@article{ref1,
title="Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study",
journal="Heliyon",
year="2024",
author="Choi, Yeongho and Park, Jeong Ho and Ro, Young Sun and Jeong, Joo and Kim, Yu Jin and Song, Kyoung Jun and Shin, Sang Do",
volume="10",
number="3",
pages="e25336-e25336",
abstract="OBJECTIVE: Motor vehicle collisions (MVCs) are known to cause traumatic cardiac arrest; it is unclear whether seat belts prevent this. This study aimed to evaluate the association between seat belt use and immediate cardiac arrest in cases of MVCs. <br><br>METHOD: This cross-sectional observational study used data from a nationwide EMS-based severe trauma registry in South Korea. The sample comprised adult patients with EMS-assessed severe trauma due to MVCs between 2018 and 2019. The primary, secondary, and tertiary outcomes were immediate cardiac arrest, in-hospital mortality, and death or severe disability, respectively. We calculated the adjusted odds ratios (AORs) of immediate cardiac arrest with seat belt use after adjusting for potential confounders. <br><br>RESULTS: Among the 8178 eligible patients, 6314 (77.2 %) and 1864 (29.5 %) were wearing and not wearing seat belts, respectively. Immediate cardiac arrest, mortality, and death/severe disability rates were higher in the &quot;no seat belt use&quot; group than in the &quot;seat belt use&quot; group (9.4 % vs. 4.0 %, 12.4 % vs. 6.2 %, 17.7 % vs. 9.9 %, respectively; p < 0.001). The former group was more likely to experience immediate cardiac arrest (AOR [95 %CI]: 3.29 [2.65-4.08]), in-hospital mortality (AOR [95 %CI]: 2.72 [2.26-3.27]), and death or severe disability (AOR [95 %CI]: 2.40 [2.05-2.80]). <br><br>CONCLUSION: There was an association between wearing seat belts during MVCs and a reduced risk of immediate cardiac arrest.<p /> <p>Language: en</p>",
language="en",
issn="2405-8440",
doi="10.1016/j.heliyon.2024.e25336",
url="http://dx.doi.org/10.1016/j.heliyon.2024.e25336"
}