahito Hitosugi, Mineko Baba, Kenji Kandori and Yusuke Arai
Healthcare 2021, 9(11), 1431; https://doi.org/10.3390/healthcare9111431 - 24 Oct 2021
Cited by 4 | Viewed by 1641
Abstract
Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that influence death and serious injury in child motor vehicle passengers to establish [...] Read more.
Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that influence death and serious injury in child motor vehicle passengers to establish effective preventive measures. To identify these factors, we performed a retrospective study using a nationwide medical database. The data of child motor vehicle passengers younger than 15 years (n = 1084) were obtained from the Japanese Trauma Data Bank, registered from 2004 to 2019. Physiological variables, outcomes, and injury severity were compared between fatal and non-fatal patients and between those with and without severe injuries. Multivariate logistic regression analysis was performed to determine factors affecting fatality and severe injury. The Glasgow Coma Scale score (odds ratio (OR): 1.964), body temperature (OR: 2.578), and the Abbreviated Injury Scale score of the head (OR: 0.287) were identified as independent predictors of a non-fatal outcome. Systolic blood pressure (OR: 1.012), the Glasgow Coma Scale score (OR: 0.705), and Focused Assessment with Sonography for Trauma positivity (OR: 3.236) were identified as independent predictors of having severe injury. Decreasing the severity of head injury is the highest priority for child motor vehicle passengers to prevent fatality and severe injury. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

12 pages, 494 KiB  
Article
Comparison of Motor Vehicle Collision Injuries between Pregnant and Non-Pregnant Women: A Nationwide Collision Data-Based Study
by Soonho Koh, Masahito Hitosugi, Shingo Moriguchi, Mineko Baba, Seiji Tsujimura, Arisa Takeda, Marin Takaso and Mami Nakamura
Healthcare 2021, 9(11), 1414; https://doi.org/10.3390/healthcare9111414 - 21 Oct 2021
Cited by 6 | Viewed by 1404
Abstract
We compared the independent predictive factors for moderate and severe injuries, along with characteristics and outcomes of motor vehicle collisions, between pregnant and non-pregnant women. Using 2001–2015 records from the National Automotive Sampling System/Crashworthiness Data System, we selected 736 pregnant women and 21,874 [...] Read more.
We compared the independent predictive factors for moderate and severe injuries, along with characteristics and outcomes of motor vehicle collisions, between pregnant and non-pregnant women. Using 2001–2015 records from the National Automotive Sampling System/Crashworthiness Data System, we selected 736 pregnant women and 21,874 non-pregnant women having any anatomical injuries. Pregnant women showed less severe collisions, fewer fatalities, and less severe injuries in most body regions than non-pregnant women. In pregnant women, the rate of sustaining abbreviated injury scale (AIS) scores 2+ injuries was higher for the abdomen only. For non-pregnant women, rear seat position, airbag deployment, multiple collisions, rollover, force from the left, and higher collision velocity had a positive influence on the likelihood of AIS 2+ injuries, and seatbelt use and force from the rear had a negative influence. There is a need for further development of passive safety technologies for restraint and active safety features to slow down vehicles and mitigate collisions. The influencing factors identified may be improved by safety education. Therefore, simple and effective interventions by health professionals are required that are tailored to pregnant women. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

16 pages, 649 KiB  
Article
Use of Soft Cervical Collar among Whiplash Patients in Two Italian Emergency Departments Is Associated with Persistence of Symptoms: A Propensity Score Matching Analysis
by Firas Mourad, Giacomo Rossettini, Erasmo Galeno, Alberto Patuzzo, Giuseppe Zolla, Filippo Maselli, Federica Ciolan, Michele Guerra, Giacomo Tosato, Alvisa Palese, Marco Testa, Giorgio Ricci, Arian Zaboli, Antonio Bonora and Gianni Turcato
Healthcare 2021, 9(10), 1363; https://doi.org/10.3390/healthcare9101363 - 14 Oct 2021
Cited by 2 | Viewed by 3694
Abstract
Purpose: Although the use of soft cervical collars in the emergency department (ED), for whiplash-associated disorders (WAD), is controversial, it is still widely adopted. The purpose of our study was to investigate the impact of the early use of soft cervical collars on [...] Read more.
Purpose: Although the use of soft cervical collars in the emergency department (ED), for whiplash-associated disorders (WAD), is controversial, it is still widely adopted. The purpose of our study was to investigate the impact of the early use of soft cervical collars on the return to the ED, within three months of a road traffic collision. Methods: We conducted a retrospective observational study on WAD patients from two EDs in Verona (Italy). Patients in the earlier acute phase of WAD (within 48 h from the trauma) were included; those with serious conditions (WAD IV) were excluded. As an end point, we considered patients who returned to the ED complaining of WAD symptoms within three months as positive outcome for WAD persistence. Results: 2162 patients were included; of those, 85.4% (n = 1847/2162) received a soft cervical collar prescription. Further, 8.4% (n = 156/1847) of those with a soft cervical collar prescription, and 2.5% (n = 8/315) of those without a soft cervical collar (p < 0.001) returned to the ED within three months. The use of the soft cervical collar was an independent risk factor for ED return within three months, with an OR, adjusted for possible clinical confounders, equal to 3.418 (95% CI 1.653–7.069; p < 0.001). After the propensity score matching, 25.5% of the patients (n = 25/98) using the soft cervical collar returned to the ED at three months, compared to the 6.1% (n = 6/98) that did not adopt the soft cervical collar. The use of a soft cervical collar was associated with ED return with an OR = 4.314 (95% CI 2.066–11.668; p = 0.001). Conclusions: Our study shows that the positioning of the soft collar in a cohort of patients with acute WAD, following a rear-end car collision, is an independent potential risk factor to the return to the ED. Clinically, the use of the collar is a non-recommended practice and seems to be related to an increased risk of delayed recovery. There is a need to inform healthcare providers involved in the ED of the aim to limit the use of the soft cervical collar. A closer collaboration between clinicians (e.g., physicians, physical therapists, nurses) is suggested in the ED. Future primary studies should determine differences between having used or not having used the collar, and compare early physical therapy in the ED compared with the utilization of the collar. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

11 pages, 1099 KiB  
Article
Does a “Cushion Effect” Really Exist? A Morphomic Analysis of Vulnerable Road Users with Serious Blunt Abdominal Injury
by Yu-San Tee, Chi-Tung Cheng, Chi-Hsun Hsieh, Shih-Ching Kang, Chih-Yuan Fu, Brian A. Derstine, Grace L. Su and Stewart C. Wang
Healthcare 2021, 9(8), 1006; https://doi.org/10.3390/healthcare9081006 - 06 Aug 2021
Cited by 2 | Viewed by 1621
Abstract
Introduction: The severity of injury from motor vehicle crashes (MVCs) depends on complex biomechanical factors, and the bodily features of the injured person account for some of these factors. By assuming that vulnerable road users (VRUs) have limited protection resulting from vehicles and [...] Read more.
Introduction: The severity of injury from motor vehicle crashes (MVCs) depends on complex biomechanical factors, and the bodily features of the injured person account for some of these factors. By assuming that vulnerable road users (VRUs) have limited protection resulting from vehicles and safety equipment, the current study analyzed the characteristics of fat distribution measured by computed tomography (CT) imaging and investigated the existence of a “cushion effect” in VRUs. Materials and Methods: This retrospective study enrolled 592 VRUs involved in MVCs who underwent CT scans. Visceral fat area and subcutaneous fat cross-sectional area were measured and adjusted according to total body area (TBA) and are presented as the visceral fat ratio and the subQ fat ratio (subcutaneous fat ratio). Risk factors for serious abdominal injury (maximum abbreviated injury scale (MAISabd ≥ 3)) resulting from MVCs were determined by univariate and multivariate analysis. Results: MAISabd ≥ 3 was observed in 104 (17.6%) of the patients. The subQ fat ratio at the L4 vertebral level was significantly lower in the MAISabd ≥ 3 group than in the MAISabd < 3 group (24.9 ± 12.0 vs. 28.1 ± 11.9%; p = 0.015). A decreased L4 subQ fat ratio was associated with a higher risk for MAISabd ≥ 3 in multivariate analysis (odds ratio 0.063; 95% CI 0.008–0.509; p = 0.009). Conclusion: The current study supported the “cushion effect” theory, and protection was apparently provided by subcutaneous fat tissue. This concept may further improve vehicle and safety designation in the future. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

13 pages, 2231 KiB  
Article
Kinematic and Electrophysiological Characteristics of Pedal Operation by Elderly Drivers during Emergency Braking
by Kazuki Fujita, Yasutaka Kobayashi, Mamiko Sato, Hideaki Hori, Ryo Sakai, Tomoki Ogawa, Tomonari Sugano, Kaori Kawabata and Masahito Hitosugi
Healthcare 2021, 9(7), 852; https://doi.org/10.3390/healthcare9070852 - 06 Jul 2021
Cited by 6 | Viewed by 2420
Abstract
Age-related decline in lower limb motor control may cause errors in pedal operation when driving a car. This study aimed to clarify the kinematics and electrophysiological characteristics of the pedal-switching operation associated with emergency braking in the case of elderly drivers. The participants [...] Read more.
Age-related decline in lower limb motor control may cause errors in pedal operation when driving a car. This study aimed to clarify the kinematics and electrophysiological characteristics of the pedal-switching operation associated with emergency braking in the case of elderly drivers. The participants in this study consisted of 11 young drivers and 10 elderly drivers. An experimental pedal was used, and the muscle activity and kinematic data during braking action were analyzed using the light from a light-emitting diode installed in the front as a trigger. The results showed that elderly drivers took the same time from viewing the visual stimulus to releasing the accelerator pedal as younger drivers, but took longer to switch to the brake pedal. The elderly drivers had higher soleus muscle activity throughout the process, from accelerator release to brake contact; furthermore, the rectus femoris activity was delayed, and the simultaneous activity between the rectus femoris and biceps femoris was low. Furthermore, elderly drivers tended to have low hip adduction velocity and tended to switch pedals by hip internal rotation. Thus, the alteration in joint movements and muscle activity of elderly drivers can reduce their pedal operability and may be related to the occurrence of pedal errors. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

11 pages, 440 KiB  
Article
Factors Influencing Pregnant Women’s Injuries and Fetal Loss Due to Motor Vehicle Collisions: A National Crash Data-Based Study
by Shinobu Hattori, Masahito Hitosugi, Shingo Moriguchi, Mineko Baba, Marin Takaso, Mami Nakamura, Seiji Tsujimura and Yasuhito Miyata
Healthcare 2021, 9(3), 273; https://doi.org/10.3390/healthcare9030273 - 03 Mar 2021
Cited by 7 | Viewed by 1792
Abstract
To examine the factors that influence substantial injuries for pregnant women and negative fetal outcomes in motor vehicle collisions (MVCs), a retrospective analysis using the National Automotive Sampling System/Crashworthiness Data System was performed in Shiga University of Medical Science. We analyzed data from [...] Read more.
To examine the factors that influence substantial injuries for pregnant women and negative fetal outcomes in motor vehicle collisions (MVCs), a retrospective analysis using the National Automotive Sampling System/Crashworthiness Data System was performed in Shiga University of Medical Science. We analyzed data from 736 pregnant women who, between 2001 and 2015, had injuries that were an abbreviated injury scale (AIS) score of one or more. The mean age was 25.9 ± 6.4 years and the mean gestational age was 26.2 ± 8.2 weeks. Additionally, 568 pregnant women had mild injuries and 168 had moderate to severe injuries. Logistic regression analysis revealed that seatbelt use (odds ratio (OR), 0.30), airbag deployment (OR, 2.00), and changes in velocity (21–40 km/h: OR, 3.03; 41–60 km/h: OR, 13.47; ≥61 km/h: OR, 44.56) were identified as independent predictors of having a moderate to severe injury. The positive and negative outcome groups included 231 and 12 pregnant women, respectively. Injury severity in pregnant women was identified as an independent predictor of a negative outcome (OR, 2.79). Avoiding moderate to severe maternal injuries is a high priority for saving the fetus, and education on appropriate seatbelt use and limiting vehicle speed for pregnant women is required. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

9 pages, 1583 KiB  
Article
Mechanisms of Negative Fetal Outcome in Frontal Vehicle Collisions Involving Unbelted Pregnant Drivers
by Arisa Takeda, Yasuki Motozawa, Marin Takaso, Mami Nakamura, Shinobu Hattori and Masahito Hitosugi
Healthcare 2021, 9(1), 25; https://doi.org/10.3390/healthcare9010025 - 29 Dec 2020
Cited by 6 | Viewed by 1728
Abstract
To determine the cause of negative fetal outcomes and the causative mechanism in a frontal collision, we analyzed the kinematics and mechanisms of injuries using an unbelted pregnant dummy, the Maternal Anthropometric Measurement Apparatus dummy, version 2B. Sled tests were performed to recreate [...] Read more.
To determine the cause of negative fetal outcomes and the causative mechanism in a frontal collision, we analyzed the kinematics and mechanisms of injuries using an unbelted pregnant dummy, the Maternal Anthropometric Measurement Apparatus dummy, version 2B. Sled tests were performed to recreate frontal impact situations with impact speeds of 13, 26, and 40 km/h. Overall kinematics of the dummy were examined through high-speed video imaging. Quantitative dummy responses—such as time courses of the abdominal pressure, chest deflection, neck injury criteria (Nij), and displacement of the pelvis during impact—were also measured. The maximum abdominal pressure of 103.3 kPa was obtained at an impact speed of 13 km/h. The maximum chest deflection of 38.5 mm and Nij of 0.36 were obtained at an impact speed of 26 km/h. The highest maximum chest deflection of >40.9 mm, Nij of 0.61, and forward pelvis displacement of 478 mm were obtained at an impact speed of 40 km/h. Although the kinematics and mechanism of injuries of the dummy were different for different collision speeds, we found that unbelted pregnant drivers suffer severe or fatal injuries to the fetus even in low-speed collisions. Full article
(This article belongs to the Special Issue Traffic Injuries and Prevention)
Show Figures

Figure 1

Back to TopTop