期刊论文详细信息
World Journal of Emergency Surgery
Seatbelts and road traffic collision injuries
Fikri M Abu-Zidan1  Ashraf F Hefny1  Alaa K Abbas1 
[1] Trauma Group, Department of Surgery, Faculty of Medicine and Health Sciences, UAE University, Al-Ain
关键词: Seatbelt compliance;    Mortality;    Injury;    Road Traffic Collision;    Biomechanism;   
Others  :  792757
DOI  :  10.1186/1749-7922-6-18
 received in 2011-03-21, accepted in 2011-05-28,  发布年份 2011
PDF
【 摘 要 】

Modification of seatbelts and their legislation played an important role in reducing morbidity and mortality of occupants in road traffic collisions. We aimed to review seatbelt development, its mechanism of action and its effects. Seatbelts reduce injury by preventing the occupant from hitting the interior parts of the vehicle or being ejected from the car. We have made a linear regression correlation between the overall seatbelt compliance and road traffic death rates in 46 high income countries to study the relationship between seatbelt use and mortality. There was a very highly significant negative correlation between the seatbelt compliance and road traffic death rates (R = - 0.77, F = 65.5, p < 0.00001). Seatbelt-related injuries include spinal, abdominal or pelvic injuries. The presence of a seatbelt sign must raise the suspicion of an intra-abdominal injury. These injuries can be reduced if seatbelts were applied correctly. Although seatbelts were recognized as an important safety measure, it still remains underused in many countries. Enforcement of seatbelt usage by law is mandatory so as to reduce the toll of death of road traffic collisions.

【 授权许可】

   
2011 Abbas et al; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140705035535571.pdf 1048KB PDF download
Figure 4. 26KB Image download
Figure 3. 39KB Image download
Figure 2. 79KB Image download
Figure 1. 27KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】
  • [1]Peden M, Scurfield R, Sleet D, Mohan D, Hayder AA, Jarwan E, Mathers C: World report on road traffic injury prevention 2004. World Health Organization, Geneva; 2004.
  • [2]Bandstra R, Meissner U, Warner C Y: Seat belt injuries in medical and statistical perspective. [http://www-nrd.nhtsa.dot.gov/pdf/Esv/esv16/98S6W25.PDF] webcite 2009. Paper number 98-S6-W-25
  • [3]FIA Foundation for the Automobile and Society: Seat-belts and child restraints: a road safety manual for decision-makers and practitioners. [http://whqlibdoc.who.int/road_safety/2009/9780956140302_eng.pdf] webciteLondon; 2009.
  • [4]The National Transportation Safety: Seat belt laws, usage, history and chronology. [http://www.seatbeltdefects.com/history/index.html] webcite 2009.
  • [5]Hodson-Walker NJ: The value of safety belts: a review. Can Med Assoc J 1970, 102:391-393.
  • [6]Lee J, Conroy C, Coimbra R, Tominaga GT, Hoyt DB: Injury patterns in frontal crashes: The association between knee-thigh-hip (KTH) and serious intra-abdominal injury. Accid Anal Prev 2010, 42:50-5.
  • [7]Cummings P: Association of seat belt use with death: a comparison of estimates based on data from police and estimates based on data from trained crash investigators. Inj Prev 2002, 8:338-41.
  • [8]Donaldson WF, Hanks SE, Nassr A, Vogt MT, Lee JY: Cervical spine injuries associated with the incorrect use of airbags in motor vehicle collisions. Spine (Phila Pa 1976) 2008, 33:631-4.
  • [9]Simsekoglu O, Lajunen T: Relationship of seat belt use to health and driver behaviors. Transportation Research Part F. Traffic Psychology and Behaviour 2009, 12:235-41.
  • [10]Dawson LK, Jenkins NH: Fatal intra-abdominal injury associated with incorrect use of a seat belt. J Accid Emerg Med 1998, 15:437-8.
  • [11]Bendak S: Seat belt utilization in Saudi Arabia and its impact on road accident injuries. Accid Anal Prev 2005, 37:367-71.
  • [12]Greenbaum E, Harris L, Halloran WX: Flexion fracture of the lumbar spine due to lap-type seat belts. Calif Med 1970, 113:74-6.
  • [13]Eid HO, Abu-Zidan FM: Biomechanics of road traffic collision injuries: a clinician's perspective. Singapore Med J 2007, 48:693-700.
  • [14]Mackay M: Engineering in accidents: vehicle design and injuries. Injury 1994, 25:615-21.
  • [15]Rupp JD, Schneider LW: Injuries to the hip joint in frontal motor-vehicle crashes: biomechanical and real-world perspectives. Orthop Clin North Am 2004, 35:493-504.
  • [16]Lindquist MO, Hall AR, Björnstig UL: Kinematics of belted fatalities in frontal collisions: A new approach in deep studies of injury mechanisms. J Trauma 2006, 61:1506-16.
  • [17]American College of Surgeons: Advanced Trauma Life Support for Doctors. In American College of Surgeons. 7th edition. Chicago, IL; 2004.
  • [18]Christian MS: Non-fatal injuries sustained by back seat passengers. Br Med J 1975, 1:320-2.
  • [19]Huelke DF, Mackay GM, Morris A, Bradford MA: Review of cervical fractures and fracture-dislocations without head impacts sustained by restrained occupants. Accid Anal Prev 1993, 25:731-43.
  • [20]Sturm PF, Glass RB, Sivit CJ, Eeichelberger MR: Lumbar compression fracture secondary to lap-belt use in children. J PediatrOrthpo 1995, 15:521-3.
  • [21]MacLennan PA, McGwin G Jr, Metzger J, Moran SG, Rue LW: Risk of injury for occupants of motor vehicle collisions from unbelted occupants. Inj Prev 2004, 10:363-7.
  • [22]Teanby D: Fatal injury due to unrestrained vehicle load. Br J Ind Med 1992, 49:809-10.
  • [23]Johnston PB, Armstrong MF: Eye injuries in Northern Ireland two years after seat belt legislation. Br J Ophthalmol 1986, 70:460-2.
  • [24]Smith KM, Cummings P: Passenger seating position and the risk of passenger death in traffic crashes: a matched cohort study. Inj Prev 2006, 12:83-6.
  • [25]Huelke DF, Compton CP: The effects of seat belts on injury severity of front and rear seat occupants in the same frontal crash. Accid Anal Prev 1995, 27:835-8.
  • [26]Wikipedia. Seat belt legislation [http://en.wikipedia.org/wiki/Seat_belt_legislation] webcite 2010.
  • [27]Richards D, Cuerden R: The Relationship between Speed and Car Driver Injury Severity. [http://www.dft.gov.uk/pgr/roadsafety/research/rsrr/theme5/rsrr9.pdf] webciteTransport Research Laboratory. April 2009 2010.
  • [28]Cacciatori M, Bell RW, Habib NE: Blow-out fracture of the orbit associated with inflation of an airbag: a case report. Br J Oral Maxillofac Surg 1997, 35:241-2.
  • [29]Monkhouse SJ, Kelly MD: Airbag-related chest wall burn as a marker of underlying injury: a case report. J Med Case Reports 2008, 2:91. BioMed Central Full Text
  • [30]Hall NF, Denning AM, Elkington AR, Cooper PJ: The eye and the seatbelt in Wessex. Br J Ophthalmol 1985, 69:317-9.
  • [31]Mouzakes J, Koltai PJ, Kuhar S, Bernstein DS, Wing P, Salsberg E: The impact of airbags and seat belts on the incidence and severity of maxillofacial injuries in automobile accidents in New York State. Arch Otolaryngol Head Neck Surg 2001, 127:1189-93.
  • [32]Hayes CW, Conway WF, Walsh JW, Coppage L, Gervin AS: Seat belt injuries: radiologic findings and clinical correlation. Radiographics 1991, 11:23-36.
  • [33]Wotherspoon S, Chu K, Brown AF: Abdominal injury and the seat-belt sign. Emerg Med (Fremantle) 2001, 13:61-5.
  • [34]Anderson PA, Rivara FP, Maier RV, Drake C: The epidemiology of seatbelt-associated injuries. J Trauma 1991, 31:60-7.
  • [35]Banerjee A: Seat belts and injury patterns: evolution and present perspectives. Postgrad Med J 1989, 65:199-204.
  • [36]O'Kelly F, O'Brien GC, Broe PJ: Severe abdominal injuries sustained in an adult wearing a pelvic seatbelt: a case report and review of the literature. Ir J Med Sci 2008, 177:385-7.
  • [37]Denis R, Allard M, Atlas H, Farkouh E: Changing trends with abdominal injury in seatbelt wearers. J Trauma 1983, 23:1007-8.
  • [38]Stassen NA, Lukan JK, Carrillo EH, Spain DA, Richardson JD: Abdominal seat belt marks in the era of focused abdominal sonography for trauma. Arch Surg 2002, 137:718-22.
  • [39]Chandler CF, Lane JS, Waxman KS: Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury. Am Surg 1997, 63:885-8.
  • [40]Christophi C, McDermott FT, McVey I, Hughes ES: Seat belt-induced trauma to the small bowel. World J Surg 1985, 9:794-7.
  • [41]Porter RS, Zhao N: Patterns of injury in belted and unbelted individuals presenting to a trauma center after motor vehicle crash: seat belt syndrome revisited. Ann Emerg Med 1998, 32:418-24.
  • [42]Beaunoyer M, St-Vil D, Lallier M, Blanchard H: Abdominal injuries associated with thoraco-lumbar fractures after motor vehicle collision. J Pediatr Surg 2001, 36:760-2.
  • [43]Williams N, Ratliff DA: Gastrointestinal disruption and vertebral fracture associated with the use of seat belts. Ann R Coll Surg Engl 1993, 75:129-32.
  • [44]Witte CL: Mesentery and bowel injury from automotive seat belts. Ann Surg 1968, 167:486-92.
  • [45]Gill SS, Dierking JM, Nguyen KT, Woollen CD, Morrow CE: Seatbelt injury causing perforation of the cervical esophagus: a case report and review of the literature. Am Surg 2004, 70:32-4.
  • [46]Hefny AF, Al-Ashaal YI, Bani-Hashim AM, Abu-Zidan FM: Seatbelt syndrome associated with an isolated rectal injury: case report. World J Emerg Surg 2010, 5:4.
  • [47]Lynch JM, Albanese CT, Meza MP, Wiener ES: Intestinal stricture following seat belt injury in children. J Pediatr Surg 1996, 31:1354-7.
  • [48]Diebel LN: Stomach and small bowel. In Trauma, Chap 34. 6th edition. Edited by Feliciano DV, Mattox KL, Moore EE. New York: McGraw - Hill; 2008:681-700.
  • [49]Harrison JR, Blackstone MO, Vargish T, Gasparaitis A: Chronic intermittent intestinal obstruction from a seat belt injury. South Med J 2001, 94:499-501.
  • [50]Agrawal V, Doelken P, Sahn SA: Seat belt-induced chylothorax: a cause of idiopathic chylothorax? Chest 2007, 132:690-2.
  • [51]Tang OT, Mir A, Delamore IW: Unusual presentation of seat-belt syndrome. Br Med J 1974, 4:750.
  • [52]Stoddart A: Intraperitoneal bladder rupture and the wearing of rear seat-belts--a case report. Arch Emerg Med 1993, 10:229-31.
  • [53]Richens D, Kotidis K, Neale M, Oakley C, Fails A: Rupture of the aorta following road traffic accidents in the UK 1992-1999. The results of the co-operative crash injury study. Eur J Cardiothorac Surg 2003, 23:143-8.
  • [54]Salam AA, Eyres KS, Magides AD, Cleary J: Anterior dislocation of the restrained shoulder: a seat belt injury. Arch Emerg Med 1991, 8:56-8.
  • [55]Stawicki SP, Holmes JH, Kallan MJ, Nance ML: Fatal child cervical spine injuries in motor vehicle collisions: Analysis using unique linked national datasets. Injury 2009, 40:864-7.
  • [56]Chisholm D, Naci H: Road traffic injury prevention: an assessment of risk exposure and intervention cost-effectiveness in different world regions. [http://www.who.int/choice/publications/d_2009_road_traffic.pdf] webcite 2010.
  • [57]Koushki PA, Bustan MA, Kartam N: Impact of safety belt use on road accident injury and injury type in Kuwait. Accid Anal Prev 2003, 35:237-41.
  • [58]Transport Monitoring group, Ministry of Transport: Safety belt wearing by adult front seat occupants: Survey results 2009. [http://www.transport.govt.nz/research/SafetyBeltStatisticsFrontSeat2009] webcite 2010.
  • [59]Munk MD, Carboneau DM, Hardan M, Ali FM: Seatbelt use in Qatar in association with severe injuries and death in the prehospital setting. Prehosp Disaster Med 2008, 23:547-52.
  • [60]Elvik R, Kolbenstvedt M, Elvebakk B, Hervik A, Braein L: Costs and benefits to Sweden of Swedish road safety research. Accid Anal Prev 2009, 41:387-92.
  • [61]Barss P, Al-Obthani M, Al-Hammadi A, Al-Shamsi H, El-Sadig M, Grivna M: Prevalence and issues in non-use of safety belts and child restraints in a high-income developing country: lessons for the future. Traffic Inj Prev 2008, 9:256-63.
  • [62]National Center for Statistics and Analysis: Seat Belt Use in 2008--Use Rates in the States and Territories. [http://www-nrd.nhtsa.dot.gov/Pubs/811106.PDF] webcite 2010.
  • [63]World Health Organization: Global status report on road safety: time for action. [http://www.who.int/violence_injury_prevention/road_safety_status/2009] webciteGeneva 2009.
  • [64]Evans L: Safety-belt effectiveness: the influence of crash severity and selective recruitment. Accid Anal Prev 1996, 28:423-33.
  • [65]Rutledge R, Lalor A, Oller D, Hansen A, Thomason M, Meredith W, Foil MB, Baker C: The cost of not wearing seat belts. A comparison of outcome in 3396 patients. Ann Surg 1993, 217:122-7.
  • [66]Cookson R, Richards D: CCIS Topic Report 9: Who doesn't buckle up in cars? [http:/ / www.ukccis.org/ downloads/ download_publication.asp?file...Top ic-Report...[PDF]] webcite 2008.
  • [67]Burns A, Kummerer M, Macdonald NC: Seat Belt Wearing in Scotland: A second Study of Compliance. [http://www.scotland.gov.uk/Publications/2003/01/16089/16101] webcite 2010.
  • [68]Ouimet MC, Morton BG, Noelcke EA, Williams AF, Leaf WA, Preusser DF, Hartos JL: Perceived risk and other predictors and correlates of teenagers' safety belt use during the first year of licensure. Traffic Inj Prev 2008, 9:1-10.
  • [69]Hilton J, Shakar U: 2001 Motor Vehicle Traffic Crashes Injury and Fatality Estimates Early Assessment. [http://www-nrd.nhtsa.dot.gov/Pubs/809-439.PDF] webcite 2002.
  文献评价指标  
  下载次数:33次 浏览次数:9次