Evaluation of differences in injury patterns according to seat position in trauma victims survived traffic accidents.
PURPOSE
Investigation of injury patterns epidemiology among car occupants may help to develop different therapeutic approach according to the seat position. The aim of the study was to evaluate and compare differences in the incidence of serious injuries, between occupants in different locations in private cars.


METHODS
A retrospective study including trauma patients who were involved in motor vehicle accidents and admitted alive to 20 hospitals (6 level Ⅰ trauma centers and 14 level Ⅱ trauma centers). We examined the incidence of injures with abbreviated injury score 3 and more, and compared their occurrence between seat locations.


RESULTS
The study included 28,653 trauma patients, drivers account for 60.8% (17,417). Front passenger mortality was 0.47% higher than in drivers. Rear seat passengers were at greater risk (10.26%) for traumatic brain injuries than front seat passengers (7.48%) and drivers (7.01%). Drivers are less likely to suffer from serious abdominal injuries (3.84%) compared to the passengers (front passengers - 5.91%, rear passengers - 5.46%).


CONCLUSION
Out of victims who arrived alive to the hospital, highest mortality was found in front seat passengers. The rate of serious chest injuries was higher as well. Rear seat passengers are at greater risk for serious traumatic brain injuries. All passengers have a greater incidence of abdominal injuries. These findings need to be addressed in order to develop "customized" therapeutic policy in trauma victims.
['Daskal|Yaakov|Y|', 'Alfici|Ricardo|R|', 'Givon|Adi|A|', 'Peleg|Kobi|K|', 'Olsha|Oded|O|', 'Kessel|Boris|B|', '|||']
D000007:Abdominal Injuries D000063:Accidents, Traffic D000293:Adolescent D000328:Adult D001334:Automobile Driving D015331:Cohort Studies D005260:Female D017052:Hospital Mortality D006760:Hospitalization D006801:Humans D015601:Injury Severity Score D007557:Israel D016015:Logistic Models D008297:Male D008875:Middle Aged D009104:Multiple Trauma D012042:Registries D012189:Retrospective Studies D018570:Risk Assessment D012622:Seat Belts D000077708:Sitting Position D014193:Trauma Centers D055815:Young Adult
Injury pattern Seat position Traffic accidents