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首页> 美国卫生研究院文献>PLoS Clinical Trials >Vehicle configurations associated with anatomical-specific severe injuries resulting from traffic collisions
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Vehicle configurations associated with anatomical-specific severe injuries resulting from traffic collisions

机译：与交通碰撞引起的特定解剖严重伤害相关的车辆配置

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摘要

Vehicles can be classified by configuration as either bonnet-type or cab-over type according to engine location. Compared to bonnet-type, the front compartment of cab-over type vehicles is considerably shorter; thus, it may be less likely to absorb the energy generated in a collision, and in turn be unable to prevent deformation of the occupant space and protect occupants from injury. This study was a cohort study involving 943 occupants of mini-vehicles who were injured in frontal collision accidents between 2001 and 2015 and transferred to Ohta Nishinouchi Hospital. The vehicle configuration was divided into bonnet-type and cab-over type (i.e., truck-type and wagon-type). The tested outcomes were anatomical-specific severe injury of the pelvis and extremities, the head and neck, the abdomen, and the chest. To estimate adjusted odds ratios (AOR) for associations between vehicle configuration and anatomical-specific severe injury, we fitted generalized estimating equations for each outcome. Compared with bonnet-type vehicles, a greater risk of serious pelvis and extremities injury was found for both truck (AOR: 2.21; 95% Confidence Interval [95% CI]: 1.22–4.00) and wagon-type vehicles (AOR: 3.43; 95%CI 1.60–7.39). For serious head and neck injury, truck-type vehicles were associated with greater risk (AOR: 2.04; 95% CI: 1.10–3.79) than bonnet-type vehicles, whereas wagon-type vehicles were not. Compared with the occupants of bonnet-type vehicles, cab-over type vehicle occupants were more likely to have serious pelvis and extremities injury during frontal collisions. Additionally, truck-type vehicle occupants were more likely to have serious head and neck injury than bonnet-type vehicle occupants. These findings are expected to promote safer behaviors for vehicle occupants and the automobile industry.
机译：根据发动机的位置，车辆可以按配置分为发动机罩型或驾驶室型。与引擎盖型相比，驾驶室型车辆的前车厢要短得多。因此，可能不太可能吸收碰撞中产生的能量，从而又不能防止乘员空间变形并不能保护乘员免受伤害。这项研究是一项队列研究，涉及943名在2001年至2015年之间因正面碰撞事故受伤的微型汽车，并将其转移到大田西之内医院。车辆配置分为引擎盖型和驾驶室型（即卡车型和货车型）。测试的结果是骨盆和四肢，头颈部，腹部和胸部的解剖学上的严重伤害。为了估计车辆配置和特定于解剖学的严重伤害之间的关联的调整后的优势比（AOR），我们为每个结果拟合了广义估计方程。与阀盖型车辆相比，卡车（AOR：2.21； 95％置信区间[95％CI]：1.22-4.00）和货车型车辆（AOR：3.43； 95％置信区间[95％CI]：1.24-4.00）都被发现严重骨盆和四肢受伤的风险。 95％CI 1.60–7.39）。对于严重的头部和颈部伤害，卡车式车辆的风险较高（AOR：2.04； 95％CI：1.10–3.79），而不是货车式车辆。与引擎盖型车辆的乘员相比，跨乘型车辆的乘员在正面碰撞期间更容易受到严重的骨盆和四肢伤害。另外，卡车式车辆乘员比引擎盖式车辆乘员更可能遭受严重的头部和颈部伤害。这些发现有望促进车辆乘员和汽车工业的安全行为。

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