TY - JOUR
T1 - Comparison of motor vehicle collision injuries between pregnant and non-pregnant women
T2 - A nationwide collision data-based study
AU - Koh, Soonho
AU - Hitosugi, Masahito
AU - Moriguchi, Shingo
AU - Baba, Mineko
AU - Tsujimura, Seiji
AU - Takeda, Arisa
AU - Takaso, Marin
AU - Nakamura, Mami
N1 - Funding Information:
We thank Analisa Avila for editing a draft of this manuscript.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/11
Y1 - 2021/11
N2 - We compared the independent predictive factors for moderate and severe injuries, along with characteristics and outcomes of motor vehicle collisions, between pregnant and non-pregnant women. Using 2001–2015 records from the National Automotive Sampling System/Crashworthiness Data System, we selected 736 pregnant women and 21,874 non-pregnant women having any anatomi-cal injuries. Pregnant women showed less severe collisions, fewer fatalities, and less severe injuries in most body regions than non-pregnant women. In pregnant women, the rate of sustaining abbreviated injury scale (AIS) scores 2+ injuries was higher for the abdomen only. For non-pregnant women, rear seat position, airbag deployment, multiple collisions, rollover, force from the left, and higher collision velocity had a positive influence on the likelihood of AIS 2+ injuries, and seatbelt use and force from the rear had a negative influence. There is a need for further development of passive safety technologies for restraint and active safety features to slow down vehicles and mitigate collisions. The influencing factors identified may be improved by safety education. Therefore, simple and effective interventions by health professionals are required that are tailored to pregnant women.
AB - We compared the independent predictive factors for moderate and severe injuries, along with characteristics and outcomes of motor vehicle collisions, between pregnant and non-pregnant women. Using 2001–2015 records from the National Automotive Sampling System/Crashworthiness Data System, we selected 736 pregnant women and 21,874 non-pregnant women having any anatomi-cal injuries. Pregnant women showed less severe collisions, fewer fatalities, and less severe injuries in most body regions than non-pregnant women. In pregnant women, the rate of sustaining abbreviated injury scale (AIS) scores 2+ injuries was higher for the abdomen only. For non-pregnant women, rear seat position, airbag deployment, multiple collisions, rollover, force from the left, and higher collision velocity had a positive influence on the likelihood of AIS 2+ injuries, and seatbelt use and force from the rear had a negative influence. There is a need for further development of passive safety technologies for restraint and active safety features to slow down vehicles and mitigate collisions. The influencing factors identified may be improved by safety education. Therefore, simple and effective interventions by health professionals are required that are tailored to pregnant women.
KW - Collision database
KW - Injury
KW - Intervention
KW - Motor vehicle collision
KW - Pregnant woman
KW - Vehicle passenger
UR - http://www.scopus.com/inward/record.url?scp=85118190054&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85118190054&partnerID=8YFLogxK
U2 - 10.3390/healthcare9111414
DO - 10.3390/healthcare9111414
M3 - Article
AN - SCOPUS:85118190054
VL - 9
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
SN - 2227-9032
IS - 11
M1 - 1414
ER -