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Institut
A national initiative from the vehicle manufacturers, safety system suppliers, the road administration and universities in Sweden took off in 2007. The aim was to develop a national investigation network and a methodology focusing on all phases of a crash (pre-crash, in-crash and post-crash) as well as all parts of the road transport system (road user, vehicle and road environment). The initiative is formally run as a project with the acronym INTACT (Investigation Network and Accident Collection Techniques). It was a three year pilot with the aim to develop methodologies for an extended national crash investigation activity. During the first year the INTACT partners agreed on the aim for the investigation and methods for retrieving the data were developed. During the second and third year the methodology was tested in real-world investigations and further refinement was made. The paper describes the methodology developed to obtain high qualitative in-depth road crash data.
The significant demographic changes are predicted for the European future. The age group over 65 years is permanently increasing and over next 30 years every fourth person will belong to this group. This development will continue so far that by 2050 in many countries will double the percentage of the population aged 65 and more. Many studies analyze the new phenomena of the ageing (graying) society during the last decade. Mobility is integrated part of the life of every citizen, even more it means for the elderly people. The adequate mobility is the precondition for their active life and for their social communication that contribute to their health and functional capacity and their autonomy and independency. The active seniors demand less public support. The mobility of the older citizens is closely linked with health and societal problems and creates an important public challenge. On the other side the participation of seniors in transport due to their limited physical and mental possibilities means for them an increased risk to be injured or killed. The main mobility spaces are roads that can be used not only as a traveler in a vehicle (driver or passenger) but also as a pedestrian or cyclist or even as a motorcyclist. The road traffic is then an opportunity and danger in the same time. The accident analyzes show specific risk features of seniors that are different compared with other age groups. First of all the older road users (65 and more) are facing to the higher risk (number of killed divided by the population size) to be killed in a road accident compared with the group of younger road users (0 - 64). More significant difference can be observed when comparing the road user groups. The fatality percentage of the older pedestrians is 2,5 times higher compared with the group 25 " 64. Similar frequency show the cyclist fatalities. On the other side the vehicle passengers in the younger group have more or less two time higher percentage compared to seniors and in the group of motorcyclists even achieved in 2008 almost five times higher compared with the older group. The share of the old road users fatalities (around 19%) didn"t practically change during the last 10 years in the European average. But comparing the gender involvement (2006) there is an interesting difference " female fatalities make 30, 2%, male fatalities 15, 3% of all fatalities in their groups. The risk of the senior users is more connected with their physical and mental limits than with their risk behavior. According to the Czech statistics (2007) the vehicle drivers over 65 years cause only 3, 6% of all accidents. The solution of the problem is to minimize the risk and to create a safe environment for the elderly people using the roads. In order to achieve this goal a deep knowledge of risk and of accident circumstances, full understanding of the behavior of the seniors and their limitations and accommodating approach of the whole society is necessary. Road risk of the ageing society has to be considered as a part of the health and social policy. These can build a creditable basis for the implementation of the measures that secure safe moving of seniors on the roads.
The accident research of Hanover and (from 1999 on) Dresden registered 736 leg injuries (AIS ≥ 2) from 1983 to March 2007. 174 of these injuries (23.6 %) were fractures or dislocations of foot and ankle. 149 feet of 141 front seat car occupants in 140 cars were affected. Of these 117 were drivers, 24 were front seat passengers. The mean age of occupants was 38.5 -± 16.8 years. Ankle fractures were the most frequent injury (n = 82; 80 malleolar fractures, 2 pilon fractures). 34 fractures and dislocations affected the hindfoot (5 talus and 26 calcaneal fractures, 2 subtalar dislocations and 1 subtotal amputation) , 16 to midfoot (4 navicular fractures, 5 cuboid fractures, 3 fractures of cuneiformia, 2 dislocations of chopart joint, 1 subtotal amputation, and one severe decollement) and 39 the forefoot (metatarsal fractures). Open fractures were seldom seen (2 malleolar fractures, 1 metatarsal fracture). Both feet were injured in 10 cases. 33 occupants (23.4 %) were polytaumatic had a polytrauma, 17 of them died. 81 percent of the occupants were belted. The cars were divided in pre EuroNCAP (year of manufacture 1997 and older) and post EuroNCAP cars (year of manufacture 1998 and newer). Most of the foot injuries were seen in pre EuroNCAP cars. Most of the occupants sat in compact cars (40 drivers and 9 front seat passengers) and large family cars (27 drivers and 7 co-drivers). 49 of 140 accidents occurred on country roads, 26 on main roads and 13 on motorways. The crash direction was mostly frontal. Generally were found no differences of delta v- and EES-level between the injured foot regions, but divided into pre- and post-EuroNCAP cars there was a tendency to higher delta v- and EES-levels in newer cars. The frequency of foot injuries increased linearly with increasing delta v-level; but above delta v-level of 55 km/h the linear increase only was seen in pre-EuroNCAP cars, post-EuroNCAP cars showed no further increase of injuries. The footwell intrusion showed no difference between the injured foot regions but pre-EuroNCAP cars had a tendency to higher footwell intrusion. There were no differences in footwell intrusion between the car types. Only 29 of 174 fractures or dislocations of foot were seen in post-EuroNCAP cars, the predominate number of these injuries (n = 145) were noticed in pre-EuroNCAP cars. A lower probability of long-term impairment was found in post-EuroNCAP cars for equal delta v levels, using the AIS2008 associated Functional Capacity Index (FCI) for the foot region.
Although ATV accidents account for numerous deaths in the US and Australia, the role in traffic accidents and hospital admissions in Germany is unknown. At a level I trauma centre, hospital and crash charts were analysed for medical and technical parameters of ATV accidents. ATV drivers were 0.1% of emergency trauma patients. The mean total hospital stayrnwas 15 days; there were 1.5 stays per patients with 2.0 surgical procedures needed. One patient died, only two recovered fully. 14 cases of ATV accidents out of 18990 (0.1%) were documented within 10 years. The mean impact velocity was 35 km/h. Car collisions were predominant. The upper extremity was the predominant injured region (AIS 0.7), Mean maximum AIS was 1.4. ATV accidents in Germany are rare but pose high risk for severe injuries. Possible reasons are low active and passive security, limited experience and risky driving behaviour. Preventive measures are discussed.rn
Accidents involving two wheels vehicles represent one of the more important types of accidents in Europe. These accidents are usually not easy to reconstruct specially for the analysis of the injuries and its correlation with accident dynamics and evidences. Different methodologies are applied in this work for the reconstruction of two wheeler accidents, especially accident involving motorcycles. From the typologies of road evidences like skid marks, to the use of Pc-Crash and the use of Madymo models, different reconstruction of real accidents are presented. One of the questions that sometimes arise for legal purposes when some type of head injuries arise is if the occupant was wearing or not a helmet. The correlation of head injuries with the use of the helmet is a very important issue, therefore an important legal aspect. One of the key questions for the reconstructions that is difficult to analyze, is if the vehicle occupant, was or not, wearing the helmet. Based on the previously collected information, a generic model of a helmet was developed on CAD 3D, followed by its conversion into finite elements, all in order to perform impact tests using the Madymo software that would help improve the helmet- safety, but that also can be used as a tool in accident reconstruction.
The purpose of this study was to analyse the actual injury situation of bicyclists regarding accidents involving more than one bicyclist. Bicyclists were included in a medical and technical analysis to create a basis for preventive measures and discovered repeating accident patterns and circumstances such as daytime, environment, helmet use rate. Technical and medical data were collected at the scene, shortly after accident. The population was compared focusing on bicycle versus bicycle accidents. Technical analysis included speed at crash, type of collision, impact angle, environment, used lane and relative velocity. Medical analysis included injury pattern and severity (AIS, ISS). Included were 578 injured bicyclists in 289 accidents from years 1999 to 2008, 61 percent were male (n=350) and 39 percent female (n=228). Sixty-seven percent ranged between 18 to 64 years of age, twelve percent each between 13 to 17 years of age and older than 65 years, eight percent between 6 to 12 years and one percent between 2 to 5 years.. Crashes took place in urban areas in 92 percent, in rural areas in 8 percent. Weather conditions were dry lanes in 97 percent and wet conditions in 3 percent. Eighty-three percent of all accidents happened during daytime, ten percent during night, and seven percent during dawn. The helmet use rate was only 7,5 percent in all involved bicyclists. The mean Maximum Abbreviated injury scale, Injury severity score was 1,31. Bicyclists are still minimally- or unprotected road users. The helmet use rate is unsatisfactorily low. The incidence of bicycle to bicycle crashes is high. Most of these accidents take place in urban areas. The level and pattern of injuries is moderate. Most of the more severe injuries occur to the head and could have been avoided by frequent helmet use.
A total survey of road traffic accidents involving most severely injured, defined as sustaining a polytrauma or severe monotrauma (ISS > 15) or being killed, was conducted over 14 months in a large study region in Germany. Data on injuries, pre-clinical and clinical care, crash circumstances and vehicle damage were obtained both prospectively and retrospectively from trauma centers, dispatch centers, police and fire departments. 149 patients with a polytrauma and eight with a severe monotrauma were recorded altogether. 22 patients died in hospital. Another 76 victims had deceased at the accident scene. In 2008, 49 % of patients treated with life-threatening injuries were car or van occupants, 21 % motorcyclists, 18 % cyclists and 10 % pedestrians. Among fatalities at the scene, vehicle occupants constituted an even larger portion. The number of road users with life-threatening trauma in the region was extrapolated to the German situation. It suggests that 10 % among the "seriously injured" as defined in national accident statistics are surviving accident victims with a polytrauma or severe monotrauma.
The National Highways Development Project in India is aimed at upgrading over 12,000 km of national highways from 2-lane undivided roads to 4-lane divided roads. With nearly 40% of fatal crashes being reported on national highways, the effect of this project on road safety needs to be assessed. Researchers carried out on-site crash investigations and in-depth crash data collection for a period of 45 to 60 days on four 2-lane undivided highways and a 4-lane divided highway. Based on 76 crashes examined, researchers found a shift of crash pattern from head-on collisions on undivided 2- lane highways to front-rear collisions on divided 4-lane highways. This paper presents the methodology, analysis of crashes examined, and the critical safety problems identified for greater consideration in future highway development projects. This paper also highlights the need and significance of in-depth crash investigations to understand local traffic conditions and problems in India.
The overall purpose of the ASSESS project is to develop a relevant and standardised set of test and assessment methods and associated tools for integrated vehicle safety systems, primarily focussing on currently available pre-crash sensing systems. The first stage of the project was to define casualty relevant accident scenarios so that the test scenarios will be developed based on accident scenarios which currently result in the greatest injury outcome, measured by a combination of casualty severity and casualty frequency. The first analysis stage was completed using data from a range of accident databases, including those which were nationally representative (STATS19, UK and STRADA, SE) and in-depth sources which provided more detailed parameters to characterise the accident scenarios (GIDAS, DE and OTS, UK). A common analysis method was developed in order to compare the data from these different sources, and while the data sets were not completely compatible, the majority of the data was aligned in such a way that allowed a useful comparison to be made. As the ASSESS project focuses on pre-crash sensing systems fitted to passenger cars, the data selected for the analysis was "injury accidents which involved at least one passenger car". The accident data analysis yielded the following ranked list of most relevant accident scenarios: Rank Accident scenario 1 Driving accident - single vehicle loss of control 2 Accidents in longitudinal traffic (same and opposite directions) 3 Accidents with turning vehicle(s) or crossing paths in junctions 4 Accidents involving pedestrians The ranked list highlights the relatively large role played by "accidents in longitudinal traffic", and "accidents with turning vehicle(s) or crossing paths in junctions" (the second and third most prevalent accident scenarios, respectively). The pre-crash systems addressed in ASSESS propose to yield beneficial safety outcomes with specific regard to these accident scenarios. This indicates that the ASSESS project is highly relevant to the current casualty crash problem. In the second stage of the analysis a selection of these accident scenarios were analysed further to define the accident parameters at a more detailed level .This paper describes the analysis approach and results from the first analysis stage.
This study that was funded by the Research Association for Automotive Technology (FAT) develops a method for the evaluation of the placement of tanks or batteries by using the deformation frequencies in real-world accidents. Therefore, the deformations of more than 20.000 passenger cars in the GIDAS database are analysed. For each vehicle a contour of deformation is calculated and the deformed areas of the vehicles are transferred in a rangy matrix of deformation. Thereby, the vehicle is divided into more than 190.000 cells. Afterwards, all single matrices of deformation are summarized for each cell which allows representative analyses of the deformation frequencies of accidents with passenger cars in Germany. On the basis of these deformation frequencies it is possible to determine least deformed areas of all passenger cars. Furthermore, intended placements of tanks or batteries can be estimated in an early stage of development. Therefore, all vehicles with deformations in the intended tank areas can be analysed individually. Considering numerous parameters out of the GIDAS database (e.g. collision speed, kind of accident, overlap, collision partner etc.) the occurring forces can be calculated or the deformation frequency can be estimated. Furthermore, it is possible to consider the influence of primary and secondary safety systems on the deformation behaviour. The analysis of "worst case accident events" is an additional application of the calculated matrix of deformation frequency.
Der Fahrzeugbestand und die Unfallbeteiligung von Kleintransportern haben in den zurückliegenden Jahren weiter zugenommen. Der Bericht "Unfallbeteiligung von Kleintransportern" (Schmid 2008), der das Unfallgeschehen bis Ende des Jahres 2006 analysiert, wird auf das Jahr 2008 fortgeschreiben. Der Schwerpunkt der Untersuchung liegt bei der Gruppe der Kleintransporter mit einem zulässigen Gesamtgewicht über 2,8 t bis 3,5 t. Diesen wurden zu Vergleichszwecken Kleintransporter über 2 t bis 2,8 t, Lkw über 3,5 t bis 7,5 t und Pkw gegenübergestellt. Im vorliegenden Bericht wird die Entwicklung der Unfälle mit Personenschaden der Jahre 1996 bis 2008 betrachtet. Für das Jahr 2008 wird vertiefend auf die Struktur des Unfallgeschehens der Kleintransporter eingegangen. Dabei unterscheidet sich die Entwicklung der Anzahl der an Unfällen mit Personenschaden beteiligten Kleintransporter über 2,8 t bis 3,5 t deutlich von der Entwicklung der Vergleichsgruppen. Nach Aufhebung der Geschwindigkeitsbegrenzung für Lastkraftwagen über 2,8 t bis 3,5 t im Jahr 1997 sind der Bestand und die Unfallbeteiligung dieser Fahrzeuge sprunghaft angestiegen. Insgesamt ist festzustellen, dass sich der bis 2001 zu verzeichnende starke Anstieg der Unfallanzahlen nach 2001 auf dem bis dahin stattgefundenen Niveau nicht weiter fortgesetzt hat, obwohl der Bestand der Kleintransporter über 2,8 t bis 3,5 t weiterhin deutlich gewachsen ist. Mit 7.250 Beteiligten im Jahr 2008 ist die Anzahl der an Unfällen mit Personenschaden beteiligten Kleintransporter über 2,8 t bis 3,5 t gegenüber 1996 (1.733 Beteiligte) um über 300% gestiegen. Dabei ist zunächst zwischen 1997 (1.892 Beteiligte) und 2001 (5.273 Beteiligte) die Unfallbeteiligung stark gewachsen. Nach einem leichten Rückgang im Jahr 2002 hat sich der Anstieg in den Folgejahren fortgesetzt, aber nicht mehr ganz so stark. Auf Autobahnen sind zahlenmäßig am wenigsten Kleintransporter über 2,8 t bis 3,5 t beteiligt (181 beteiligte Kleintransporter im Jahr 1996 und 874 im Jahr 2008), jedoch ist der Anstieg mit über 380% weitaus höher als bei den anderen Ortslagen. Positiv ist jedoch der deutliche Rückgang der Unfallbeteiligung von Kleintransportern über 2,8 t bis 3,5 t von 2008 zum Vorjahr um 7%. Die Anzahl der Getöteten bei Unfällen unter Beteiligung von Kleintransportern über 2,8 t bis 3,5 t ist zwischen 1996 (50 Getötete) und 2001 (132 Getötete) fast kontinuierlich gestiegen (insgesamt um über 150%). Nach einem leichten Rückgang im Jahr 2002 auf 120 Getötete wurde in den Jahren 2003 und 2004 wieder das Niveau von 2001 erreicht. In den Jahren 2005 und 2006 wurden weniger Getötete registriert (101 und 111 Getötete), in den Jahren 2007 (135 Getötete) und 2008 (126 Getötete) wurde dann wieder etwa das Niveau des Jahres 2001 erreicht. Unfälle mit Personenschaden unter Beteiligung von Kleintransportern über 2,8 t bis 3,5 t sind 2008 mit einem Anteil von 2,2% (7.151 Unfälle) gemessen am gesamten Unfallgeschehen von geringer Bedeutung. Auf Autobahnen liegt dieser Anteil bei 4,6%. 62 % der Unfälle unter Beteiligung von Kleintransportern über 2,8 t bis 3,5 t geschahen 2008 auf Innerortsstraßen, dabei wurden 43% der Getöteten und Schwerverletzten registriert. Über ein Viertel der Unfälle ereigneten sich auf Außerortsstraßen ohne BAB, der Anteil der dabei Getöteten und Schwerverletzten ist mit 42% etwa gleich hoch wie auf Innerortsstraßen. Auf Autobahnen ereigneten sich 12% der Unfälle unter Beteiligung von Kleintransportern über 2,8 t bis 3,5 t, dabei wurden 15% der Getöteten und Schwerverletzten registriert. Fahrer von Kleintransportern über 2,8 t bis 3,5 t sind in zwei von drei Unfällen (66%) unter Beteiligung von Kleintransportern Hauptverursacher. Unter den 18- bis 24-Jährigen steigt der Anteil sogar auf 77%. Der Hautverursacheranteil der Pkw-Fahrer bei Unfällen unter Beteiligung von Pkw ist mit 55% geringer. Häufigste Unfallursachen bei Unfällen unter Beteiligung von Kleintransportern über 2,8 t bis 3,5 t sind 2008 mit 19% "Abbiegen, Wenden, Rückwärtsfahren, Ein- und Anfahren", gefolgt von "Abstand" mit 18% und "Vorfahrt, Vorrang" mit 14%. Die Unfallursache "Geschwindigkeit" wird im Mittel aller Ortslagen mit 13% genannt, auf Autobahnen ist sie mit 28% häufigste Unfallursache.
Accidents with vulnerable road users require special attention within the road safety work because these accidents are often accompanied with severe injuries. Thus In 2006 at least 6200 Powered Two Wheeler (PTW) riders were killed in road crashes in the EU 25 representing 16% of the total number of road deaths while accounting for only 2% of the total kilometers driven. For the prevention of accidents with VRU above all the knowledge of the causes of the accidents is of special importance. This study is based on the methodology of the German In-Depth Accident Study GIDAS. Within GIDAS extensive data on various fields of accidentology are collected on-scene from road traffic accidents with injuries in the Hannover and Dresden area. Using a well defined sample plan the collected data is highly representative to the whole German situation (Brühning et al, Otte et al). The need of in-depth accident causation data in accident research led to the development of a special tool for the collection of such data called ACASS (Accident Causation Analysis with Seven Steps), which was implemented in the GIDAS methodology in 2008 and described by Otte in 2009.
Small overlap frontal crashes are defined by a damage pattern with most of the vehicle deformation concentrated outboard of the main longitudinal structures. These crashes are prominent among frontal crashes resulting in serious and fatal injuries, even among vehicles that perform well in regulatory and consumer information crash tests. One of the critical aspects of understanding these crashes is knowing the crash speeds that cause the types of damage associated with serious injuries. Laboratory crash tests were conducted using 12 vehicles in three small overlap test conditions: pole, vehicle-to-vehicle collinear, and vehicle-to-vehicle oblique (15-degree striking angle). Field reconstruction techniques were used to estimate the delta V for each vehicle, and these results were compared with actual delta V values based on vehicle accelerometer data. Estimated delta Vs were 50% lower than actual values. Velocity change estimates for small overlap frontal crashes in databases such as NASS-CDS significantly underestimate actual values.
Causation patterns and data collection blind spots for fatal intersection accidents in Norway
(2010)
Norwegian fatal intersection accidents from the years 2005-2007 were analysed to identify any causation patterns among their underlying contributing factors, and also to evaluate whether the data collection and documentation procedures used by the Norwegian in-depth investigation teams produces the information necessary to perform causation pattern analysis. A total of 28 fatal accidents were analysed. Details on crash contributing factors for each driver in each crash were first coded using the Driving Reliability and Error Analysis Method (DREAM), and then aggregated based on whether the driver was going straight or turning. Analysis results indicate that turning drivers to a large extent are faced with perception difficulties and unexpected behaviour from the primary conflict vehicle, while at the same time trying to negotiate a demanding traffic situation. Drivers going straight on the other hand have less perception difficulties. Instead, their main problem is that they largely expect turning drivers to yield. When this assumption is violated, they are either slow to react or do not react at all. Contributing factors often pointed to in literature, e.g. high speed, drugs and/or alcohol and inadequate driver training, played a role in 12 of 28 accidents. While this confirms their prevalence, it also indicates that most drivers end up in these situations due to combinations of less auspicious contributing factors. In terms of data collection and documentation, information on blunt end factors (those more distant in time/space, yet important for the development of events) was more limited than information on sharp end factors (those close in time/space to the crash). A possible explanation is that analysts may view some blunt end factors as event circumstances rather than contributing factors in themselves, and therefore do not report them. There was also an asymmetry in terms of reported obstructions to view due to signposts and vegetation. While frequently reported as contributing for turning drivers, they were rarely reported as contributing for their counterparts in the same accidents. This probably reflects an involuntary focus of the analyst on identifying contributing factors for the driver legally held liable, while less attention is paid to the driver judged not at fault. Since who to blame often is irrelevant from a countermeasure development point of view, this underlying investigator mindset needs addressing to avoid future bias in crash investigation reports.
Recent findings from real-world accident data have shown that fatality risks for pedestrians are substantially lower than generally reported in the traffic safety literature. One of the keys to this insight has been the large and random sample of car-to-pedestrian crashes available in the German In-Depth Accident Study (GIDAS). Another key factor has been the proper use of weight factors in order to adjust for outcome-based sampling bias in the accident data. However, a third factor, a priori of unknown importance, has not yet been properly analysed. This is the influence of errors in impact speed estimation. In this study, we derived a statistical model of the impact speed errors for pedestrian accidents present in the GIDAS database. The error model was then applied to investigate the effect of the estimation error on the pedestrian fatality risk as a function of car impact speed. To this end, we applied a method known as the SIMulation-EXtrapolation (SIMEX) method. It was found that the risk curve is fairly tolerant to some amount of random measurement error, but that it does become flattened. It is therefore important that the accident investigations and reconstructions are of high quality to assure that systematic errors are minimised and that the random errors are under control.
The NHTSA-sponsored Crash Injury Research and Engineering Network (CIREN) has collected and analyzed crash, vehicle damage, and detailed injury data from over 4000 case occupants who were patients admitted to Level-I trauma centers following involvement in motor vehicle crashes. Since 2005, CIREN has used a methodology known as "BioTab" to analyze and document the causes of injuries resulting from passenger vehicle crashes. BioTab was developed to provide a complete evidenced-based method to describe and document injury causation from in-depth crash investigations with confidence levels assigned to the causes of injury based on the available evidence. This paper describes how the BioTab method is being used in CIREN to leverage the data collected from in-depth crash investigations, and particularly the detailed injury data available in CIREN, to develop evidence-based assessments of injury causation. CIREN case examples are provided to demonstrate the ability of the BioTab method to improve real-world crash/injury data assessment.
Sowohl die Zahl der im Straßenverkehr Getöteten wie auch die der Schwerverletzten sind nach Angaben der amtlichen Statistiken in Deutschland seit Jahren rückläufig. Die Gruppe der Schwerverletzten ist allerdings sehr heterogen und umfasst alle Unfallopfer, die für mindestens 24 Stunden in einem Krankenhaus behandelt wurden. Die vorliegende Untersuchung versucht, mit Hilfe von Daten des Traumaregisters der Deutschen Gesellschaft für Unfallchirurgie (DGU) die Frage zu beantworten, ob auch bei den besonders schwer verletzten Verkehrsunfallopfern ein Rückgang der Zahlen zu beobachten ist. Dazu wurden "schwerstverletzte" Patienten definiert als solche, die im Injury Severity Score (ISS) mindestens 9 Punkte erreicht haben und zudem intensivmedizinisch behandelt werden mussten. Der Zeitraum der Untersuchung umfasst zehn Jahre von 1997 bis 2006, der für einige Fragestellungen zusätzlich in zwei je 5-jährige Phasen unterteilt wurde. Ab 2002 (Phase 2) ist auch eine separate Auswertung für Fahrrad- und Motorradfahrer möglich. Die erste Fragestellung richtete sich auf die Veränderung der Anzahl schwerstverletzter Verkehrsunfallopfer über die Zeit. Dafür wurden die Daten von über 11.000 Patienten aus 67 verschiedenen Kliniken betrachtet. Pro Klinik wurde ein Durchschnittswert für die Anzahl von Verkehrsunfallopfern bestimmt, der dann mit der tatsächlich beobachteten Zahl verglichen wurde. Im Ergebnis zeigte sich, dass die relativen Abweichungen vom Durchschnitt insgesamt nur etwa -±10% betragen und dass kein deutlicher Trend einer Abnahme oder Zunahme der Schwerstverletztenzahlen in den vergangenen 10 Jahren erkennbar ist. In der zweiten Fragestellung wurde untersucht, ob und wie stark ein Rückgang der Letalität zu einem Anstieg der Schwerstverletztenzahlen geführt haben könnte. Es konnte gezeigt werden, dass in den letzten beiden Jahren deutlich weniger Patienten im Krankenhaus verstorben sind, als dies nach ihrer Prognose zu erwarten gewesen wäre. Dieser Rückgang der Letalitätsrate von absolut bis zu 5 (in 2006: Prognose 18% versus beobachtet 13%) trägt damit auch zu einer Zunahme bei der Zahl der Schwerstverletzten bei. Zur Abschätzung der Prognose wurde ein im Traumaregister entwickeltes und validiertes Scoresystem (RISC) eingesetzt. In der letzten Fragestellung sollte geklärt werden, ob sich das Verletzungsmuster bei den Schwerstverletzten in den vergangenen zehn Jahren und abhängig von der Art der Verkehrsteilnahme verändert hat. Insgesamt konnte gezeigt werden, dass der relative Anteil der Autofahrer rückläufig war, von 60% auf 50%. Bei den verletzten Körperregionen zeigt das Schädel-Hirn-Trauma den deutlichsten Rückgang von 69 % auf 60% insgesamt. Dieser Trend ist bei allen Verkehrsbeteiligten erkennbar. Lediglich Verletzungen der Wirbelsäule werden häufiger gesehen, was aber auch ein Effekt der verbesserten CT-Diagnostik sein kann, zum Beispiel beim Ganzkörper-CT. Je nach Art der Verkehrsbeteiligung zeigen sich sehr unterschiedliche Verletzungsmuster. Verletzungen des Kopfes sind bei Radfahrern und Fußgängern dominierend (über 70%), während Motorradfahrer hier die günstigsten Raten zeigen (45%). Motorrad- und Autofahrer haben die höchsten Raten für Verletzungen des Brustkorbs und im Bauchraum, bedingt durch die im Mittel höheren einwirkenden Kräfte auf den Körper. Insgesamt lassen sich die Daten des DGU-Traumaregisters gut nutzen, um typische Verletzungsmuster zu beschreiben und um relative Veränderungen bei der Zahl der Schwerstverletzten über die Zeit nachzuweisen. Beobachtungszeiträume von zehn Jahren und mehr, wie im vorliegenden Fall, ermöglichen auch aktuelle Trendaussagen. Epidemiologische Aussagen wie in den amtlichen Statistiken sind aber nur sehr eingeschränkt möglich, da das Traumaregister bisher nur auf freiwilliger Basis Daten sammelt.
Crash involvement studies using routine accident and exposure data : a case for case-control designs
(2009)
Fortunately, accident involvement is a rare event: the chance of an individual road user trip to end up in a crash is close to zero. Thus, according to general epidemiological principles one can expect the case-control study design to be especially suitable for quantifying the relative risk (odds ratio) of accident involvement of road users with a certain risk factor as compared to road users that do not have this characteristic. Ideally, of course, the database for such a case-control study should be established by drawing two independent random samples of cases (accidental units) and controls (nonaccidental units), respectively. If, however, special data collection is not an option, it is nevertheless possible to analyze routine accident and exposure data under a case-control design in order to fully exploit the information contained in already existing databases. As a prerequisite, accident and exposure data from different sources are to be combined in a single file of micro or grouped data in a way consistent with the case-control study design. Among other things, the proposed methodological approach offers the possibility to use in-depth data of the GIDAS type also in investigations of active vehicle safety by combining this data with appropriate vehicle trip data collected in mobility surveys.
Methods for analyzing the efficiency of primary safety measures based on real life accident data
(2009)
Primary safety measures are designed to help to avoid accidents or, if this is not possible, to stabilize respectively reduce the dynamics of the vehicle to such an extent that the secondary safety measures are able to act as good as possible. The efficiency of a primary safety measure is a criterion for the effectiveness, with which a system of primary safety succeeds in avoiding or mitigation the severity of accidents within its range of operation and in interactionwith driver and vehicle. Based on Daimler-´s philosophy of the "Real Life Safety" the reflection of the real world accidents in the systems range of operation is both starting point as well as benchmark for its optimization. This paper deals with the methodology to perform assessments of statistical representative efficiency of primary safety measures. To be able to carry out an investigation concerning the efficiency of a primary safety measure in a transparent and comparable way basic definitions and systematics were introduced. Based on these definitions different systematic methods for estimating efficiency were discussed and related to each other. The paper is completed by presenting an example for estimating the efficiency of actual "single" and "multi" connected primary safety systems.
Who doesn't wear seat belts?
(2009)
Using real world accident data, seat belts were estimated to be 61% effective at preventing fatalities, and 32% effective at preventing serious injuries. They were most effective for drivers with an airbag. Seat belts were estimated as having prevented 57,000 fatalities and 213,000 seriously injured casualties in the UK since 1983. Seat belt legislation was estimated to have prevented 31,000 fatalities and 118,000 seriously injured casualties. A future increase in effective seat belt wearing rate (which takes into account seating position) in the UK from 92.5% to 93% may prevent casualties valued at a societal cost of over -£18 million per year. To target a seat belt campaign, the question "who doesn"t wear seat belts?" must be answered. Seat belt wearing rates and the number of unbelted casualties were analysed. It was primarily young adult males who didn"t wear seat belts, and they made up the majority of unbelted fatalities and seriously injured casualties.