Assessment of Injuries in Rear Impacts

Rear impacts make up a significant portion of crashes in the United States. To date, regulations on rear impacts have focused on fuel system integrity and seat performance, while most research has focused on seat performance in relation to occupants’ injuries, with some analyses of crash severity and seat belt effects. The performance of seats and seat belts may vary depending on the size of the occupant. Understanding how occupant characteristics, as well as crash scenarios, affect injury outcomes can show opportunities for further enhancements in rear impact occupant protection. This paper presents analyses using survey weighted logistic regression models to understand the factors affecting serious injury outcomes (i.e., MAIS 3+) in rear impacts, exploring the potential for improving occupant outcomes. Three separate models are evaluated, focusing on 1) overall injury level, 2) head, neck and cervical-spine injuries, and 3) thorax, abdomen, thoracic- and lumbar-spine injuries for drivers in rear impacted passenger vehicles. Results show that significant factors vary by injured body region and highlight potential opportunities for enhancing occupant protection.