Citation

Arregui-Dalmases C, Rebollo-Soria MC, Sanchez-Molina D, Velazquez-Ameijide J, Teijeira Alvarez. Neurocirugia (Astur) 2016; 28(1): 41-46.

Vernacular Title

Biomecánica y mecanismo de producción del traumatismo cráneo-encefálico en el peatón atropellado. Evaluación de la normativa actual en la automoción.

Affiliation

Instituto Navarro de Medina Legal, Gobierno de Navarra, Facultad de Medicina, Universidad de Navarra, Pamplona, Navarra, España.

Copyright

(Copyright © 2016, Sociedad Espanola de Neurocirugia, Publisher Elsevier Publishing)

DOI

10.1016/j.neucir.2016.02.010

PMID

27056605

Abstract

INTRODUCTION: Pedestrian-vehicle collisions are a leading cause of death among motor vehicle accidents. Recently, pedestrian injury research has been increased, mostly due to the implementation of European and Japanese regulations. This research presents an analysis of the main head injury vehicle sources and injury mechanisms observed in the field, posteriorly the data are compared with the current pedestrian regulations.

METHODS: The analysis has been performed through an epidemiologic transversal and descriptive study, using the Pedestrian Crash Data Study (PCDS) involving 552 pedestrians, sustaining a total of 4.500 documented injuries.

RESULTS: According to this research, the hood surface is responsible for only 15,1% of all the head injuries. On the other hand, the windshield glazing is responsible for 41,8%. In case of sedan vehicles the head impact location exceeds what is expected in the current regulation, and therefore no countermeasures are applied. From all the head injuries sustained by the pedestrians just 20% have the linear acceleration as isolated injury mechanism, 40% of the injuries are due to rotational acceleration.

CONCLUSIONS: In this research, the importance of the rotational acceleration as injury mechanism, in case of pedestrian-vehicle collision is highlighted. In the current pedestrian regulation just the linear acceleration is addressed in the main injury criteria used for head injury prediction.

Copyright © 2016 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

Language: es