To determine the pattern and severity of injury and the outcome of front seat motor vehicle occupants after lateral impact crashes.
Retrospective review undertaken in a Regional Trauma Unit (Sunnybrook Health Science Centre).
Review of seriously injured front seat motor vehicle occupants admitted to a Regional Trauma Unit over a 46-month period (September 15,1989, to July 15,1993) for whom vehicle crash information and occupant seat belt use were known.
Three hundred forty-eight front seat vehicle occupants were available for study ; one hundred forty-one (41%) were involved in a lateral impact motor vehicle crash.
Driver side lateral crashes (57%) were more common than passenger side impacts.
Victims of lateral impact crashes had a significantly higher mean Injury Severity Score (25 compared with 20 for nonlateral crashes : p<0.05), and the direction of impact was strongly associated with injury severity (p<0.05).
Lateral impact crashes resulted in substantially more significant chest (p<0.01) and intra-abdominal (p<0.0001) injuries.
Type of injury was significantly different between the lateral and nonlateral impact groups for facial, chest, abdominal, and musculoskeletal injuries.
The direction of impact in motor vehicle crashes is strongly associated with the pattern and severity of organ injuries. (...)
Mots-clés Pascal : Polytraumatisme, Accident circulation, Collision, Latéral, Homme, Passager, Epidémiologie, Efficacité, Ceinture sécurité, Pronostic, Canada, Amérique du Nord, Amérique, Echelle évaluation, Indice gravité, Traumatisme
Mots-clés Pascal anglais : Multiple injury, Traffic accident, Collision, Lateral, Human, Passenger, Epidemiology, Efficiency, Safety belt, Prognosis, Canada, North America, America, Evaluation scale, Severity score, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0488176
Code Inist : 002B16N. Création : 10/04/1997.