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Novice drivers are at high risk for crash involvement. We performed an analysis of causations, injury patterns and distributions of novice drivers in cars and on motorcycles in road traffic as a basis for proper measurements. Method Data of accident and hospital records of novice drivers (licence < 2 years) were analysed focusing the following parameters: injury type, localisation and mechanism, Abbreviated Injury Scale (AIS), maximum AIS (MAIS), delta-v, collision speed and other technical parameters and have been compared to those of experienced drivers. In 18352 accidents in the area of Hannover (years1985"2004), 2602 novice drivers and 18214 experienced drivers were recorded having an accident. Novice car drivers were more often and severe injured than experienced and on motorcycles the experienced riders were at higher risk. Novice drivers of both groups sustained more often extremity injuries. 4.5 % novice car drivers were not restraint compared to 3.7 % of the experienced drivers and 6.1 % novice motorcycle drivers did not wear a proper helmet (versus 6.5 %). Severe injuries sustained at a rate of 20 % at collision speeds below 30 km/h and in 80% at collision speeds above 50 km/h. Novice car drivers drove significant older cars. The risk profile of novice drivers is similar to those of drivers older than 65 years. Structural protection and special lectures like skidding courses could be proper remedial action next to harder punishment of violations.
Today, Euro NCAP is a well established rating system for passive car safety. The significance of the ratings must however be evaluated by comparison with national accident data. For this purpose accidents with involvement of two passenger cars have been taken from the German National Road Accident Register (record years 1998 to 2004) to evaluate the results of the NCAP frontal impact test configuration. Injury data from both drivers involved in frontal car to car collisions have been sampled and have been compared, using a "Bradley Terry Model" which is well established in the area of paired comparisons. Confounders " like mass ratio of the cars involved, gender of the driver, etc. " have been accounted for in the statistical model. Applying the Bradley Terry Model to the national accident data the safety ranking from Euro NCAP has been validated (safety level: 1star <2 star <3 star <4 star). Significant safety differences are found between cars of the 1 and 2 star category as compared to cars of the 3 and 4 star category. The impact of the mass ratio was highly significant and most influential. Changing the mass ratio by an amount of 10% will raise the chance for the driver of the heavier car to get better off by about 18%. The impact of driver gender was again highly significant, showing a nearly 2 times lower injury risk for male drivers. With regard to the NCAP rating drivers of a high rated car are more than 2 times more probable (70% chance) to get off less injured in a frontal collision as compared to the driver of a low rated car.
Empirical vehicle crashworthiness studies are usually based on national or in-depth traffic accident surveys: Data on accident-involved cars/drivers are analysed in order to quantify the chance of driver injury and to assess certain risk factors like car make and model. As the cars/drivers involved in the same accident form a "cluster", where the size of the cluster equals the number of accident-involved parties, traffic accident survey data are typical multi-level data with accidents as first-level or primary and cars/drivers as secondlevel or secondary units (car occupants in general are to be considered as third level units). Consequently, appropriate statistical multi-level models are to be used for driver injury risk estimation purposes as these models properly account for the cluster structure of traffic accident survey data. In recent years various types of regression models for clustered data have been developed in the statistical sciences. This paper presents multi-level statistical models, which are generally applicable for vehicle crashworthiness assessment in the sense that data on single and multiple car crashes can be analysed simultaneously. As a special case of multi-level modelling driver injury risk estimation based on paired-by-collision car/driver data is considered. It is demonstrated that assessment results may be seriously biased, if the cluster structure inherent in traffic accident survey data is erroneously ignored in the data analysis stage.
This paper set out to examine the possibilities for injury avoidance implications for older drivers in crashes, based on crash and injury patterns among older drivers and current trends in ageing in most western societies. A number of safety technologies were identified and discussed which have potential for improving vehicle older driver crash avoidance and crashworthiness. While there were some promising estimates available of the likely benefits of this technology for improving safety, it is evident that they need to be confirmed for older drivers, given their age-related disabilities and sensory limitations. Further research is urgently required to ensure that these technologies yield safety benefits without any disbenefits for older drivers.rn
Nowadays airbags are part of the standard equipment in almost all new cars. While airbags are saving an increasing number of people from severe injuries and death in moderate and high speed crashes, they do not completely prevent dashboard injuries. The most common mechanism in dashboard injuries is a posteriorly directed force to the proximal tibia with the knee flexed. This may occur during a motor vehicle frontal impact accident when a knee of the driver or the front-seat passenger strikes the dashboard. The posterior force can be combined with a abducting or rotational force leading to concomitant lateral or posterolateral injury. Car and airbag manufacturers therefore develop special inflatable systems to reduce the impact force in dashboard injuries. Every new inflatable system, however, has to be evaluated in out of position situations in which the system might cause injuries to certain body areas. Therefore, we investigated a new kneebag system in different critical seating positions of post mortem test subjects (PMTS). The tested knee airbag module is a folded airbag (18 litre volume) which is installed below the lower section of the instrument panel of a passenger car. Using four PMTS (2 male, 2 female, age 36"67) the following positions were tested: normal seating position, knee flexed >90 degrees and knee flexed <60 degrees in static deployment tests with direct contact. In addition a dynamic test (48.8kph, AAMA-pulse) was carried out with the PMTS belted in a normal seating position. The inflation phase and the impact of the system on the knee/lower leg were analysed by high speed videos. After the test the lower legs of the PMTS were examined by Xray and autopsy. All soft tissue injuries and bone fractures were recorded. All the tests could be evaluated. Except some superficial skin lesions in the impact area no fracture of the bones around the knee and no knee ligament and tendon injuries were observed. Neither video analysis nor autopsy of the PMTS showed any critical contact injuries caused by the inflation process of the bag. Therefore, it can be concluded that in the tested seating positions which are the most critical for the knee area the knee bag system is safe.
The improvement of passive car security devices led to a reduction of injuries, especially of the head, the neck and the torso mainly due to the airbag function. The passenger's foot and ankle could not profit from this development. Some investigators even reported a progression of leg injuries (1). In this study, we investigated a current collective of patients with foot and ankle fractures or severe soft tissue injuries in relation with defined crash parameters. Special interest was paid to the car's footwell.
Sedan type vehicles in which adult rear seat passengers were present and which were involved in frontal collisions were investigated, and the influence of unbelted rear seat passengers on the injuries of front seat occupants was studied. Unbelted rear seat passengers move forward during impact. It was observed that there were not only cases in which front seat occupants sustained injuries caused by direct contact with rear seat passengers, but also cases where front seat occupants received severe injuries due to additional force from rear seat passengers, either impacting directly or indirectly as a result of deformation of the front seat. Severe injuries of front seat occupants were observed in the latter cases. This research validates the importance of seat-belt use for rear seat passengers, not only to protect themselves but also to mitigate injuries of front seat occupants.
Since the compulsory use of child restraints for children up to 5 years of age was introduced in 2000, restraint use among younger children has increased significantly. However, the observed rate of child restraint use plateaus at around 50%, and apparently little spillover effect has been found for older children who are not covered by the law. This report examines the restraint use patterns for children who were injured in cars in relation to driver and child passenger characteristics. Univariate and multivariate analyses were conducted to describe the association between the outcome measure (the proper use of restraints for children) and relevant variables. Better ways for parents and caregivers to improve the use of restraints for children are also discussed.
Description of road traffic related knee injuries in published investigations is very heterogeneous. The purpose of this study was to estimate the risk of knee injuries in real world car impacts in Germany focusing vulnerable road users (pedestrians, bicyclists and motorcyclists) and restrained car drivers. The accident research unit analyses technical and medical data collected shortly after the accident at scene. Two different periods (years 1985-1993 and 1995-2003) were compared focusing on knee injuries (Abbreviated Injury Scale (AISKnee) 2/3). In order to determine the influences type of collision, direction and speed as well as the injury pattern and different injury scores (AIS, MAIS, ISS) were examined. 1.794 pedestrians, 742 motorcyclists, 2.728 bicyclists and 1.116 car drivers were extracted. 2% had serious ligamentous or bony injuries in relation to all injured. The risk of injury is higher for twowheelers than for pedestrians, but knee injury severity is higher for the latter group. Overall the current knee injury risk is low and significant reduced comparing both time periods (27%, p<0,0001). Severe injuries (AISKnee 2/3) were below 1%). Improved aerodynamic design of car fronts reduced the risk for severe knee injuries significantly (p=0,0015). Highest risk of injury is for motorcycle followed by pedestrians, respectively. Knee protectors could prevent injuries by reducing local forces. The classically described dashboard injury was rarely identified. The overall injury risk for knee injuries in road traffic is lower than estimated and reduced comparing both periods. The aerodynamic shape of current cars compared to older types reduced the incidence and severity of knee injuries. Further modification and optimization of the interior and exterior design could be a proper measurement. Classic described injury mechanisms were rarely identified. It seems that the AIS is still underestimating extremity injuries and their long term results.
Für einige fahrfremde Tätigkeiten ist durch Labor- und Feldstudien gut belegt, dass diese das Fahren beeinträchtigen können. Weitgehend unbekannt ist aber, wie häufig und bei welchen Gelegenheiten diese Tätigkeiten während des Fahrens durchgeführt werden. Erst aus der Integration von Auftretenshäufigkeit und Gefährlichkeit einer fahrfremden Tätigkeit lässt sich abschätzen, inwieweit sie das Unfallrisiko erhöht. Im Wesentlichen eignen sich vier Studientypen zur Untersuchung von Häufigkeit und Gefährlichkeit fahrfremder Tätigkeiten. Die Frage nach der Gefährlichkeit lässt sich effektiv im Simulatorexperiment beantworten, allerdings ist hier die Übertragbarkeit auf reales Fahren problematisch. Mit Naturalistic Driving Studies können sowohl Häufigkeit als auch Gefährlichkeit fahrfremder Tätigkeiten im Realverkehr untersucht werden. Ergebnisse solcher Studien haben die beste Gültigkeit. Demgegenüber steht ein extrem hoher finanzieller und zeitlicher Aufwand. Informationen über die Häufigkeit fahrfremder Tätigkeiten können alternativ durch Befragungsstudien erfasst werden. Dabei können zum einen Fahrer direkt nach einer Fahrt aufgesucht und mit Face-to-Face-Interviews befragt werden. Zum anderen kann eine repräsentative Auswahl von Fahrern gebeten werden, an einem Tag ein Fahrttagebuch zu führen, in dem fahrfremde Tätigkeiten registriert werden. Beides ermöglicht einen effektiven Zugang zu einer repräsentativen Stichprobe. Zentrales Problem beider Studientypen ist die Frage, inwieweit fahrfremde Tätigkeiten überhaupt berichtbar sind und auch tatsächlich berichtet werden. Alle Ansätze setzen voraus, dass eine umfassende, eindeutige Definition fahrfremder Tätigkeiten vorliegt. Mit Hilfe einer Literaturstudie wurde ein Katalog relevanter fahrfremder Tätigkeiten entwickelt. In der untersuchten Literatur fanden sich zwei unterschiedliche Arten von Studien: Die erste Gruppe von Studien basiert auf Unfallstatistiken und -datenbanken aus verschiedenen Ländern. Die zweite Gruppe von Studien sind Beobachtungen der Fahrer während der Fahrt. Fasst man die Unfallstudien zusammen, so erscheint eine Häufigkeit zwischen 10% und 30% fahrfremder Tätigkeiten bei allen Unfällen als wahrscheinlich. Für die Beobachtungsstudien bei unfallfreien Fahrten findet sich insgesamt ein Anteil von ca. 30% der Fahrzeit, die mit fahrfremden Tätigkeiten verbracht wird. Die Ergebnisse weisen darauf hin, dass nicht jede fahrfremde Tätigkeit das Unfallrisiko erhöht, aber dass sich für bestimmte fahrfremde Tätigkeiten unter bestimmten Umständen sehr deutliche Erhöhungen des Unfallrisikos zeigen lassen. Allerdings sind die vorliegenden Ergebnisse sehr heterogen und fehlen für Deutschland weitgehend. Vor diesem Hintergrund wurde mit einer Machbarkeitsstudie mit knapp 300 Fahrern untersucht, inwieweit ein Face-to-Face-Interview geeignet ist, um die Häufigkeit fahrfremder Tätigkeiten durch eine Befragung direkt nach der Fahrt in Deutschland zu erfassen. Die dabei befragten fünf Fahrergruppen unterscheiden sich in einer Reihe von Merkmalen, die wiederum die Häufigkeit fahrfremder Tätigkeiten beeinflussen können. Insgesamt gaben 80% der befragten Fahrer an, dass sie zwischen einer und drei fahrfremde Tätigkeiten in der letzten halben Stunde ausgeführt haben. Den zeitlich größten Teil der fahrfremden Tätigkeiten machen die Interaktionen mit Beifahrern und die Bedienung fahrzeugfremder Geräte aus. Den Fahrern ist zwar prinzipiell bewusst, dass fahrfremde Tätigkeiten gefährlich sein könnten, für die von ihnen durchgeführten Tätigkeiten sind sie aber der Meinung, dass diese eher nicht gefährlich oder ablenkend gewesen sind. Damit wird deutlich, warum die Fahrer so häufig und über so einen langen Zeitraum fahrfremde Tätigkeiten ausführen. Sie sind offensichtlich davon überzeugt, dass dies zwar prinzipiell gefährlich sein kann, dies aber in der speziellen Situation für sie nicht zutrifft. Unter methodischen Gesichtspunkten hat sich dieser Zugang bewährt. Mit Hilfe von Face-to-Face- Interviews direkt nach der Fahrt sind mit einem sehr überschaubaren Aufwand Schätzungen der Häufigkeit und Dauer fahrfremder Tätigkeiten innerhalb der letzten halben Stunde der Fahrt zu erhalten. Die hohe Teilnahmequote und die Auskunftsfreudigkeit der Teilnehmer sprechen dafür, dass diese die von ihnen durchgeführten fahrfremden Tätigkeiten ehrlich und vollständig berichten. Es zeigt sich, dass fahrfremde Tätigkeiten sowohl in der Häufigkeit also auch in ihrer Dauer auch in Deutschland ein großes Problemfeld darstellen. Allerdings sollten diese Befunde mit größeren Stichproben repliziert werden, bei denen der Anteil anderer Fahrten (nachts, andere Jahreszeiten, andere Fahrziele) und Fahrer (Lkw-Fahrer in der Stadt) zu erhöhen wäre. Mit der beschriebenen Art des Vorgehens wäre dies mit einem begrenzten Aufwand gut möglich.