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Using 1988-95 data from the Fatality Analysis Reporting System, risk of death was compared among front- and rear-seated passengers ages 12 and younger involved in fatal crashes, controlling for restraint use, passenger airbags, and other variables. Among children sitting in the rear, risk of death was reduced about 35 percent in vehicles without passenger airbags and about 50 percent in vehicles with passenger airbags (difference was not statistically significant). Rear seats were protective for both restrained and unrestrained children. Children were about 10-20 percent less likely to die in rear center than in rear outboard positions.

This study, which is an extension of an earlier study, examined an additional 64 frontal crashes of airbag-equipped vehicles in the 1997-98 National Automotive Sampling System Crashworthiness Data System (NASS/CDS) in which the driver died. The principal cause of death in each case was determined based on an examination of the publicly available case materials, which primarily consisted of the crash narrative, the injury/source summary, and photographs of the crashed vehicle. Results were consistent with the earlier analyses of the 1990-96 NASS/CDS files. In the combined data set (1990-98), gross deformation of the occupant compartment was the leading cause (42 percent) of driver deaths in these 116 frontal crashes. The force of the deploying airbag (16 percent) and ejection from the vehicle (13 percent) also accounted for significant portions of the driver deaths in these frontal crashes. There continues to be little or no evidence that airbags deploy with too little energy.

A review of 39 driver fatalities in 1990-93 cars with air bags from the National Accident Sampling System indicated most of these fatalities were due to causes unrelated to frontal air bag performance. Two-thirds occurred in side-impact or rollover crashes, in which air bag effectiveness is limited; of 15 frontal crash fatalities, 6 died of causes unrelated to the frontal impact and 5 in cars with severe intrusion. The remaining four fatalities, three of whom were unbelted, were in moderate to high severity crashes which could have been survivable; however the deploying air bags, instead of protecting, probably contributed to the fatal injuries. A similar review of 12 fatalities of unbelted drivers in cars without air bags revealed 3 could have been prevented by air bags, but 4 were in crashes that could have put them in position to be injured by the air bag.

Data on deaths of car occupants during the calendar year 1975 were obtained from the National Highway Traffic Safety Administration's Fatal Accident Reporting System, and national vehicle registration counts were obtained from R. L. Polk National Profile as of July 1, 1975. Occupant deaths per 10,000 registered cars in the 1971 through 1974 model years were examined by vehicle size. Occupant death rates generally increase as car size decreases. The relationship between smaller cars and increased deaths is especially pronounced in frontal crashes, and in car into other vehicle crashes. Because of this, increased occupant crash protection in frontal crashes-such as provided by air bags and passive seat belts-could substantially reduce much of the disadvantage presently faced by occupants of small cars.

Using data from the National Automotive Sampling System/Crashworthiness Data System (NASS/CDS) for1995-96, this study updates previous analyses of driver fatalities in airbag-equipped vehicles in the NASS/CDS database for 1989-93 and 1989-94. A total of 59 cases of frontal crashes of airbag-equipped vehicles with driver fatalities were identified in these 8 years of NASS/CDS data, but in 9 cases the fatalities were not related to the impacts (e.g., fire, medical condition). Vehicle intrusion was the cause of the fatal injuries in 27 cases, and 7drivers died from injuries sustained when they were either partially or totally ejected from their vehicles. There was one case in which the airbag did not deploy, although the crash conditions indicated it should have. One driver died from contact with a nonintruding vehicle surface, and the causes of the fatal injuries in 5 cases were unknown.