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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.

Child safety is an important issue. The objective of this study was to analyze field accident data for 0-7 year old children in the 2nd row by vehicle and crash type, irrespective of restraint use. The data was obtained from NASS-CDS for calendar years 1991-2005. Accidents were selected based on 2nd row occupancy in towaway light vehicles with model year 1990 or newer. Side impacts caused 30.9% of serious-to-fatal injury (MAIS 3+F) to 2nd row children followed by frontal impacts (29.8%), rollovers (24.4%) and rear crashes (15.0%). The highest risk for MAIS 3+F was in rollovers (2.8 ± 0.7%) followed by rear (1.4 ± 0.4%), side (1.0 ± 0.2%) and frontal (0.46 ± 0.10%) crashes. The differences are statistically significant (p <0.01). Individual rear and frontal impact cases were also reviewed to better understand injury mechanisms of children in the 2nd row. The cases were obtained from the 1997-2005 NASS-CDS electronic database.

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.