Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study

Abstract Traffic injury trends have changed with safety developments. To establish effective preventive measures against traffic fatalities, the factors influencing fatalities must be understood. The present study evaluated data from a national medical database to determine the changes in these fact...

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Autores principales:	Wataru Ishii, Masahito Hitosugi, Arisa Takeda, Mineko Baba, Ryoji Iizuka
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/273c2c7b62e4470992776e34d5dcaeeb
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spelling	oai:doaj.org-article:273c2c7b62e4470992776e34d5dcaeeb2021-12-02T16:23:09ZFactors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study10.1038/s41598-020-60222-z2045-2322https://doaj.org/article/273c2c7b62e4470992776e34d5dcaeeb2020-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-60222-zhttps://doaj.org/toc/2045-2322Abstract Traffic injury trends have changed with safety developments. To establish effective preventive measures against traffic fatalities, the factors influencing fatalities must be understood. The present study evaluated data from a national medical database to determine the changes in these factors over time, as this has not been previously investigated. This observational study retrospectively analysed data from the Japanese Trauma Data Bank. Vehicle passengers involved in collisions from 2004–2008 and 2016–2017 were included. Data were compared between the two study periods, and between fatal and non-fatal patients within each period. Multivariate logistic regression analyses were performed to determine the factors influencing fatalities. In 2016–2017, patients were older and had lower fatality rates. In 2004–2008, fatalities were more likely to involve older male front-seat passengers with low d-BP, BT, and GCS values, and high AIS of the neck and abdomen. However, in 2016–2017, fatalities were more likely to involve older males with low GCS, high AIS of the abdomen, and positive focused assessment with sonography for trauma results. Our study identified independent factors influencing vehicle passenger fatalities, which will likely continue to evolve with the aging of the population and changing manners of injury.Wataru IshiiMasahito HitosugiArisa TakedaMineko BabaRyoji IizukaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-9 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wataru Ishii Masahito Hitosugi Arisa Takeda Mineko Baba Ryoji Iizuka Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
description	Abstract Traffic injury trends have changed with safety developments. To establish effective preventive measures against traffic fatalities, the factors influencing fatalities must be understood. The present study evaluated data from a national medical database to determine the changes in these factors over time, as this has not been previously investigated. This observational study retrospectively analysed data from the Japanese Trauma Data Bank. Vehicle passengers involved in collisions from 2004–2008 and 2016–2017 were included. Data were compared between the two study periods, and between fatal and non-fatal patients within each period. Multivariate logistic regression analyses were performed to determine the factors influencing fatalities. In 2016–2017, patients were older and had lower fatality rates. In 2004–2008, fatalities were more likely to involve older male front-seat passengers with low d-BP, BT, and GCS values, and high AIS of the neck and abdomen. However, in 2016–2017, fatalities were more likely to involve older males with low GCS, high AIS of the abdomen, and positive focused assessment with sonography for trauma results. Our study identified independent factors influencing vehicle passenger fatalities, which will likely continue to evolve with the aging of the population and changing manners of injury.
format	article
author	Wataru Ishii Masahito Hitosugi Arisa Takeda Mineko Baba Ryoji Iizuka
author_facet	Wataru Ishii Masahito Hitosugi Arisa Takeda Mineko Baba Ryoji Iizuka
author_sort	Wataru Ishii
title	Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
title_short	Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
title_full	Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
title_fullStr	Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
title_full_unstemmed	Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
title_sort	factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/273c2c7b62e4470992776e34d5dcaeeb
work_keys_str_mv	AT wataruishii factorsinfluencingvehiclepassengerfatalityhavechangedover10yearsanationwidehospitalbasedstudy AT masahitohitosugi factorsinfluencingvehiclepassengerfatalityhavechangedover10yearsanationwidehospitalbasedstudy AT arisatakeda factorsinfluencingvehiclepassengerfatalityhavechangedover10yearsanationwidehospitalbasedstudy AT minekobaba factorsinfluencingvehiclepassengerfatalityhavechangedover10yearsanationwidehospitalbasedstudy AT ryojiiizuka factorsinfluencingvehiclepassengerfatalityhavechangedover10yearsanationwidehospitalbasedstudy
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Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study

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