Evidence map›Paper›PMID 36244513›Full record

ArticleAnnals of epidemiology2022

Age-based variability in the association between restraint use and injury type and severity in multi-occupant crashes.

Marco H Benedetti, Kayleigh D Humphries, Rachel Codden, Shraddha Sagar, Joseph A Kufera, Lawrence J Cook, Jesse Norris, Nikiforos Stamatiadis, Roumen Vesselinov, Motao Zhu

Abstract read
In one paragraph

Article in Annals of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marco H BenedettiThe Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH.
Kayleigh D HumphriesThe Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH.
Rachel CoddenUniversity of Utah, Salt Lake City.
Shraddha SagarUFTI Technology (T2) Center, Engineering School of Sustainable Infrastructure & Environment, University of Florida, Gainesville.
Joseph A KuferaUniversity of Maryland School of Medicine, Baltimore.
Lawrence J CookUniversity of Utah, Salt Lake City.
Jesse NorrisUniversity of Utah, Salt Lake City.
Nikiforos StamatiadisDepartment of Civil Engineering, University of Kentucky, Lexington.
Roumen VesselinovUniversity of Maryland School of Medicine, Baltimore.
Motao ZhuThe Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH; Division of Epidemiology, College of Public Health, The Ohio State University, Columbus; Department of Pediatrics, College of Medicine, The Ohio State University, Columbus. Electronic address: Motao.Zhu@nationwidechildrens.org.

Funding

A Multi-State Integrated Data Approach to Analyzing Older Occupant Motor Vehicle Crash and Injury Risk FactorsU01CE002855 · CE · UNIVERSITY OF UTAH · PI COOK, LAWRENCE JOSEPH, KERNS, TIMOTHY J. · 2017 to 2019
$1.2M
ACL HHS U01CE002855NCIPC CDC HHS U01 CE002855
6 · The paper itself

Abstract

purposePrevious studies have shown older adults receive relatively less protection from seat belts against fatal injuries, however it is unknown how seat belt protection against severe and torso injury changes with age. We estimated age-based variability in seat belt protection against fatal injuries, injuries with maximum abbreviated injury scale greater than two (MAIS 3+), and torso injuries.

methodsWe leveraged the Crash Outcome Data Evaluation System to analyze binary indicators of fatal, MAIS 3+, and torso injuries. Using a matched cohort design and conditional Poisson regression, we estimated age-based relative risks (RR) of the outcomes associated with seat belt use.

resultsOur results suggested that seat belts were highly protective against fatal injuries for all ages. For ages 16-30, seat belt use was associated with 66% lower risk of MAIS3+ injury (RR 0.34, 95% CI 0.30, 0.38) for occupants of the same vehicle, whereas for ages 75 and older, seat belt use was associated with 38% lower risk of MAIS3+ injury (RR 0.62; 95% CI 0.45, 0.86) for occupants in the same vehicle. The association between restraint use and torso injury also attenuated with age.

conclusionsIn multi-occupant crashes, seat belts were highly protective against fatal and MAIS3+ injury, however seat belt protection against MAIS3+ and torso injury attenuated with age.

Indexed as

Accidents, TrafficWounds and InjuriesAbbreviated Injury ScaleAdolescentAdultAgedHumansRiskSeat BeltsYoung AdultFatal and severe injuryMatched cohort designMotor vehicle crashOlder adult occupantsSeat belt useTorso injury

Identifiers

PMID36244513
PMCPMC9912102

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Registered trials

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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.