Etiology of fatal XXXX : Secondary data analysis.

@entity16 @entity764 @entity204 @entity1580 @entity130
OBJECTIVES: Motor vehicle crashes remain a leading cause of @entity204 in the United States (US). @entity1580 due to @entity130 remains a @entity130 mechanism, and up to 90% of these @entity130 result in @entity204 on the scene. The objective of this study is to understand the modern risk factors and etiology of fatal @entity764 in the current US fleet. METHODS: Using a unique, linked, Fatality Analysis Reporting System (FARS) and Multiple Cause of @entity204 (MCOD) database from 2000-2010, 144,169 drivers over 16  years of age who suffered fatal @entity130 were identified. The merged database provides an unparalleled fidelity for identifying @entity764 due to motor vehicle accidents. @entity764 were defined by ICD-10 codes S250. Univariate and multivariate logistic regression models for presence of any @entity764 were fitted. Age, gender, BMI weight categories, vehicle class, model year, crash type/direction, severity of @entity16 , airbag deployment location, and seatbelt use, @entity130 codes, and location of injury were considered. Odds ratios (OR) and corresponding 95% confidence intervals (95%CI) are calculated. RESULTS: There were 2953 deaths (2.10%) related to @entity764 that met the inclusion criteria. Nearside crashes were associated with an increased odds (OR = 1.42, 1.1-1.83), while rollover crashes (OR =.44,.29-.66) were associated with a reduced odds of fatal @entity764 . Using backward selection on the full multivariate model, the only significant model effects that remained were vehicle type, crash type, body region, and @entity130 . CONCLUSIONS: The increased prevalence of fatal @entity764 in nearside crashes, increasing age, and vehicle type provide some insight into the current US fleet. Important factors, including model year, had significantly lower levels of the injury in univariate analysis, demonstrating the effect of safety improvements in newer model vehicles. Further study of this @entity130 is warranted, including comparisons of those who survive the injury.
