@article{ref1,
title="Epidemiology of moderate-to-severe injury patterns observed in rollover crashes",
journal="Accident analysis and prevention",
year="2016",
author="McMurry, Timothy L. and Bose, Dipan and Ridella, Stephen A. and Eigen, Ana M. and Crandall, Jeffrey Richard and Kerrigan, Jason R.",
volume="90",
number="",
pages="36-40",
abstract="BACKGROUND: Previous epidemiological studies have highlighted the high risk of injury to the head, thorax, and cervical spine in rollover crashes. However, such results provide limited information on whole-body injury distribution and multiple region injury patterns necessary for the improvement and prioritization of rollover-focused injury countermeasures. <br><br>METHODS: Sampled cases representing approximately 133,000 U.S. adult occupants involved in rollover crashes (between 1995 and 2013) sustaining moderate-to-severe injuries were selected from the National Automotive Sampling System Crashworthiness Data System database. A retrospective cohort study, based on a survey of population-based data, was used to identify relevant whole body injury patterns. <br><br>RESULTS: Among belted occupants injured in rollover crashes, 79.2% sustained injuries to only one body region. The three most frequently injured (AIS2+) body regions were head (42.1%), upper extremity (28.0%), and thorax (27.1%). The most frequent multi-region injury pattern involved the head and upper extremity, but this pattern only accounted for 2.3% of all of occupants with moderate or worse injuries. <br><br>CONCLUSIONS: The results indicated that for rollover-dominated crashes, the frequently observed injury patterns involved isolated body regions. In contrast, multi-region injury patterns are more frequently observed in rollovers with significant planar impacts. Identification of region-specific injury patterns in pure rollover crashes is essential for clarifying injury mitigation targets and developing whole-body injury metrics specifically applicable to rollovers.<p /> <p>Language: en</p>",
language="en",
issn="0001-4575",
doi="10.1016/j.aap.2016.01.018",
url="http://dx.doi.org/10.1016/j.aap.2016.01.018"
}