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Severe upper extremity injuries in frontal automobile crashes: the effects of depowered airbags
The purpose of this study was to determine the effects of depowered frontal airbags on the incidence of severe upper extremity injuries. The National Automotive Sampling System database files from 1993 to 2000 were examined in a study that included 2,413,347 occupants who were exposed to an airbag d...
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| Published in: | The American journal of emergency medicine 2005-03, Vol.23 (2), p.99-105 |
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| container_end_page | 105 |
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| creator | Jernigan, M. Virginia Rath, Amber L. Duma, Stefan M. |
| description | The purpose of this study was to determine the effects of depowered frontal airbags on the incidence of severe upper extremity injuries.
The National Automotive Sampling System database files from 1993 to 2000 were examined in a study that included 2,413,347 occupants who were exposed to an airbag deployment in the United States.
Occupants exposed to a depowered airbag deployment were significantly more likely to sustain a severe upper extremity injury (3.9%) than those occupants exposed to a full-powered airbag deployment (2.5%) (
P = .01). Full-powered systems resulted in an injury distribution of 89.2% fractures and 7.9% dislocations compared with depowered systems with 55.3% fractures and 44.3% dislocations.
Although depowered airbags were designed to reduce the risk of injuries, they appear to have increased the overall incidence of severe upper extremity injuries through a shift from long bone fractures to joint dislocations. |
| doi_str_mv | 10.1016/j.ajem.2004.02.045 |
| format | article |
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The National Automotive Sampling System database files from 1993 to 2000 were examined in a study that included 2,413,347 occupants who were exposed to an airbag deployment in the United States.
Occupants exposed to a depowered airbag deployment were significantly more likely to sustain a severe upper extremity injury (3.9%) than those occupants exposed to a full-powered airbag deployment (2.5%) (
P = .01). Full-powered systems resulted in an injury distribution of 89.2% fractures and 7.9% dislocations compared with depowered systems with 55.3% fractures and 44.3% dislocations.
Although depowered airbags were designed to reduce the risk of injuries, they appear to have increased the overall incidence of severe upper extremity injuries through a shift from long bone fractures to joint dislocations.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2004.02.045</identifier><identifier>PMID: 15765323</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Abbreviated Injury Scale ; Accidents, Traffic - statistics & numerical data ; Adult ; Air bags ; Air Bags - adverse effects ; Air Bags - statistics & numerical data ; Amputation ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arm Injuries - classification ; Arm Injuries - epidemiology ; Arm Injuries - etiology ; Biological and medical sciences ; Blood. Blood coagulation. Reticuloendothelial system ; Causality ; Decision making ; Emergency medical care ; Female ; Fractures ; Fractures, Bone - epidemiology ; Fractures, Bone - etiology ; Health care ; Health risks ; Humans ; Incidence ; Injuries ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Intensive care medicine ; Joint Dislocations - epidemiology ; Joint Dislocations - etiology ; Male ; Medical sciences ; Pharmacology. Drug treatments ; Risk Factors ; Risk reduction ; Seat Belts - statistics & numerical data ; Sex Distribution ; Studies ; Traumas. Diseases due to physical agents ; United States - epidemiology</subject><ispartof>The American journal of emergency medicine, 2005-03, Vol.23 (2), p.99-105</ispartof><rights>2005 Elsevier Inc.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-6085448034aaf3db787d6b5dc9738a3d2dc6f8e6d53302b5b14577ad1494a53e3</citedby><cites>FETCH-LOGICAL-c412t-6085448034aaf3db787d6b5dc9738a3d2dc6f8e6d53302b5b14577ad1494a53e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16699233$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15765323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jernigan, M. Virginia</creatorcontrib><creatorcontrib>Rath, Amber L.</creatorcontrib><creatorcontrib>Duma, Stefan M.</creatorcontrib><title>Severe upper extremity injuries in frontal automobile crashes: the effects of depowered airbags</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>The purpose of this study was to determine the effects of depowered frontal airbags on the incidence of severe upper extremity injuries.
The National Automotive Sampling System database files from 1993 to 2000 were examined in a study that included 2,413,347 occupants who were exposed to an airbag deployment in the United States.
Occupants exposed to a depowered airbag deployment were significantly more likely to sustain a severe upper extremity injury (3.9%) than those occupants exposed to a full-powered airbag deployment (2.5%) (
P = .01). Full-powered systems resulted in an injury distribution of 89.2% fractures and 7.9% dislocations compared with depowered systems with 55.3% fractures and 44.3% dislocations.
Although depowered airbags were designed to reduce the risk of injuries, they appear to have increased the overall incidence of severe upper extremity injuries through a shift from long bone fractures to joint dislocations.</description><subject>Abbreviated Injury Scale</subject><subject>Accidents, Traffic - statistics & numerical data</subject><subject>Adult</subject><subject>Air bags</subject><subject>Air Bags - adverse effects</subject><subject>Air Bags - statistics & numerical data</subject><subject>Amputation</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Arm Injuries - classification</subject><subject>Arm Injuries - epidemiology</subject><subject>Arm Injuries - etiology</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood coagulation. Reticuloendothelial system</subject><subject>Causality</subject><subject>Decision making</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Fractures</subject><subject>Fractures, Bone - epidemiology</subject><subject>Fractures, Bone - etiology</subject><subject>Health care</subject><subject>Health risks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injuries</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Intensive care medicine</subject><subject>Joint Dislocations - epidemiology</subject><subject>Joint Dislocations - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pharmacology. Drug treatments</subject><subject>Risk Factors</subject><subject>Risk reduction</subject><subject>Seat Belts - statistics & numerical data</subject><subject>Sex Distribution</subject><subject>Studies</subject><subject>Traumas. 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Virginia ; Rath, Amber L. ; Duma, Stefan M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-6085448034aaf3db787d6b5dc9738a3d2dc6f8e6d53302b5b14577ad1494a53e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Abbreviated Injury Scale</topic><topic>Accidents, Traffic - statistics & numerical data</topic><topic>Adult</topic><topic>Air bags</topic><topic>Air Bags - adverse effects</topic><topic>Air Bags - statistics & numerical data</topic><topic>Amputation</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Arm Injuries - classification</topic><topic>Arm Injuries - epidemiology</topic><topic>Arm Injuries - etiology</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood coagulation. Reticuloendothelial system</topic><topic>Causality</topic><topic>Decision making</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Fractures</topic><topic>Fractures, Bone - epidemiology</topic><topic>Fractures, Bone - etiology</topic><topic>Health care</topic><topic>Health risks</topic><topic>Humans</topic><topic>Incidence</topic><topic>Injuries</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Intensive care medicine</topic><topic>Joint Dislocations - epidemiology</topic><topic>Joint Dislocations - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pharmacology. Drug treatments</topic><topic>Risk Factors</topic><topic>Risk reduction</topic><topic>Seat Belts - statistics & numerical data</topic><topic>Sex Distribution</topic><topic>Studies</topic><topic>Traumas. Diseases due to physical agents</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jernigan, M. 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Virginia</au><au>Rath, Amber L.</au><au>Duma, Stefan M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe upper extremity injuries in frontal automobile crashes: the effects of depowered airbags</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>23</volume><issue>2</issue><spage>99</spage><epage>105</epage><pages>99-105</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>The purpose of this study was to determine the effects of depowered frontal airbags on the incidence of severe upper extremity injuries.
The National Automotive Sampling System database files from 1993 to 2000 were examined in a study that included 2,413,347 occupants who were exposed to an airbag deployment in the United States.
Occupants exposed to a depowered airbag deployment were significantly more likely to sustain a severe upper extremity injury (3.9%) than those occupants exposed to a full-powered airbag deployment (2.5%) (
P = .01). Full-powered systems resulted in an injury distribution of 89.2% fractures and 7.9% dislocations compared with depowered systems with 55.3% fractures and 44.3% dislocations.
Although depowered airbags were designed to reduce the risk of injuries, they appear to have increased the overall incidence of severe upper extremity injuries through a shift from long bone fractures to joint dislocations.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>15765323</pmid><doi>10.1016/j.ajem.2004.02.045</doi><tpages>7</tpages></addata></record> |
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| ispartof | The American journal of emergency medicine, 2005-03, Vol.23 (2), p.99-105 |
| issn | 0735-6757 1532-8171 |
| language | eng |
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| source | ScienceDirect Freedom Collection |
| subjects | Abbreviated Injury Scale Accidents, Traffic - statistics & numerical data Adult Air bags Air Bags - adverse effects Air Bags - statistics & numerical data Amputation Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Arm Injuries - classification Arm Injuries - epidemiology Arm Injuries - etiology Biological and medical sciences Blood. Blood coagulation. Reticuloendothelial system Causality Decision making Emergency medical care Female Fractures Fractures, Bone - epidemiology Fractures, Bone - etiology Health care Health risks Humans Incidence Injuries Injuries of the nervous system and the skull. Diseases due to physical agents Intensive care medicine Joint Dislocations - epidemiology Joint Dislocations - etiology Male Medical sciences Pharmacology. Drug treatments Risk Factors Risk reduction Seat Belts - statistics & numerical data Sex Distribution Studies Traumas. Diseases due to physical agents United States - epidemiology |
| title | Severe upper extremity injuries in frontal automobile crashes: the effects of depowered airbags |
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