ArticleInternational journal of legal medicine2017
What are the differences in injury patterns of young and elderly traffic accident fatalities considering death on scene and death in hospital?
Article in International journal of legal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Survival and neurological outcomes after traumatic atlanto-occipital dislocation: a combined multicenter clinical and forensic study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Determining the Association Between Hearing Disability and Injury Risk in Older Adults Using Propensity Score Matching: Quasi-Experimental Study.JMIR public health and surveillance · 2026Article
- Patterns of skeletal trauma resulting from motor vehicle collisions: a scoping literature review.Forensic sciences research · 2025Review
- How Vulnerable Are the Elderly in Road Traffic-Autopsy Study?Iranian journal of public health · 2024Article
- Age-based variability in the association between restraint use and injury type and severity in multi-occupant crashes.Annals of epidemiology · 2022Article
- Challenges in the PREHOSPITAL emergency management of geriatric trauma patients - a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Fatal Motor Vehicle-Pedestrian Collision Injury Patterns-A Systematic Literature Review.Academic forensic pathology · 2020Article
- Injury Pattern and Injury Severity of In-Hospital Deceased Road Traffic Accident Victims in The Netherlands: Dutch Road Traffic Accidents Fatalities.World journal of surgery · 2020Article
- A decade of road traffic fatalities among the elderly in north-West Iran.BMC public health · 2018Article
- Analysis of Injury and Mortality Patterns in Deceased Patients with Road Traffic Injuries: An Autopsy Study.World journal of surgery · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Older traffic participants have higher risks of injury than the population up to 65 years in case of comparable road traffic accidents and further, higher mortality rates at comparable injury severities. Rib fractures as risk factors are currently discussed. However, death on scene is associated with hardly survivable injuries and might not be a matter of neither rib fractures nor age. As 60% of traffic accident fatalities are estimated to die on scene, they are not captured in hospital-based trauma registries and injury patterns remain unknown. Our database comprises 309 road traffic fatalities, autopsied at the Institute of Legal Medicine Munich in 2004 and 2005. Injuries are coded according to Abbreviated Injury Scale, AIS© 2005 update 2008 [1]. Data used for this analysis are age, sex, site of death, site of accident, traffic participation mode, measures of injury severity, and rib fractures. The injury patterns of elderly, aged 65+ years, are compared to the younger ones divided by their site of death. Elderly with death on scene more often show serious thorax injuries and pelvic fractures than the younger. Some hints point towards older fatalities showing less frequently serious abdominal injuries. In hospital, elderly fatalities show lower Injury Severity Scores (ISSs) compared to the younger. The number of rib fractures is significantly higher for the elderly but is not the reason for death. Results show that young and old fatalities have different injury patterns and reveal first hints towards the need to analyze death on scene more in-depth.
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