Traffic injury prevention
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Roundabouts are a type of circular intersection control generally associated with a favorable influence on traffic safety. International studies of intersections converted to roundabouts indicate a strong reduction in injury crashes, particularly for crashes with fatal or serious injuries. Nevertheless, some crashes still occur at roundabouts. The present study aims to improve the understanding of roundabout safety by identifying crash types, locations, and factors that are associated with roundabout crashes. ⋯ The main goal of this study was to identify and analyze dominant crash types at roundabouts by taking into account detailed information on the crash location. Some connections between certain roundabout crash types, their crash location, and roundabout design characteristics have been found.
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Traffic injury prevention · Jan 2015
Finite element model prediction of pulmonary contusion in vehicle-to-vehicle simulations of real-world crashes.
Pulmonary contusion (PC) is a common chest injury following motor vehicle crash (MVC). Because this injury has an inflammatory component, studying PC in living subjects is essential. Medical and vehicle data from the Crash Injury Research and Engineering Network (CIREN) database were utilized to examine pulmonary contusion in case occupants with known crash parameters. ⋯ A preliminary threshold for maximum crush was calculated to predict a clinically significant volume of pulmonary contusion.
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Traffic injury prevention · Jan 2015
Estimated injury risk for specific injuries and body regions in frontal motor vehicle crashes.
Injury risk curves estimate motor vehicle crash (MVC) occupant injury risk from vehicle, crash, and/or occupant factors. Many vehicles are equipped with event data recorders (EDRs) that collect data including the crash speed and restraint status during a MVC. This study's goal was to use regulation-required data elements for EDRs to compute occupant injury risk for (1) specific injuries and (2) specific body regions in frontal MVCs from weighted NASS-CDS data. ⋯ These injury risk curves can be implemented into advanced automatic crash notification (AACN) algorithms that utilize vehicle EDR measurements to predict occupant injury immediately following a MVC. Through integration with AACN, these injury risk curves can provide emergency medical services (EMS) and other patient care providers with information on suspected occupant injuries to improve injury detection and patient triage.
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Traffic injury prevention · Jan 2015
Driver Injury Risk Variability in Finite Element Reconstructions of Crash Injury Research and Engineering Network (CIREN) Frontal Motor Vehicle Crashes.
A 3-phase real-world motor vehicle crash (MVC) reconstruction method was developed to analyze injury variability as a function of precrash occupant position for 2 full-frontal Crash Injury Research and Engineering Network (CIREN) cases. ⋯ A method to compute injury metrics and risks as functions of precrash occupant position was developed and applied to 2 CIREN MVC FE reconstructions. The reconstruction process allows for quantification of the sensitivity and uncertainty of the injury risk predictions based on occupant position to further understand important factors that lead to more severe MVC injuries.
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Traffic injury prevention · Jan 2015
New Methodology for an Expert-Designed Map From International Classification of Diseases (ICD) to Abbreviated Injury Scale (AIS) 3+ Severity Injury.
There has been a longstanding desire for a map to convert International Classification of Diseases (ICD) injury codes to Abbreviated Injury Scale (AIS) codes to reflect the severity of those diagnoses. The Association for the Advancement of Automotive Medicine (AAAM) was tasked by European Union representatives to create a categorical map classifying diagnoses codes as serious injury (Abbreviated Injury Scale [AIS] 3+), minor/moderate injury (AIS 1/2), or indeterminate. This study's objective was to map injury-related ICD-9-CM (clinical modification) and ICD-10-CM codes to these severity categories. ⋯ Robust maps of ICD-9-CM and ICD-10-CM injury codes to AIS severity categories (3+ versus <3) were successfully created from an in-person panel discussion and electronic survey. These maps provide a link between the common ICD diagnostic lexicons and the AIS severity coding system and are of value to injury researchers, public health scientists, and epidemiologists using large databases without available AIS coding.