SynthesisBMC public health2018
Seatbelt use and risk of major injuries sustained by vehicle occupants during motor-vehicle crashes: a systematic review and meta-analysis of cohort studies.
Synthesis in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Vitamin D Deficiency Meets Hill's Criteria for Causation in SARS-CoV-2 Susceptibility, Complications, and Mortality: A Systematic Review.Nutrients · 2025Pooled it
- Education, incentive, and engineering-based interventions to promote the use of seat belts.The Cochrane database of systematic reviews · 2024Pooled it
- Effectiveness of a Text Message Intervention Promoting Seat Belt Use Among Young Adults: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Left Ventricle Velocity Patterns and Energy Changes During Controlled External Impact: A Quantitative Experimental Insight.Annals of biomedical engineering · 2026Article
- Estimation of Nonfatal Injury Prevalence Among Adults: National Health Interview Survey, 50 States and the District of Columbia, 2020, 2021, and 2023.American journal of preventive medicine · 2026Article
- Relation Between Injury Severity and Fractures of the First and/or Second Ribs in Blunt Chest Trauma at a Community-Based Hospital: A Retrospective Study.Emergency medicine international · 2026Article
- Choosing Less Harmful Alternatives: The Ethics of Harm Reduction in Emerging Technologies.Science and engineering ethics · 2025Article
- National trends in road traffic injuries and fatalities in Saudi Arabia from 2000 to 2023.Scientific reports · 2025Article
- Correlation of Pattern and Presentation of Maxillofacial Injuries with Seatbelt Law Compliance in Saudi Arabia.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Impact of seat position on survival outcomes and anatomically specific severe injury patterns in four-wheeled motor vehicle accidents: a retrospective cohort study at a community emergency department in Japan.BMC emergency medicine · 2025Article
- Preparing public health researchers to interact with state-level legislators: evaluation of the Texas Research-to-Policy Collaboration project training.Journal of public health policy · 2025Article
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- Comprehensibility and impact of vehicle dashboard indicator light symbols on drivers' preventive maintenance compliance.PloS one · 2025Article
- Patterns of Brain Injury and Clinical Outcomes Related to Trauma from Collisions Involving Motor Vehicles.Journal of clinical medicine · 2024Article
- Seat Belt Injury and Efferent Loop Laceration Following a Single Anastomosis Duodenal Switch: A Case Report.Cureus · 2024Article
- Article
- The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis.The Journal of the Egyptian Public Health Association · 2023Review
- Breast Implants Decrease Chest Wall Trauma in Low-speed, Unrestrained Motor Vehicle Crash: An Experimental Model.Plastic and reconstructive surgery. Global open · 2023Article
- Clustering of Health and Oral Health-Compromising Behaviours in Army Personnel in Central Peninsular Malaysia.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2004, a World Health Report on road safety called for enforcement of measures such as seatbelt use, effective at minimizing morbidity and mortality caused by road traffic accidents. However, injuries caused by seatbelt use have also been described. Over a decade after publication of the World Health Report on road safety, this study sought to investigate the relationship between seatbelt use and major injuries in belted compared to unbelted passengers.
methodsCohort studies published in English language from 2005 to 2018 were retrieved from seven databases. Critical appraisal of studies was carried out using the Scottish Intercollegiate Guidelines Network (SIGN) checklist. Pooled risk of major injuries was assessed using the random effects meta-analytic model. Heterogeneity was quantified using I-squared and Tau-squared statistics. Funnel plots and Egger's test were used to investigate publication bias. This review is registered in PROSPERO (CRD42015020309).
resultsEleven studies, all carried out in developed countries were included. Overall, the risk of any major injury was significantly lower in belted passengers compared to unbelted passengers (RR 0.47; 95%CI, 0.29 to 0.80; I
conclusionIn sum, the risk of most major road traffic injuries is lower in seatbelt users. Findings were inconclusive regarding seatbelt use and susceptibility to thoracic, head and neck injuries during road traffic accidents. Awareness should be raised about the dangers of inadequate seatbelt use. Future research should aim to assess the effects of seatbelt use on major injuries by crash type.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.