Crash scene photography in motor vehicle crashes without air bag deployment.
Crash scene photography in motor vehicle crashes without air bag deployment.
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未展开安全气囊的机动车碰撞事故现场摄影。
DOI：
10.1111/j.1553-2712.2002.tb02194.x
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Lyons,EvelynM
中科院分区：
文献类型：
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作者：
Newgard,CraigD;Martens,KatherineA;Lyons,EvelynM
目的：以确定是否车辆的特点，使用碰撞现场摄影测量，与解剖模式的伤害和受伤的严重程度持续在机动车碰撞（MVCs）没有气囊deployment.Methods：一个前瞻性的观察研究进行了22个月，使用12个消防部门服务于两家医院。在每个MVC拍摄两张车辆照片（外部和内部）。通过使用标准化评分系统对照片进行评分来分配车辆变量，并通过图表审查收集每位患者的结局信息。结果：559名患者参与了研究。正面碰撞和增加乘客空间侵入（PSI）与头部，面部和下肢损伤有关，而后方碰撞与脊柱损伤有关。约束的使用对头部、面部和上下肢损伤有保护作用，但与脊柱损伤的几率较高相关。缺乏约束的使用，增加PSI，方向盘畸形与增加住院时间和医院收费，但只有方向盘畸形与增加受伤严重程度时，调整其他crash variables.Conclusions：out-of-hospital变量，从碰撞车辆摄影，与受伤部位，受伤严重程度，住院时间，和医院收费在涉及MVC没有安全气囊部署的患者。
Objective:To determine whether vehicle characteristics, measured using crash scene photography, are associated with anatomic patterns of injury and severity of injury sustained in motor vehicle crashes (MVCs) without air bag deployment.Methods:A prospective observational study was conducted over 22 months, using 12 fire departments serving two hospitals. Two vehicle photographs (exterior and interior) were taken at each MVC. Vehicular variables were assigned by grading the photographs with a standardized scoring system, and outcome information on each patient was collected by chart review.Results:Five hundred fifty‐nine patients were entered into the study. Frontal crashes and increasing passenger space intrusion (PSI) were associated with head, facial, and lower‐extremity injuries, while rear crashes were associated with spinal injuries. Restraint use had a protective effect in head, facial, and upper and lower extremity injuries, yet was associated with higher odds of spinal injury. Lack of restraint use, increasing PSI, and steering wheel deformity were associated with an increased hospital length of stay and hospital charges, yet only steering wheel deformity was associated with increasing injury severity when adjusting for other crash variables.Conclusions:Out‐of‐hospital variables, as obtained from crash vehicle photography, are associated with injury site, injury severity, hospital length of stay, and hospital charges in patients involved in MVCs without air bag deployment.