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Field Data Analysis of Rear Occupant Injuries Part II: Children, Toddlers and Infants
Technical Paper
2003-01-0154
ISSN: 0148-7191, e-ISSN: 2688-3627
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English
Abstract
Child safety continues to be an important issue in automotive safety for many reasons, including reported cases of serious injury from airbag deployments. As a result of extensive public education campaigns, most children are now placed in rear seats of vehicles. Accordingly, a more precise understanding of rear-seat occupant protection is developing as the second and third rows have become the primary seating area for children in SUVs, vans and passenger cars.
The objective of this study was to review field crash and injury data from rear seats, identify the distribution of children and infants in rear seats, and analyze injury risks in various crash modes. The database used was the 1991-1999 NASS-CDS.
When looking at crash configurations for 1st and 2nd row children, rollover crashes involved the highest incidence of MAIS 3+ injury, followed by frontal and side impacts. Lap-shoulder belt usage was similar for 1st and 2nd row children. For lap-shoulder belted children aged 4-12 in the rear seat, the leading MAIS 3+ injuries in frontal crashes are to the upper extremities (33%) and head (30%). The source of injury is typically contact with the seatback, head restraint or interior. Lower extremity injury (20%) is generally due to B-pillar or seatback contact. For unbelted children, the leading injuries are to the head (50%) and upper extremity (29%); and, the sources of injury include the seatback, B-pillar and interior contact.
74% of infants and children 0-3 years old that are exposed to tow away crashes are in the 2nd row as compared to 22% in the front passenger seat and 4% in other positions. The rate of serious injury is 1.1% in the 2nd row and 1.2% in the front passenger seat; thus, the rate is statistically similar (p < 0.10). Unbelted 0-3 year old children have a 5.8 times greater risk of serious injury than those restrained in a child seat. There are too few cases of vehicle crashes with airbags available to assess relative risk differences between front and 2nd row seating of 0-3 year old children. Based on the most frequent injuries by restraint use and crash type, a series of safety areas are identified that may help improve protection for children and others in the rear seating zone.
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Citation
Parenteau, C. and Viano, D., "Field Data Analysis of Rear Occupant Injuries Part II: Children, Toddlers and Infants," SAE Technical Paper 2003-01-0154, 2003, https://doi.org/10.4271/2003-01-0154.Also In
SAE 2003 Transactions Journal of Passenger Cars - Mechanical Systems
Number: V112-6; Published: 2004-09-15
Number: V112-6; Published: 2004-09-15
References
- Agran PF et al. Restraint Use Among Children in Fatal Crashes SAE 973300 , Symposium Society of Automotive Engineers Warrendale, PA 1997
- Asbun HJ Irani H Roe EJ Bloch JH Intra-abdominal Seatbelt Injuries J. Trauma 30 2 189 193 1990
- CDC National Center for Injury Prevention and Control 2001 Web-based Injury Statistics Query and Reporting System Atlanta, GA http://www.cdc.gov/ncipc/osp/data.htm 2001
- Decina LE Knoebel KY Patterns of Misuse of Child Safety Seats NHTSA Report No. DOT HS 808-440, HTSA, dot Washington DC January 1996
- Doersch KB Dozier WE The Seat Belt Syndrome: The Seat Belt Sign, Intestinal and Mesenteric Injuries The American Journal of Surgery 116 831 833 1968
- Durbin DR Arbogast KB Moll EK Seat Belt Syndrome in Children: A case report and review of the literature Pediatric Emergency Care 17 474 477 2001
- Edwards J Sullivan K Where Are All the Children Seated and How Are They Restrained? SAE 971550 , Symposium Society of Automotive Engineers Warrendale, PA 1997
- Evans L. Traffic Safety and the Driver Van Norstad Press 1992
- Gotschall CS Eichelberger MR Morrissey JR et al. Injury Patterns Associated With Child Restraint Misuse 2 nd Child Occupant Protection Symposium, SAE- 973311 Society of Automotive Engineers Warrendale, PA 1997
- Haseltine P. Blue Ribbon Panel II: Protecting Our Child Passengers The American Coalition for Traffic Safety Inc. March 15 1999
- Henderson M Brown J Paine M Injuries to Restrained Children 38 th AAAM proceedings Des Plaines, IL 75 87 1994
- IIHS, Status Report 32 9 Nov 29 1997
- Isaakson-Hellman I et al. Trends and Effects of Child Restraint Systems Based on Volvo's Swedish Accident Database 2 nd Symposium on Child Occupant Protection, P316, SAE 973229 , Symposium Society of Automotive Engineers Warrendale, PA 1997
- Kelleher-Walsh B Walsh MJ States JD Duffy LC Trauma to Children in Forward Facing Car Seats Child Occupant Protection SP-986, Symposium Society of Automotive Engineers Warrendale, PA 127 32 1993
- Khaewpong N Nguyen TT Bents FD et al. Injury Severity in Restrained Children in Motor Vehicle Crashes SAE 952711 , Symposium Society of Automotive Engineers Warrendale, PA 1997 1995
- Lane JC The Seat Belt Syndrome in Children SAE 933098 , Symposium Society of Automotive Engineers Warrendale, PA 1993
- Langweider K Hummel T Finkbeiner F Injury Risks of Children in Cars Depending on the Type of Restraint Child Occupant Protection in Motor Vehicle Crashes, Joint Session with European Vehicle Passive Safety Network AAAM and IRCOBI Stiges, Barcelona, Spain 1999
- Miller TR Spicer RS Lestina DC Who's Driving When Unrestrained Kids Get Hurt? 41 st AAAM Proceedings 1997
- Morgan CM Effectiveness of Lap-shoulder Belts in the Back Outboard Seating Positions NHTSA DOT Washington DC 1999
- NHTSA Revised Estimates of Child Restraint Effectiveness Washington DC 1996
- NHTSA www.nhtsa.dot.go 2002
- Slavik DH Cervical Distraction Injuries to Children SAE 973306 , Symposium Society of Automotive Engineers Warrendale, PA 1997
- Tarriere C. Children are Not Miniature Adults IRCOBI Proceedings 15 28 1995
- Traffic Safety Facts 1998 NHTSA 1990