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Obesity rates are increasing among the general population. This study investigates the effect of obesity on ejection and injury risk in rollover crashes through analysis of field accident data contained in the National Automotive Sampling System-Crashworthiness Data System (NASS-CDS) database. The study involved front outboard occupants of age 15+ years in 1994+ model year vehicle rollover crashes. Occupants were sorted into two BMI groups, normal (18.5 kg/m2 ≤ BMI < 25.0 kg/m2) and obese (BMI ≥30 kg/m2). Complete and partial ejection risks were first assessed by seating location relative to roll direction and belt use. The risk of serious-to-fatal injuries (MAIS 3+F) in non-ejected occupants were then evaluated. The overall risk for complete ejection was 2.10% ± 0.43% when near-sided and 2.65% ± 0.63% when far-sided, with a similar risk for both the normal and obese BMI groups.

Spine degeneration can lower injury tolerance and influence injury outcomes in vehicle crashes. To date, limited information exists on the effect of age and sex on thoracic spine 3-dimensional geometry. The purpose of this study is to quantify thoracic spinal column and canal geometry using selected geometrical measurement from a large sample of CT scans. More than 33,488 scans were obtained from the International Center for Automotive Medicine database at the University of Michigan under Institutional Review Board approval (HUM00041441). The sample consisted of CT scans obtained from 31,537 adult and 1,951 pediatric patients between the ages of 0 to 99 years old. Each scan was processed semi-automatically using custom algorithms written in MATLAB (The Math Works, Natick, MA). Five geometrical measurements were collected including: 1) maximum spinal curvature depth (D), 2) T1-to-T12 vertical height (H), 3) Kyphosis Index (KI), 4) kyphosis angle, and 5) spinal canal radius.

The legends of Table 6 and Table 7, found on pages 924 and 925, did not properly reference multiple characters used within the tables.

Purpose: This study investigates NASS-CDS data on basilar skull fractures by crash type and injury source for various crash scenarios to understand the injury risks, injury mechanisms and contact sources. Methods: 1993-2008 NASS-CDS data was used to study basilar skull fractures in adult front occupants by crash type and injury source. Injury risks were determined using weighted data for occupants with known injury status in 1994+ model year vehicles. In-depth analysis was made of far-side occupants in side impacts and rear crashes using the NASS electronic cases. Results: Basilar skull fractures occur in 0.507 ± 0.059% of rollovers and 0.255 ± 0.025% of side impacts. The lowest risk is in rear impacts at 0.015 ± 0.007%. The most common contact source is the roof, side rails and header (39.0%) in rollovers, the B-pillar (25.8%) in side impacts and head restraint (55.3%) in rear crashes.

In this study, US and UK accident data were analyzed to identify parameters that may influence rollover propensity to analyze driver injury rate. The US data was obtained from the weighted National Automotive Sampling System (NASS-CDS), calendar years 1992 to 1996. The UK pre-roll data was obtained from the national STATS 19 database for 1996, while the injury information was collected from the Co-operative Crash Injury Study (CCIS) database. In the US and UK databases, rollovers accounted for about 10% of all crashes with known crash directions. In the US and UK databases, most rollovers occurred when the vehicle was either going straight ahead or turning. The propensity for a rollover was more than 3 times higher when going around a bend than a non-rollover. In the UK, 74% of rollovers occurred on clear days with no high winds and 14% on rainy days with no high winds. In the US, 83% of rollovers took place in non-adverse weather conditions and 10% with rain.

In this study, U.S. accident data was analyzed to determine interior contacts and injuries for front-seated occupants in rollovers. The injury distribution for belted and unbelted, non-ejected drivers and right front passengers (RFP) was assessed for single-event accidents where the leading side of the vehicle rollover was either on the driver or passenger door. Drivers in a roll-left and RFP in roll-right rollovers were defined as near-side occupants, while drivers in roll-right and RFP in roll-left rollovers were defined as far-side occupants. Serious injuries (AIS 3+) were most common to the head and thorax for both the near and far-side occupants. However, serious spinal injuries were more frequent for the far-side occupants, where the source was most often coded as roof, windshield and interior.

Objective: This study analyzed available rear impact sled tests with Starcraft-type seats that use a diagonal belt behind the seatback. The study focused on neck responses for out-of-position (OOP) and in-position seated dummies. Methods: Thirteen rear sled tests were identified with out-of-position and in-position 5 th , 50 th and 95 th Hybrid III dummies in up to 47.6 mph rear delta Vs involving Starcraft-type seats. The tests were conducted at Ford, Exponent and CSE. Seven KARCO rear sled tests were found with in-position 5 th and 50 th Hybrid III dummies in 21.1-29.5 mph rear delta Vs involving Starcraft-type seats. In all of the in-position and one of the out-of-position series, comparable tests were run with production seats. Biomechanical responses of the dummies and test videos were analyzed.

Objective: This is a descriptive study of the incidence of spinal injury by crash type using NASS-CDS. It provides an understanding of impacts to the undercarriage of the vehicle and injuries to the lumbar spine by reviewing electronic cases in NASS-CDS to determine crash circumstances for fractures of the lumbar spine with undercarriage impacts. Methods: 1997-2015 NASS-CDS was evaluated for serious injury (MAIS 3 + F) to front-seat occupants by seatbelt use and crash type in 1994+ MY vehicles. Undercarriage impacts were defined by GAD1 = U without a rollover. Serious injury was defined as MAIS 3 + F. Spinal injuries AIS 3+ were separated into cervical, thoracic and lumbar regions. Weighted data was determined using ratio weight. NASS-CDS electronic cases were downloaded from NHTSA with AIS 3+ lumbar spine injuries in undercarriage impacts. Results: There were 2,160 MAIS 3 + F injured occupants in undercarriage impacts. This was 0.23% of all serious injury.

Objective: This study investigated the incidence of abdominal injuries in frontal crashes by occupant age and seating position. It determined the risk for abdominal injury (AIS 2+) by organ and injury source. Methods: 1997-2015 NASS-CDS was analyzed to estimate the occurrence of abdominal injuries in non-ejected, belted occupants involved in frontal crashes. Vehicles were included with 1997+ model year (MY). The annual incidence and rate for different types of abdominal injury were estimated with standard errors. The sources for abdominal injury were determined. Results: 77.8% of occupants were drivers, 16.7% were right-front passengers and 5.4% were rear passengers. Rear passengers accounted for 77.1% of 8-11 year old (yo) and 17.2% of 12-17 yo group. The risk for moderate abdominal injury (MAIS 2 + abdo) was 0.30% ± 0.053% in drivers, 0.32% ± 0.086% in right-front passengers and 0.38% ± 0.063% in rear occupants.

Rollovers are an important vehicle safety issue. Various technologies have been developed to help prevent rollovers from occurring, but the evaluation of rollover resistance typically involves vehicle-handling tests that are conducted on flat road surfaces with a uniform or split coefficient of friction. The purpose of this study is to determine the precipitating events leading to rollovers by analyzing real-world rollover crashes. This is a first step in identifying and developing vehicle tests that are representative of the principal driving scenarios leading to rollovers. The sequence of events leading to rollovers was determined from 63 in-depth investigated cases in the NASS-CDS database from 1995-1999. The sequence was evaluated by vehicle maneuvers, vehicle stability, surface type, road and shoulder transition condition, posted and estimated speeds, vehicle type and driver injury severity.

Since more occupants are using rear seats of vehicles, a better understanding of priorities for rear occupant protection is needed as future safety initiatives are considered. A two-part study was conducted on occupant injuries in rear seating positions. In Part I, adult and teenage occupants ≥13 years of age are investigated. In Part II, children aged 4-12 years old and toddlers and infants aged 0-3 are studied separately because of the use of infant and child seats and boosters involve different injury mechanisms and tolerances. The objectives of this study on adult and teenager, rear-seated occupants (≥13 years old) are to: 1) review accident data, 2) identify the distribution of rear occupants, and 3) analyze injury risks in various crash modes, including rollovers, frontal, side and rear impacts. Three databases were investigated: NASS-CDS, GES and FARS.

Child safety continues to be an important issue in automotive safety for many reasons, including reported cases of serious injury from airbag deployments. As a result of extensive public education campaigns, most children are now placed in rear seats of vehicles. Accordingly, a more precise understanding of rear-seat occupant protection is developing as the second and third rows have become the primary seating area for children in SUVs, vans and passenger cars. The objective of this study was to review field crash and injury data from rear seats, identify the distribution of children and infants in rear seats, and analyze injury risks in various crash modes. The database used was the 1991-1999 NASS-CDS. When looking at crash configurations for 1st and 2nd row children, rollover crashes involved the highest incidence of MAIS 3+ injury, followed by frontal and side impacts. Lap-shoulder belt usage was similar for 1st and 2nd row children.

Seats have become stronger over the past two decades and remain more upright in rear impacts. While head restraints are higher and more forward providing support for the head and neck, serious-to-fatal injuries to the thoracic and cervical spine have been seen in occupants with spinal disorders, such as DISH (diffuse idiopathic skeletal hyperostosis), ankylosis, spondylosis and/or osteophytes that ossify the joints in the spine. This case study addresses the influence of spinal disorders on fracture-dislocation and spinal cord injury in rear impacts with relatively upright seats. Nineteen field accidents were investigated where serious-to-fatal injuries of the thoracic and cervical spine occurred with the seat remaining upright or slightly reclined. The occupants were lap-shoulder belted, some with belt pretensioning and cinching latch plate.

Objective: Sled test video and data were independently analyzed to assess the validity of statements and conclusions reported in Bidez et al. SAE paper 2005-01-1708 [7]. Method: An independent review and analysis of the test data and video was conducted for 9 sled tests at 35 km/h (21.5 mph). The 5th female Hybrid III was lap-shoulder belted in the 2nd or 3rd row seat of a SUV buck. For one series, the angle was varied from 0, 15, 30, 45 and 60 deg PDOF. The second series involved shoulder belt pretensioning and other belt modifications. Results: Bidez et al. [7] claimed “The lap belts moved up and over the pelvis of the small female dummy for all impact angles tested.” We found that there was no submarining in any of the tests with the production lap-shoulder belts. Bidez et al. [7] claimed “H3-5F dummies began to roll out of their shoulder belt at… 30 degrees. Complete loss of torso support was seen at 45 degrees without significant kinetic energy dissipation.”

Interest in rear-seat occupant safety has increased in recent years. Information relevant to rear-seat occupant interior space and kinematics are needed to evaluate injury risks in real-world accidents. This study was conducted to first assess the effect of size and restraint conditions, including belt misuse, on second-row occupant kinematics and to then document key clearance measurements for an Anthropomorphic Test Device (ATD) seated in the second row in modern vehicles from model years 2015-2020. Twenty-two tests were performed with non-instrumented ATDs; three with a 5th percentile female Hybrid III, 10 tests with a 10-year-old Hybrid III, and 9 tests with a 6-year-old Hybrid III. Test conditions included two sled bucks (mid-size car and sport utility vehicle (SUV)), two test speeds (56 and 64 km/h), and various restraint configurations (properly restrained and improperly restrained configurations). Head and knee trajectories were assessed.

In rollovers, belted occupants sustain a lower fatality rate compared to unbelted occupants primarily due to lower risk of partial or full ejection. However, seat belt and occupant compartment designs found in most current vehicles do not prevent head contact with the vehicle interior during a rollover because of occupant torso and head excursion that result from the rollover dynamics. An experimental study was conducted to simulate the airborne phase of a rollover. The goals of this study were to: 1) quantify the effect of restraint anchor locations and belt component designs in reducing head excursion, and 2) to better correlate the response between humans and an Anthropomorphic Test Device (ATD) during the high angular roll rate of the airborne phase of a rollover. A Head Excursion Test Device was designed to rotate a restrained occupant about an axis to approximate the inertial loading experienced during the airborne phase of a rollover.

Crash safety researchers have an increased concern regarding the decreased thoracic deflection and the contributing injury causation factors among the elderly population. Sternum fractures are categorized as moderate severity injuries, but can have long term effects depending on the fragility and frailty of the occupant. Current research has provided detail on rib morphology, but very little information on sternum morphology, sternum fracture locations, and mechanisms of injury. The objective of this study is two-fold (1) quantify sternum morphology and (2) document sternum fracture locations using computed tomography (CT) scans and crash data. Thoracic CT scans from the University of Michigan Hospital database were used to measure thoracic depth, manubriosternal joint, sternum thickness and bone density. The sternum fracture locations and descriptions were extracted from 63 International Center for Automotive Medicine (ICAM) crash cases, of which 22 cases had corresponding CT scans.

This study was conducted to assess the effects of differing rear impact pulse characteristics on restraint performance, front-seat occupant kinematics, biomechanical responses, and seat yielding. Five rear sled tests were conducted at 40.2 km/h using a modern seat. The sled buck was representative of a generic sport utility vehicle. A 50th percentile Hybrid III ATD was used. The peak accelerations, acceleration profiles and durations were varied. Three of the pulses were selected based on published information and two were modeled to assess the effects of peak acceleration occurring early and later within the pulse duration using a front and rear biased trapezoidal characteristic shape. The seatback angle at maximum rearward deformation varied from 46 to 67 degrees. It was lowest in Pulse 1 which simulates an 80 km/h car-to-car rear impact.

This study assesses vehicle and occupant responses in six vehicle-to-vehicle high-speed rear impact crash tests conducted at the Exponent Test and Engineering Center. The struck vehicle delta Vs ranged from 32 to 76 km/h and the vehicle centerline offsets varied from 5.7 to 114 cm. Five of the six tests were conducted with Hybrid III ATDs (Anthropometric Test Device) with two tests using the 50th male belted in the driver seat, one test with an unbelted 50th male in the driver seat, one test with a 95th male belted in the driver seat, and one with the 5th female lap belted in the left rear seat. All tests included vehicle instrumentation and three tests included ATD instrumentation. The ATD responses were analyzed and compared to corresponding IARVs (injury assessment reference values). Ground-based and onboard vehicle videos were synchronized with the vehicle kinematic data and biomechanical responses.

Seat strength has increased over the past four decades which includes a transition to dual recliners. There are seat collision performance issues with stiff ABTS and very strong seats in rear impacts with different occupant sizes, seating positions and physical conditions. In this study, eight rear sled tests were conducted in four series: 1) ABTS in a 56 km/h (35 mph) test with a 50th Hybrid III ATD at MGA, 2) dual-recliner ABTS and F-150 in a 56 km/h (35 mph) test with a 5th female Hybrid III ATD at Ford, 3) dual-recliner ABTS in a 48 km/h (30 mph) test with a 95th Hybrid III ATD leaning inboard at CAPE and 4) dual-recliner ABTS and Escape in 40 km/h (25 mph) in-position and out-of-position tests with a 50th Hybrid III ATD at Ford. The sled tests showed that single-recliner ABTS seats twist in severe rear impacts with the pivot side deformed more rearward than the stanchion side.