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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 human body changes as it becomes older. The automotive safety community has been interested in understanding the effect of aging on restraint performance. Recent research has been focused on assessing the structural and material changes associated with age. In this study, structural tissue distribution was determined using the computed tomography (CT) scan data of more than 19,000 patients, aged 16 and up. The data consisted of subcutaneous fat cross-sectional area, visceral fat cross-sectional area, and trabecular bone density taken at each vertebral level. The data was quantified as a function of five age groups with the youngest group defined as 16-29 years old and the oldest group as 75 and up. An additional analysis stratified on gender was carried out. Overall, visceral fat increased with age.

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.

This paper addresses the nature and cause of lower limb injuries received by car occupants in road traffic accidents. Although such injuries in themselves are rarely life threatening they can lead to long term disability and impairment. The UK CCIS database which describes both the injuries to car occupants and the damage to the vehicle was used to determine the relative importance and frequency of these injuries. The contact points within the car were examined together with the effect of intrusion on injury severity. It was found that a serious injury to the lower limb was often an occupant's most severe injury and so work to mitigate these injuries would have both long term benefits to accident victims as well as reducing the cost to society. Lower limb injuries are very dependant on the type of impact sustained.

Occupant ejection has been identified as a safety problem for decades, particularly in rollover crashes. While field accident studies have repeatedly demonstrated the effectiveness of seat belts in mitigating rollover ejection and injuries, the use of laminated glass in side window positions has been suggested as a means to mitigate occupant ejection. Limited data is available on the field performance of laminated glass in preventing ejection. This study utilized 1997-2015 NASS-CDS data to investigate the reliability of the glazing coding variables in the database and determine if any conclusions can be drawn regarding the effect of different side window glazing types on occupant ejection. An initial query was run for 1997-2016 model year vehicles involved in side impacts to evaluate glazing coding within NASS-CDS.

An in-depth analysis of 200 Abbreviated Injury Score (AIS) 2+ injuries to the lower extremity in frontal collisions has been performed using impairment scales devised by the American Orthopaedic Foot and Ankle Society. The most important subgroup of injuries were identified as ankle/hindfoot injuries. There were 63 such injuries sustained by 53 occupants and these were analyzed in greater depth. Inversion or eversion was identified as the mechanism of injury for 40 % of injuries. However in 70% of these fractures caused by inversion or eversion, minimal or no long term impairment would be expected Injuries associated with significant long-term impairment were attributed to axial forces (i.e. loads perpendicular to the foot). Combined vehicle/injury analysis demonstrated a strong association between toe-pan intrusion and these injuries. Interaction between the occupant and the pedals was identified as a probable injury source in only 25% of injuries to the ankle and hindfoot.

Data suggest that in response to substantial educational efforts, more children are being placed in the rear seats of vehicles. As this transition occurs, it is important to make efforts to optimize the performance of rear seat restraints for children. Prior to developing new restraints for children for the rear seat, a better understanding of child responses in various crash scenarios is needed. The objective of this study was to evaluate the performance of various restraint systems and countermeasures for child occupants in different crash scenarios. Sled tests were carried out with a Hybrid III 6 year old anthropomorphic test device (ATD) in frontal, oblique and side impact configurations. The performance of a highback and a backless booster seat was assessed. The results were compared with two standard 3 point belt restraint systems: 1. a package shelf mounted belt, and 2. a C-pillar mounted belt.

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.

A new "On-The-Spot' (OTS) accident research project is now underway in the UK. This project enables expert investigators to attend the scene of an accident within 15 minutes of the incident occurring, which allows the collection of accident data that would otherwise be quickly lost. This paper considers previous studies and the justification for a new research approach before describing methodology used on the spot and during subsequent follow-up research. Investigations focus on all types of vehicles (including damage, failures, features fitted and their contribution); the highway (including design, features, maintenance and condition); the human factors (including drivers, riders, passengers and pedestrians); and the injuries sustained. Five hundred crashes will be studied in depth each year. The project objectives include establishing an in-depth database that will permit analyses to better understand the causes of crashes and injuries, and assist in the development of solutions.

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.

The average body weight of the US population has increased over time. This study investigates the effect of increasing weight on seat and occupant responses in 15-18 km/h and 42 km/h rear sled tests. The effect of initial occupant posture is also discussed. Seven tests were conducted with lap-shoulder belted ATDs (anthropometric test device) placed on older and modern driver seats. Four tests were conducted with a 50th percentile male Hybrid III, two with 95th percentile male Hybrid III and one with a BioRID. The ATDs were ballasted to represent a Class I or II obese occupant in three tests. The tests were matched by seat model and sled velocity. The effect of occupant weight was assessed in three matches. The results indicated an increase in seatback deflection with increasing occupant weight.

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.

Injuries to the lower extremities of belted car occupants in frontal collisions are frequent and can be impairing. Crash parameters and vehicle attributes increase or decrease the risk of injury. Real-world accident data collected within the UK under the Co-operative Crash Injury Study (CCIS) has been used to examine these effects. AIS 2+ injuries are most common below the knees of both drivers and passengers. Intrusion of the footwell increases the risk of leg injury to a greater extent than crash severity under the conditions experienced in the accident data. Intrusion is shown not to be a proxy variable for delta-V. The pedals increase the risk of leg injury by 54% when there is 20 cm of footwell intrusion. The study indicates the need for an improved understanding of the injury mechanisms involved and the mechanism through which intrusion increases leg injury.

This study examines some of the factors associated with soft tissue neck injuries in the UK. The data were drawn from a retrospective study of vehicle crash injuries in which the overall soft tissue neck injury rate was 16%. This study shows how although it is commonly assumed that such injuries are a rear impact phenomenon, over 50% of the injuries occur in frontal crashes. In front and rear impacts, these injuries are undoubtedly associated with seat-belt use. The incidence of neck injury has been shown to double over the ten-year period of the study with the effect more prominent in females. Such injuries are also more likely to be self-reported than clinically diagnosed. Head restraints have not been found to mitigate neck injuries in either front or rear impacts at a statistically significant level. A slight but non-significant trend towards reduced neck injury rates is observed in cases of seat back yielding in a rear impact.

Occupant protection in rear crashes is complex. While seatbelts and head restraints are effective in rear impacts, seatbacks offer the primary restraint component to front-seat occupants in rear impacts. Seatback deflection due to occupant loading can occur in a previous rear crash and/or in multiple-rear event crashes. Seatback deflection will in-turn affect the plastic seatback deformation and energy absorption capabilities of the seat. This study was conducted to provide information on seatback deflection and seat energy consumption in low and high-speed rear impacts. The results can be used to examine seatback deflection and energy consumed in a previous rear impact, or in collisions with multiple rear impacts. Prior seatback deflection and energy absorption can affect the total remaining energy absorption and seat performance for a subsequent rear impact.