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Original Research

Open Access

Effect of seat belt use and airbags deployment on mortality in patients with road traffic injury

  • Jong Hee Kim1
  • Gwan Jin Park1,*,
  • Young Min Kim1
  • Hyun Seok Chai1
  • Sang Chul Kim1
  • Hoon Kim1
  • Suk Woo Lee1

1Department of Emergency Medicine, Chungbuk National University Hospital, 28646 Cheongju, Republic of Korea

DOI: 10.22514/sv.2024.072 Vol.20,Issue 6,June 2024 pp.58-66

Submitted: 20 November 2023 Accepted: 16 January 2024

Published: 08 June 2024

*Corresponding Author(s): Gwan Jin Park E-mail: pkj83531@naver.com

Abstract

Seatbelts and airbags are safety devices designed to prevent road traffic injuries (RTI). They reduce fatal outcomes in patients with RTI; however, studies comparing the preventive effectiveness of these devices are limited. This study aimed to compare the effectiveness of these devices in reducing mortality of patients with RTI. This retrospective cohort study was conducted using the Emergency Department-based Injury In-depth Surveillance (EDIIS) registry between January 2011 and December 2020. All patients who sustained RTI in vehicles with <10 seats were eligible. The target population was categorized into four groups: seat belt use and airbag deployment, seatbelt use-only, airbag deployment-only and non-use. The primary and secondary outcomes were in-hospital mortality and intracranial injury. The adjusted odds ratios (AORs) (95% confidence intervals (CIs)) of safety device use for related outcomes were calculated using multivariate logistic regression analysis. Among the 82,262 patients, 13,929 (16.9%) were classified into the seat belt use and airbag deployment group; 47,123 (57.4%), seat belt use-only; 1820 (2.2%), airbag deployment-only; and, 19,300 (23.5%), non-use group. Compared to the seat belt use-only group, the AORs (95% CIs) for in-hospital mortality and intracranial injury were 1.70 (1.31–2.19) and 1.29 (1.13–1.47) in the seat belt use and airbags deployment group and 10.24 (7.49–13.99) and 3.00 (2.42–3.72) in the airbags deployment-only group, respectively. Seat belt use had significant preventive effects on in-hospital mortality and intracranial injury. Airbag deployment individually had no additional protective effect on clinical outcomes.


Keywords

Accidents; Traffic; Seat belts; Air bags; Treatment outcome; Mortality; Brain injuries


Cite and Share

Jong Hee Kim,Gwan Jin Park,Young Min Kim,Hyun Seok Chai,Sang Chul Kim,Hoon Kim,Suk Woo Lee. Effect of seat belt use and airbags deployment on mortality in patients with road traffic injury. SignaVitae. 2024. 20(6);58-66.

References

[1] Geneva: World Health Organization. Global status report on road safety 2023. 2023. Available at: https://www.who.int/publications/i/item/9789240086517 (Accessed: 27 December 2023).

[2] Ou Z, Wu K, Ruan Y, Zhang Y, Zhu S, Cui J, et al. Global burden and trends of three common road injuries from 1990 to 2019 and the implications for prevention and intervention. Accident Analysis & Prevention. 2023; 193: 107266.

[3] Korea ROAD traffic authority. Traffic accident analysis system. Traffic accident statistics. 2023. Available at: http://taas.koroad.or.kr/web/bdm/srs/selectStaticalReportsList.do?menuId=WEB_KMP_IDA_SRS_TAA (Accessed: 27 December 2023).

[4] GBD 2019 diseases and injuries collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020; 396: 1204–1222.

[5] Fisa R, Musukuma M, Sampa M, Musonda P, Young T. Effects of interventions for preventing road traffic crashes: an overview of systematic reviews. BMC Public Health. 2022; 22: 513.

[6] Kahane, Charles J. Lives saved by vehicle safety technologies and associated federal motor vehicle safety standards, 1960 to 2012—passenger cars and LTVs—with reviews of 26 FMVSS and the effectiveness of their associated safety technologies in reducing fatalities, injuries, and crashes. 2015. Available at: https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/812069 (Accessed: 05 October 2023).

[7] Namatovu S, Balugaba BE, Muni K, Ningwa A, Nsabagwa L, Oporia F, et al. Interventions to reduce pedestrian road traffic injuries: A systematic review of randomized controlled trials, cluster randomized controlled trials, interrupted time-series, and controlled before-after studies. PLOS ONE. 2022; 17: e0262681.

[8] Kwak BH, Ro YS, Shin SD, Song KJ, Kim YJ, Jang DB. Preventive effects of seat belt on clinical outcomes for road traffic injuries. Journal of Korean Medical Science. 2015; 30: 1881–1888.

[9] National Center for Statistics and Analysis. Occupant protection in passenger vehicles: 2021 data (Traffic Safety Facts). 2023. Available at: https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/813449.pdf (Accessed: 20 December 2023).

[10] Kargar S, Ansari-Moghaddam A, Ansari H. The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis. The Journal of the Egyptian Public Health Association. 2023; 98: 14.

[11] Ojo TK. Seat belt and child restraint use in a developing country metropolitan city. Accident Analysis & Prevention. 2018; 113: 325–329.

[12] The Korea Transportation Safety Authority. Report on transport culture index of Korea. 2017. Available at: https://www.kotsa.or.kr/portal/bbs/transafe_view.do?bbscCode=transafe&cateCode=&bbscSeqn=5402&pageNumb=1&sechCdtn=0&sechKywd=%EA%B5%90%ED%86%B5%EB%AC%B8%ED%99%94%EC%A7%80%EC%88%98+%EC%8B%A4%ED%83%9C%EC%A1%B0%EC%82%AC&menuCode=05070000 (Accessed: 18 October 2023).

[13] Stewart TC, Girotti MJ, Nikore V, Williamson J. Effect of airbag deployment on head injuries in severe passenger motor vehicle crashes in Ontario, Canada. The Journal of Trauma. 2003; 54: 266–272.

[14] The Royal Society for the Prevention of Accidents. Road safety factsheet. 2017. Available at: https://www.rospa.com/rospaweb/docs/advice-services/road-safety/vehicles/airbags-factsheet.pdf (Accessed: 13 October 2023).

[15] Hanna K, Okumura K, Shnaydman I. Improving blunt cerebrovascular injury screening in motor vehicle collision patients: does airbag deployment matter? The American Journal of Surgery. 2022; 224: 1393–1397.

[16] Wallis LA, Greaves I. Injuries associated with airbag deployment. Emergency Medicine Journal. 2002; 19: 490–493.

[17] Jeon YK, Jeong J, Shin SD, Song KJ, Kim YJ, Hong KJ, et al. The effect of age on in-hospital mortality among elderly people who sustained fall-related traumatic brain injuries at home: a retrospective study of a multicenter emergency department-based injury surveillance database. Injury. 2022; 53: 3276–3281.

[18] WHO team. Occupant restraints: a road safety manual for decision-makers and practitioners, second edition. 2022. Available at: https://www.who.int/publications/m/item/occupant-restraints--a-road-safety-manual-for-decision-makers-and-practitioners (Accessed: 15 October 2023).

[19] Pan Y, Neuroth L, Chomitz I, Davila V, Liu K, McKenzie LB, et al. Seat belt laws and prevalence of use among high school students in the United States. Annals of Epidemiology. 2023; 79: 71–74.

[20] Kidd DG, Singer J. The effects of persistent audible seat belt reminders and a speed-limiting interlock on the seat belt use of drivers who do not always use a seat belt. Journal of Safety Research. 2019; 71: 13–24.

[21] Kidd DG, O’Malley S. Increasing seat belt use in the United States by promoting and requiring more effective seat belt reminder systems. Traffic Injury Prevention. 2023; 24: S80–S87.

[22] Høye A. Are airbags a dangerous safety measure? A meta-analysis of the effects of frontal airbags on driver fatalities. Accident Analysis & Prevention. 2010; 42: 2030–2040.

[23] Korea Consumer Agency. Passenger vehicle airbags safety survey. 2003. Available at: https://www.kca.go.kr/smartconsumer/sub.do?menukey=7301&mode=view&no=1000338532 (Accessed: 05 October 2023).

[24] McGwin G Jr, Metzger J, Alonso JE, Rue LW 3rd. The association between occupant restraint systems and risk of injury in frontal motor vehicle collisions. The Journal of Trauma. 2003; 54: 1182–1187.

[25] Tekyol D, Çolak Ş, Tayfur İ, Hökenek NM, Algın A. Evaluation of the effects of airbag and seat belt use on the severity of the injury in traffic accidents. Haydarpaşa Numune Medical Journal. 2020; 60: 400.

[26] Barnes J, Morris A, Fildes B, Newstead S. Airbag effectiveness in real world crashes. 2013. Available at: https://repository.lboro.ac.uk/articles/conference_contribution/Airbag_effectiveness_in_real_world_crashes/9340655 (Accessed: 3 October 2023).

[27] O’Donovan S, van den Heuvel C, Baldock M, Byard RW. Injuries, death and vehicle airbag deployment. Medicine, Science and the Law. 2020; 60: 147–149.

[28] Yagoub U, Saiyed NS, Rahim BEA, Musawa N, Al Zahrani AM. Road traffic injuries and related safety measures: a multicentre analysis at Military Hospitals in Tabuk, Saudi Arabia. Emergency Medicine International. 2021; 2021: 6617381.

[29] Myers RK, Lombardi LR, Pfeiffer MR, Curry AE. Restraint use characteristics among crash-involved child passengers: identifying opportunities to enhance optimal restraint use. Traffic Injury Prevention. 2022; 23: S213–S217.


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