Skip to main content
Log in

Effects of Vehicle Size on Pedestrian Injury Pattern and Severity: Prospective Study

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

The type of injuries caused by sport utility vehicles may be different from those caused by small passenger cars. We studied prospectively the effects of the offending vehicle type and design on severity and pattern of pedestrian injuries.

Methods

All injured pedestrians admitted to the two major trauma centers of Al-Ain city were studied prospectively during the period of April 2006 to October 2007. Patients were classified into two groups according to the offending vehicle type: small vehicle and sport utility vehicle. These two groups were compared regarding the distribution of injury and its severity.

Results

The anatomical distribution of injury in a descending order were the lower extremities (56.3, 67 %), head (53.8, 57.1 %), face (37.5, 57.1 %), and upper extremities (32.5, 28.6 %) in small vehicle and sport utility vehicle groups, respectively. No significant statistical difference has been found between the two groups regarding the anatomical distribution and severity.

Conclusions

The vehicle size and design did not affect the anatomical injury distribution and severity in our setting. High-impact speed may overcome the vehicle type when it comes to injury severity and pattern of distribution.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Peden M, Scurfield R, Sleet D et al (2004) World report on road traffic injury prevention 2004. World Health Organization, Geneva

    Google Scholar 

  2. World Health Organization (2006) Country cooperation strategy for WHO and the United Arab Emirates 2005–2009

  3. Statistics Centre Abu Dhabi (2011) Statistical Yearbook of Abu Dhabi 2011. www.scad.ae/Publications/YearBook/EBOOK_English_SYB_2011.pdf. Accessed 10 June 2012

  4. Hassan MN, Hawas YE, Maraqa MA (2012) A holistic approach for assessing traffic safety in the United Arab Emirates. Accid Anal Prev 45:554–564

    Article  PubMed  Google Scholar 

  5. Bener A, Ghaffar A, Azab A, Sankaran-Kutty M, Toth F, Lovasz G (2006) The impact of four-wheel drives on traffic disability and deaths compared to passenger cars. J Coll Physicians Surg Pak 16:257–260

    PubMed  Google Scholar 

  6. World Health Organization (2009) Global status report on road safety: time for action. Geneva. www.who.int/violence_injury_prevention/road_safety_status/2009. Accessed 25 May 2010

  7. Eid HO, Abu-Zidan FM (2007) Biomechanics of road traffic collision injuries: a clinician’s perspective. Singapore Med J 28:693–700

    Google Scholar 

  8. Ballesteros MF, Dischinger PC, Langenberg P (2004) Pedestrian injuries and vehicle type in Maryland, 1995–1999. Accid Anal Prev 36:73–81

    Article  PubMed  Google Scholar 

  9. Roudsari BS, Mock CN, Kaufman R et al (2004) Pedestrian crashes: higher injury severity and mortality rate for light truck vehicles compared with passenger vehicles. Inj Prev 10:154–158

    Article  PubMed  CAS  Google Scholar 

  10. Matsui Y (2005) Effects of vehicle bumper height and impact velocity on type of lower extremity injury in vehicle-pedestrian accidents. Accid Anal Prev 37:633–640

    Article  PubMed  Google Scholar 

  11. Abbreviated Injury Scale (AIS) produced by the Association of the Advancement of Automotive Medicine (version 1998)

  12. Maurer A, Morris JA Jr (2004) Injury severity scoring. In: Moore E, Feliciano D, Mattox K (eds) Trauma, 5th edn. McGraw-Hill, New York, pp 87–91

    Google Scholar 

  13. Strandroth J, Rizzi M, Sternlund S, Lie A, Tingvall C (2011) The correlation between pedestrian injury severity in real-life crashes and Euro NCAP pedestrian test results. Traffic Inj Prev 12:604–613

    Article  PubMed  Google Scholar 

  14. DiMaggio C, Durkin M, Richardson LD (2006) The association of light trucks and vans with paediatric pedestrian deaths. Int J Inj Contr Saf Promot 13:95–99

    Article  PubMed  Google Scholar 

  15. Hunt JP, Weintraub SL, Wang Y-Z, Buechter KJ (2004) Kinematics of trauma. In: Moore E, Feliciano D, Mattox K (eds) Trauma, 5th edn. McGraw-Hill, New York, pp 141–158

    Google Scholar 

  16. Al-Shammari N, Bendak S, Al-Ghadi S (2009) In-depth analysis of pedestrian crashes in Riyadh. Traffic Inj Prev 10:552–559

    Article  PubMed  Google Scholar 

  17. Martin J, Lardy A, Laumon B (2011) Pedestrian injury patterns according to car and casualty characteristics in France. Ann Adv Automot Med 55:137–146

    PubMed  Google Scholar 

  18. Eid HO, Barss P, Adam S et al (2009) Factors affecting anatomical region of injury, severity, and mortality for road trauma in a high-income developing country: lessons for prevention. Injury 40:703–707

    Article  PubMed  Google Scholar 

  19. Hobbs A (2001) Safer car fronts for pedestrians and cyclists. Brussels, European Transport Safety Council, Vehicle safety working party. http://www.etsc.eu/oldsite/pre_06feb01.pdf. Accessed 23 March 2012

  20. EEVC Working Group 17 Report. Improved test methods to evaluate pedestrian protection afforded by passenger cars (December 1998 with September 2002 updates) EEVC WG 17 3/25/2012. Accessed 23 March 2012

  21. EURO NCAP (2009) http://www.euroncap.com/files/euroncap_history—d7e9ac87-c4bd-4a7f-90fd-88b2bcf4da8d.pdf. Accessed 23 March 2012

Download references

Acknowledgments

The authors thank Road Traffic Engineer, Wajih Al-Shajrawi, Head of Traffic Engineering and Statistics Branch, Al-Ain police Department, Al-Ain, UAE, for supplying the data on pedestrian prehospital mortality of Al-Ain city (years 2006–2008). This study was supported by an interdisciplinary UAE University Grant No. 02-078-1/4.

Conflict of interest

No conflict of interest is declared by all authors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fikri M. Abu-Zidan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

AlEassa, E.M., Eid, H.O. & Abu-Zidan, F.M. Effects of Vehicle Size on Pedestrian Injury Pattern and Severity: Prospective Study. World J Surg 37, 136–140 (2013). https://doi.org/10.1007/s00268-012-1797-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-012-1797-4

Keywords

Navigation