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1.
Traffic Inj Prev ; 24(sup1): S111-S115, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37267014

RESUMO

OBJECTIVE: The first automatic emergency braking (AEB) system was presented in 2003 and aimed to mitigate or reduce rear-end crashes. Since then, several AEB systems aimed to reduce other collision types have been introduced and studies have shown that they reduce crash risks. The aim with this study was to evaluate crash reductions of cars fitted with AEB systems with pedestrian detection and those with bicyclist detection. METHODS: The study is based on the Swedish Traffic Accident Data Acquisition that includes road traffic accidents reported by the police and by emergency hospitals. Crashes occurring between 2015 and 2020 and with cars from model years 2015 to 2020 were included. The statistical analysis used odds ratio calculations with an induced exposure approach where the outcomes of sensitive and nonsensitive crashes were studied. The sensitive crashes were hit pedestrians and bicyclists, respectively. The nonsensitive crash type in both comparisons was struck vehicles in rear-end crashes. Evaluations were also made for different light and weather conditions and for high and low speed roads. RESULTS: Seven hundred and twelve hit pedestrians and 1,105 hit bicyclists were included, and the nonsensitive crashes consisted of 1,978 vehicles. The overall reduction on crash risk for AEB with pedestrian detection was 8% (±15%; ns) and for AEB with bicyclist detection it was 21% (±17%). When separating for light conditions, no reduction in crash risk for AEB with pedestrian detection nor for AEB with bicyclist detection could be seen in darkness. However, in daylight and twilight conditions, AEB with pedestrian detection reduced pedestrian crash risk by 18% (±19%; ns) and AEB with bicyclist detection reduced bicyclist crash risk by 23% (±19%). No significant reductions could be seen when separating for weather conditions except for a 53% (±31%) reduction for bicyclists in rain, fog, and snowfall. A larger reduction on high-speed roads (50-120 km/h) compared with low-speed roads (10-40 km/h) was also found. CONCLUSIONS: AEB systems with bicyclist detection were found to reduce the numbers of hit bicyclists, especially in daylight and twilight conditions. In darkness, no reduction for hit pedestrians or bicyclists was found.


Assuntos
Pedestres , Ferimentos e Lesões , Humanos , Acidentes de Trânsito/prevenção & controle , Equipamentos de Proteção , Automóveis , Suécia
3.
Traffic Inj Prev ; 18(2): 225-229, 2017 02 17.
Artigo em Inglês | MEDLINE | ID: mdl-27624313

RESUMO

OBJECTIVE: The objective of this study was to estimate the safety benefits of in vehicle lane departure warning (LDW) and lane keeping aid (LKA) systems in reducing relevant real-world passenger car injury crashes. METHODS: The study used an induced exposure method, where LDW/LKA-sensitive and nonsensitive crashes were compared for Volvo passenger cars equipped with and without LDW/LKA systems. These crashes were matched by car make, model, model year, and technical equipment; that is, low-speed autonomous emergency braking (AEB) called City Safety (CS). The data were extracted from the Swedish Traffic Accident Data Acquisition database (STRADA) and consisted of 1,853 driver injury crashes that involved 146 LDW-equipped cars, 11 LKA-equipped cars, and 1,696 cars without LDW/LKA systems. RESULTS: The analysis showed a positive effect of the LDW/LKA systems in reducing lane departure crashes. The LDW/LKA systems were estimated to reduce head-on and single-vehicle injury crashes on Swedish roads with speed limits between 70 and 120 km/h and with dry or wet road surfaces (i.e., not covered by ice or snow) by 53% with a lower limit of 11% (95% confidence interval [CI]). This reduction corresponded to a reduction of 30% with a lower limit of 6% (95% CI) for all head-on and single-vehicle driver injury crashes (including all speed limits and all road surface conditions). CONCLUSIONS: LDW/LKA systems were estimated to lower the driver injury risk in crash types that the systems are designed to prevent; that is, head-on and single-vehicle crashes. Though these are important findings, they were based on a small data set. Therefore, further research is desirable to evaluate the effectiveness of LDW/LKA systems under real-world conditions and to differentiate the effectiveness between technical solutions (i.e., LDW and LKA) proposed by different manufacturers.


Assuntos
Acidentes de Trânsito/prevenção & controle , Automóveis , Equipamentos de Proteção , Ferimentos e Lesões/prevenção & controle , Acidentes de Trânsito/estatística & dados numéricos , Bases de Dados Factuais , Desenho de Equipamento , Humanos , Modelos Teóricos , Suécia
4.
Traffic Inj Prev ; 7(2): 125-9, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16854706

RESUMO

UNLABELLED: Recently, smart seat belt reminders (SBR) have been introduced in cars. By increasingly reminding drivers and passengers if they are not using the seat belt, the intention is to increase the belt use to almost 100%. OBJECTIVE: The objective was to study if there were differences in driver's seat belt use between cars with and without SBR. METHODS: Drivers of cars with and without SBR were observed concerning seat belt use. The case (cars with SBR) and the control group (cars without SBR) were similar in all major aspects except SBR. In all, more than 3,000 drivers were observed in five cities in Sweden. RESULTS: In cars without SBR, 82.3 percent of the drivers used the seat belt, while in cars with SBR, the seat belt use was 98.9 percent. The difference was significant. In cars with mild reminders, the use was 93.0 percent. CONCLUSION: It is concluded, that if the results can be generalised to the whole car population this would have a dramatic impact on the number of fatally and seriously injured car occupants.


Assuntos
Automóveis/normas , Sistemas de Alerta , Cintos de Segurança/estatística & dados numéricos , Condução de Veículo/normas , Humanos , Observação , Suécia , Ferimentos e Lesões/prevenção & controle
5.
Traffic Inj Prev ; 7(1): 38-43, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16484031

RESUMO

UNLABELLED: Electronic Stability Control (ESC) was introduced on the mass market in 1998. Since then, several studies showing the positive effects of ESC have been presented. OBJECTIVE: In this study, data from crashes occurring in Sweden during 1998 to 2004 were used to evaluate the effectiveness of ESC on real life crashes. The effectiveness was analyzed for different road conditions, and some accident types and injury levels. METHODS: The study used statistical analysis. To control for exposure, induced exposure methods were used, where ESC-sensitive to ESC-insensitive crashes and road conditions were matched in relation to cars equipped with and without ESC. Cars of similar or, in some cases, identical make and model were used to isolate the role of ESC. RESULTS: The study shows a positive and consistent effect of ESC overall and in circumstances where the road has low friction. The overall effectiveness on all injury crash types, except rear end crashes, was 16.7 +/- 9.3%, while for serious and fatal crashes; the effectiveness was 21.6 +/- 12.8%. The corresponding estimates for crashes with injured car occupants were 23.0 +/- 9.2% and 26.9 +/- 13.9%. For serious and fatal loss-of-control type crashes on wet roads the effectiveness was 56.2 +/- 23.5% and for roads covered with ice or snow the effectiveness was 49.2 +/- 30.2%. It was estimated that for Sweden, with a total of 500 vehicle related deaths annually, that 80-100 fatalities could be saved annually if all cars had ESC. CONCLUSIONS: ESC was found to reduce crashes with personal injuries, especially serious and fatal injuries. The effectiveness ranged from at least 13% for car occupants in all types of crashes with serious or fatal outcome to a minimum of 35% effectiveness for single/oncoming/overtaking serious and fatal crashes on wet or icy road surface. No difference in deformation pattern was found for cars with or without ESC.


Assuntos
Acidentes de Trânsito/prevenção & controle , Automóveis , Eletrônica , Ferimentos e Lesões/prevenção & controle , Acidentes de Trânsito/mortalidade , Acidentes de Trânsito/estatística & dados numéricos , Humanos , Modelos Teóricos , Suécia , Ferimentos e Lesões/mortalidade
6.
Traffic Inj Prev ; 17(3): 297-303, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26098303

RESUMO

OBJECTIVE: Several studies have reported the benefits of motorcycle antilock braking systems (ABS) in reducing injury crashes, due to improved stability and braking performance. Both aspects may prevent crashes but may also reduce the crash severity when a collision occurs. However, it is still unknown to what extent the reductions in injury crashes with ABS may be due to a combination of these mechanisms. METHODS: Swedish hospital and police reports (2003-2012) were used. The risk for permanent medical impairment (RPMI) was calculated, showing the risk of at least 1 or 10% permanent medical impairment. In total, 165 crashes involving ABS-equipped motorcycles were compared with 500 crashes with similar motorcycles without ABS. The analysis was performed in 3 steps. First, the reduction in emergency care visits with ABS was calculated using an induced exposure approach. Secondly, the injury mitigating effects of ABS were investigated. The mean RPMI 1+ and RPMI 10+ were analyzed for different crash types. The distributions of impairing injuries (PMI 1+) and severely impairing injuries (PMI 10+) were also analyzed. In the third step, the total reduction of PMI 1+ and PMI 10+ injured motorcyclists was calculated by combining the reductions found in the previous steps. An additional analysis of combined braking systems (CBS) together with ABS was also performed. RESULTS: The results showed that emergency care visits were reduced by 47% with ABS. In the second step, it was found that the mean RPMI 1+ and RPMI 10+ with ABS were 15 and 37% lower, respectively. Finally, the third step showed that the total reductions in terms of crash avoidance and mitigation of PMI 1+ and PMI 10+ injured motorcyclists with ABS were 67 and 55%, respectively. However, PMI 1+ and PMI 10+ leg injuries were not reduced by ABS to the same extent. Indications were found suggesting that the benefits of ABS together with CBS may be greater than ABS alone. CONCLUSIONS: This article indicated that motorcycle ABS reduced impairing injuries, mostly due to fewer emergency care visits but also due to a reduction in crash severity. This may seem reasonable as the improved stability and braking performance provided by ABS could prevent some crashes but would also decrease crash severity if a collision still occurs. As suggested by previous studies, however, the lower extremities would be more exposed in a crash with ABS. It is recommended that future research should follow up these results with additional data.


Assuntos
Acidentes de Trânsito/prevenção & controle , Acidentes de Trânsito/estatística & dados numéricos , Motocicletas , Equipamentos de Proteção , Ferimentos e Lesões/epidemiologia , Humanos , Risco , Suécia/epidemiologia , Índices de Gravidade do Trauma
7.
Traffic Inj Prev ; 17(6): 625-32, 2016 08 17.
Artigo em Inglês | MEDLINE | ID: mdl-26760265

RESUMO

OBJECTIVE: This research investigated the following issue. Though several tests indicate that motorcycle ABS may increase motorcycle stability, thus reducing the risk of a sliding crash involving braking (i.e., the rider is separated from the motorcycle and slides along the road surface prior to collision), there is limited research showing to what extent sliding crashes are reduced by ABS in real-life conditions. METHODS: The Swedish Transport Administration (STA) and the Norwegian Public Roads Administration (NPRA) carry out in-depth studies for all road fatalities. A total of 38 in-depth studies with ABS motorcycles were included: 22 in Sweden and 16 in Norway (2005-2014). These were compared with 98 cases in Sweden and 32 in Norway involving motorcycles of the same types but without ABS. The data sets were analyzed separately and also merged together. The difference between the proportions of sliding crashes regardless braking was analyzed; selective recruitment was handled with a sensitivity analysis. Induced exposure was used to calculate the reduction of all crashes and those involving braking. RESULTS: Four ABS cases (11%) involved falling off the motorcycle prior to collision, and 35% of the non-ABS crashes were sliding (P =.004). The sensitivity analysis showed that the results were stable, with a relative difference of sliding crashes ranging between 65 and 78%. None of the 4 sliding crashes with ABS occurred during braking; that is, all ABS riders who braked prior to collision crashed in an upright position. In the 4 sliding cases with ABS, the riders lost control of their motorcycles: 2 while accelerating on asphalt with very poor friction, 1 while negotiating a curve with an excessive lean angle, and 1 by abruptly releasing the throttle in the middle of a curve. Although based on a limited number of cases, the distributions of sliding and upright collisions among crashes without braking were similar, thus suggesting that the crash posture would not be affected by ABS if no braking occurred. The calculations with induced exposure showed that upright crashes with braking were also reduced by ABS; all fatal crashes, regardless of braking, were reduced by 52%. CONCLUSIONS: Though this research was based on a limited material, it confirmed that sliding fatal crashes are significantly decreased by ABS. Considering that ABS will soon be mandatory in the European Union on all new motorcycles with engine displacement over 125cc, these findings should be taken into account in the future design and testing of motorcycle-friendly road barriers and integrated protection systems.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Motocicletas , Equipamentos de Proteção , Acidentes de Trânsito/mortalidade , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Noruega/epidemiologia , Risco , Suécia/epidemiologia , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: mdl-16179141

RESUMO

Recent studies have shown that survivors of road traffic crashes experience significant psychological health difficulties. Perception of another party as being responsible for the occurrence of a crash has been associated with on-going distress and lower psychological well-being. This paper extends this research by examining the influence of perceived crash responsibility on depression severity. A total of 57 adults aged 18-58 years injured in a road traffic crash were interviewed prior to hospital discharge and at 2-months post-crash. The results indicate that perceiving oneself as being responsible for the crash is associated with higher levels of later depression compared to those where responsibility is perceived to be shared, and to a lesser extent compared to those perceiving another party as being responsible. Persistent pain and pre-crash psychological health were found to be strongly associated with later depression severity, while trends indicate that length of stay beyond 7 days in hospital is also an important predictor. These findings are discussed in the context of past research.


Assuntos
Acidentes de Trânsito/psicologia , Depressão/fisiopatologia , Índice de Gravidade de Doença , Responsabilidade Social , Adolescente , Adulto , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Vitória
9.
Traffic Inj Prev ; 16(2): 177-83, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24884403

RESUMO

OBJECTIVES: This study set out to evaluate the effectiveness of motorcycle antilock braking systems (ABS) in reducing real-life crashes. Since the European Parliament has voted on legislation making ABS mandatory on all new motorcycles over 125 cc from 2016, the fitment rate in Europe is likely to increase in the coming years. Though previous research has focused on mostly large displacement motorcycles, this study used police reports from Spain (2006-2009), Italy (2009), and Sweden (2003-2012) in order to analyze a wide range of motorcycles, including scooters, and compare countries with different motorcycling habits. METHODS: The statistical analysis used odds ratio calculations with an induced exposure approach. Previous research found that head-on crashes were the least ABS-affected crash type and was therefore used as the nonsensitive crash type for ABS in these calculations. The same motorcycle models, with and without ABS, were compared and the calculations were carried out for each country separately. Crashes involving only scooters were further analyzed. RESULTS: The effectiveness of motorcycle ABS in reducing injury crashes ranged from 24% (95% confidence interval [CI], 12-36) in Italy to 29% (95% CI, 20-38) in Spain, and 34% (95% CI, 16-52) in Sweden. The reductions in severe and fatal crashes were even greater, at 34% (95% CI, 24-44) in Spain and 42% (95% CI, 23-61) in Sweden. The overall reductions of crashes involving ABS-equipped scooters (at least 250 cc) were 27% (95% CI, 12-42) in Italy and 22% (95% CI, 2-42) in Spain. ABS on scooters with at least a 250 cc engine reduced severe and fatal crashes by 31% (95% CI, 12-50), based on Spanish data alone. CONCLUSIONS: At this stage, there is more than sufficient scientific-based evidence to support the implementation of ABS on all motorcycles, even light ones. Further research should aim at understanding the injury mitigating effects of motorcycle ABS, possibly in combination with combined braking systems.


Assuntos
Acidentes de Trânsito/prevenção & controle , Motocicletas , Equipamentos de Proteção , Ferimentos e Lesões/prevenção & controle , Acidentes de Trânsito/estatística & dados numéricos , Adolescente , Adulto , Humanos , Itália/epidemiologia , Polícia , Registros , Espanha/epidemiologia , Suécia/epidemiologia , Ferimentos e Lesões/epidemiologia , Adulto Jovem
10.
Traffic Inj Prev ; 5(1): 37-41, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-14754673

RESUMO

ESP (Electronic Stability Program) has recently been introduced onto the market in an effort to reduce the number and severity of loss-of-control automobile accidents. This reduction is expected to be particularly evident for accidents on roads with low friction (e.g., wet or icy conditions). This study aimed to evaluate the statistical effectiveness of ESP using data from accidents that occurred in Sweden during 2000 to 2002. To control for exposure, induced exposure methods were used, where ESP-sensitive to ESP-insensitive accidents and road conditions were matched in relation to cars equipped with and without ESP. Cars of similar, or in some cases identical, make and model were used to isolate the role of ESP. As predicted, the study showed a positive effect of ESP in circumstances where road surfaces have low friction. The overall effectiveness was 22.1 (+/-21) percent, while for accidents on wet roads, the effectiveness increased to 31.5 (+/-23.4) percent. On roads covered with ice and snow, the corresponding effectiveness was 38.2 (+/-26.1) percent. In addition, ESP was found to be effective for three different types of cars: small front-wheel drive; large front-wheel drive; and large rear-wheel drive.


Assuntos
Acidentes de Trânsito/prevenção & controle , Eletrônica , Fricção , Humanos , Suécia
11.
Traffic Inj Prev ; 4(2): 136-40, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16210198

RESUMO

One hundred ninety-five rear impacts with both front- and rear-seat occupants in the struck car, where at least one occupant sustained permanent disability, were selected for study. There was a significantly higher disability risk for the female rear-seat occupant compared with the male driver. Furthermore, a higher risk was found for female rear-seat occupants compared with female front-seat passengers. The disability risk for occupants of the driver's seat was three times higher for females than for males, and four times higher for females in the rear seat. In the future, test methods should consider the risk of whiplash injury in both the front and the rear seat.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Traumatismos em Chicotada/epidemiologia , Adolescente , Adulto , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Risco , Fatores Sexuais , Suécia
12.
Stapp Car Crash J ; 58: 213-31, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26192956

RESUMO

Pedestrians and bicyclists account for a significant share of deaths and serious injuries in the road transport system. The protection of pedestrians in car-to-pedestrian crashes has therefore been addressed by friendlier car fronts and since 1997, the European New Car Assessment Program (Euro NCAP) has assessed the level of protection for most car models available in Europe. In the current study, Euro NCAP pedestrian scoring was compared with real-life injury outcomes in car-to-pedestrian and car-tobicyclist crashes occurring in Sweden. Approximately 1200 injured pedestrians and 2000 injured bicyclists were included in the study. Groups of cars with low, medium and high pedestrian scores were compared with respect to pedestrian injury severity on the Maximum Abbreviated Injury Scale (MAIS)-level and risk of permanent medical impairment (RPMI). Significant injury reductions to both pedestrians and bicyclists were found between low and high performing cars. For pedestrians, the reduction of MAIS2+, MAIS3+, RPMI1+ and RPMI10+ ranged from 20-56% and was significant on all levels except for MAIS3+ injuries. Pedestrian head injuries had the highest reduction, 80-90% depending on level of medical impairment. For bicyclist, an injury reduction was only observed between medium and high performing cars. Significant injury reductions were found for all body regions. It was also found that cars fitted with autonomous emergency braking including pedestrian detection might have a 60-70% lower crash involvement than expected. Based on these results, it was recommended that pedestrian protection are implemented on a global scale to provide protection for vulnerable road users worldwide.


Assuntos
Acidentes de Trânsito , Automóveis , Ferimentos e Lesões , Escala Resumida de Ferimentos , Acidentes de Trânsito/prevenção & controle , Acidentes de Trânsito/estatística & dados numéricos , Ciclismo/estatística & dados numéricos , Análise de Perigos e Pontos Críticos de Controle , Humanos , Medição de Risco , Segurança , Suécia/epidemiologia , Índices de Gravidade do Trauma , Caminhada/lesões , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/etiologia , Ferimentos e Lesões/prevenção & controle
13.
Accid Anal Prev ; 55: 274-81, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23598087

RESUMO

Real-world retrospective evaluation of the safety benefits of new integrated safety technologies is hampered by the lack of sufficient data to assess early reliable benefits. This MUNDS study set out to examine if a "prospective" case-control meta-analysis had the potential to provide more rapid and rigorous analyses of vehicle and infrastructure safety improvements. To examine the validity of the approach, an analysis of the effectiveness of ESC using a consistent analytic strategy across 6 European and Australasian databases was undertaken. It was hypothesised that the approach would be valid if the results of the MUNDS analysis were consistent with those published earlier (this would confirm the suitability of the MUNDS approach). The findings confirm the hypothesis and also found stronger and more robust findings across the range of crash-types, road conditions, vehicle sizes and speed zones than previous. The study recommends that while a number of limitations were identified with the findings that need be addressed in future research, the MUNDS approach nevertheless should be adopted widely for the benefit of all vehicle occupants.


Assuntos
Acidentes de Trânsito/prevenção & controle , Automóveis , Equipamentos de Proteção , Tecnologia , Austrália , Estudos de Casos e Controles , Finlândia , Humanos , Itália , Nova Zelândia , Estudos Prospectivos , Análise de Regressão , Suécia , Reino Unido
14.
Accid Anal Prev ; 45: 50-60, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22269484

RESUMO

This study set out to examine the effects of studded tires on fatal crashes on roads covered with ice or snow in Sweden and also to investigate the extra benefits of electronic stability control (ESC) during the winter months. Two different studies are presented in this paper. Both studies used an induced exposure approach. In the main study, 369 in-depth studies of fatal crashes with passenger cars were analyzed to determine whether loss-of-control (LOC) had been a major component or not. Only crashes involving cars without ESC and equipped with approved studded or non-studded winter tires were analyzed. The additional study used police-reported crashes that occurred during the winter seasons 2003-2010, involving passenger cars with and without ESC. While police records in Sweden do not include any tire information, it was assumed that most cars involved in crashes during the winter period would be equipped with studded tires. Findings in the main study showed that in 64% of the fatal crashes on roads covered with ice or snow LOC had been a major component. Furthermore, in 82% of LOC crashes, the passenger car over-steered prior to collision. Studded tires were found to have a statistically significant effect of 42% in terms of fatal crash reduction on roads covered with ice or snow, compared to non-studded winter tires. The effect on dry or wet roads in the winter was negative, although statistically non-significant. In the additional study, it was found that ESC further reduced crashes with injuries by 29%. The benefits on severe and fatal crashes were slightly greater (32%), although the lower 95% confidence limit was lower. Although studded tires were shown to reduce the risk of fatal crash involvement, compared to non-studded winter tires, the proportion of LOC and over-steering among cars with studded tires was large (59% and 49%, respectively). It was therefore concluded that studded tires do not prevent all LOC crashes, while ESC has benefits in those crashes since this technology mostly addresses over-steering. This is also supported by the fact that the share of LOC fatal crashes is considerably lower for ESC-equipped cars. This study recommends that non-ESC cars should be fitted with studded tires if they are to be driven on roads covered by ice or snow. If the proportion of studded tires is to be decreased on Swedish roads to reduce the about of hazardous particulates especially in built up areas, from a road safety point of view it is recommended that this should be done in phase with the implementation of ESC on all passenger cars.


Assuntos
Acidentes de Trânsito/mortalidade , Acidentes de Trânsito/prevenção & controle , Automóveis/estatística & dados numéricos , Automóveis/normas , Equipamentos de Proteção/normas , Estações do Ano , Air Bags , Condução de Veículo/normas , Causas de Morte/tendências , Humanos , Gelo , Modelos Estatísticos , Cintos de Segurança , Neve , Suécia
15.
Stapp Car Crash J ; 56: 497-509, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23625572

RESUMO

In the design of a safe road transport system there is a need to better understand the safety challenges lying ahead. One way of doing that is to evaluate safety technology with retrospective analysis of crashes. However, by using retros- pective data there is the risk of adapting safety innovations to scenarios irrelevant in the future. Also, challenges arise as safety interventions do not act alone but are rather interacting components in a complex road transport system. The objective of this study was therefore to facilitate the prioritizing of road safety measures by developing and applying a new method to consider possible impact of future vehicle safety technology. The key point was to project the chain of events leading to a crash today into the crashes for a given time in the future. Assumptions on implementation on safety technologies were made and these assump- tions were applied on the crashes of today. It was estimated which crashes would be prevented and the residual was analyzed to identify the characteristics of future crashes. The Swedish Transport Administration's in-depth studies of fatal crashes from 2010 involving car passengers (n=156) were used. This study estimated that the number of killed car occupant would be reduced with 53 percent from the year 2010 to 2020. Through this new method, valuable information regarding the characteristic of the future crashes was found. The results of this study showed that it was possible to evaluate future impact of vehicle safety technology if detailed and representative crash data is available.


Assuntos
Acidentes de Trânsito/prevenção & controle , Automóveis , Difusão de Inovações , Segurança , Acidentes de Trânsito/tendências , Desenho de Equipamento , Estudos de Avaliação como Assunto , Previsões , Suécia
16.
Traffic Inj Prev ; 12(6): 604-13, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22133337

RESUMO

OBJECTIVE: The aim of the present study was to estimate the correlation between Euro NCAP pedestrian rating scores and injury outcome in real-life car-to-pedestrian crashes, with special focus on long-term disability. Another aim was to determine whether brake assist (BA) systems affect the injury outcome in real-life car-to-pedestrian crashes and to estimate the combined effects in injury reduction of a high Euro NCAP ranking score and BA. METHODS: In the current study, the Euro NCAP pedestrian scoring was compared with the real-life outcome in pedestrian crashes that occurred in Sweden during 2003 to 2010. The real-life crash data were obtained from the data acquisition system Swedish Traffic Accident Data Acquisition (STRADA), which combines police records and hospital admission data. The medical data consisted of International Classification of Diseases (ICD) diagnoses and Abbreviated Injury Scale (AIS) scoring. In all, approximately 500 pedestrians submitted to hospital were included in the study. Each car model was coded according to Euro NCAP pedestrian scores. In addition, the presence or absence of BA was coded for each car involved. Cars were grouped according to their scoring. Injury outcomes were analyzed with AIS and, at the victim level, with permanent medical impairment. This was done by translating the injury scores for each individual to the risk of serious consequences (RSC) at 1, 5, and 10 percent risk of disability level. This indicates the total risk of a medical disability for each victim, given the severity and location of injuries. The mean RSC (mRSC) was then calculated for each car group and t-tests were conducted to falsify the null hypothesis at p ≤ .05 that the mRSC within the groups was equal. RESULTS: The results showed a significant reduction of injury severity for cars with better pedestrian scoring, although cars with a high score could not be studied due to lack of cases. The reduction in RSC for medium-performing cars in comparison with low-performing cars was 17, 26, and 38 percent for 1, 5, and 10 percent of medical impairment, respectively. These results applied to urban areas with speed limits up to 50 km/h, although no significant reduction was found in higher speed zones. Regarding cars with BA, the null hypothesis could not be rejected at p = .05; hence, no significant results of injury reduction were found. CONCLUSIONS: A significant correlation between Euro NCAP pedestrian score and injury outcome in real-life car-to-pedestrian crashes was found. Injury reduction was found to be higher with increasing severity and level of permanent medical impairment. The difference between 1- and 2-star cars is 17 percent in mean risk of permanent medical impairment (mRSC) 1%+, 26 percent in mRSC 5%+, and 38 percent in mRSC 10%+ for crashes in speed zones up to 50 km/h. Brake assist was not found to provide a statistically significant injury reduction.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Pessoas com Deficiência/estatística & dados numéricos , Escala de Gravidade do Ferimento , Equipamentos de Proteção , Ferimentos e Lesões/epidemiologia , Bases de Dados Factuais , Humanos , Reprodutibilidade dos Testes , Medição de Risco/métodos , Suécia/epidemiologia , Ferimentos e Lesões/prevenção & controle
18.
Traffic Inj Prev ; 11(6): 587-93, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21128188

RESUMO

OBJECTIVE: The objective of this study was 2-fold: first, to compare Euro NCAP safety ratings of cars with those published by the Folksam real-world injury ratings; and second, to compare injury risk measures between Euro NCAP 2 and 5 Star cars with real-world injury and disability outcomes using police and insurance injury data. METHODS: Car models were grouped according to the Euro NCAP star rating scores. Folksam risk of injury ratings come from statistical analysis of real-world crashes using police and insurance databases. The paired comparison method using 2-car crashes was used to control for crash speed and the mass differences between cars of different weights were normalized. RESULTS: For all comparisons, 5-star rated Euro NCAP cars were found to have a lower risk of injury compared to 2-star rated cars (5-star cars were 10% ± 2.5% lower risk than 2-star cars). For fatal and serious injuries, the difference was 23 ± 8 percent, and for fatal injuries alone the difference was 68 ± 32 percent. By comparison, the Folksam 5-star rated cars had a relative risk of 0.020 ± 0.0024, whereas 2-star rated car risk was 0.028 ± 0.0016, corresponding to a 27 percent difference in risk between 5- and 2-star cars. CONCLUSIONS: Good correlation was found between Euro NCAP test results and real-world injury outcomes. The largest difference in injury risk between 2- and 5-star rated cars in Euro NCAP was found for risk of fatality, confirming that car manufacturers have focused their safety performance on serious crash outcomes. In addition, Euro NCAP crash tests were shown to be highly correlated with serious crash performance, confirming their relevance for evaluating real-world crash performance. Good concordance was found between Euro NCAP and Folksam real-world crash and injury ratings.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Automóveis/normas , Qualidade de Produtos para o Consumidor , Acidentes de Trânsito/mortalidade , Automóveis/classificação , Bases de Dados como Assunto , Humanos , Reprodutibilidade dos Testes , Medição de Risco/métodos , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/mortalidade
19.
Accid Anal Prev ; 42(6): 2165-70, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20728677

RESUMO

In this article, the ideas behind two different speed camera systems in Australia, Victoria, and Sweden are explored and compared. The study shows that even if the both systems technically have the same aim--to reduce speeding--the ideas of how that should be achieved differ substantially. The approach adopted in Victoria is based on the concept that speeding is a deliberate offence in which a rational individual wants to drive as fast as possible and is prepared to calculate the costs and benefits of his behaviour. Therefore, the underlying aim of the intervention is to increase the perceived cost of committing an offence whilst at the same time decrease the perceived benefits, so that the former outweigh the latter. The Swedish approach, on the other hand, appears to be based on a belief that road safety is an important priority for the road users and one of the reasons to why road users drive too fast is lack of information and social support. In order to evaluate road safety interventions and how their effects are created together with the ambition to transfer technology, there is a need for a comprehensive understanding of the systems and their modi operandi in their specific contexts. This study has shown that there are major differences between the ideas behind the two speed camera programs in Victoria, Australia and Sweden and that these ideas have an impact on the actual design of the different systems and how these are intended to create road safety effects.


Assuntos
Aceleração/efeitos adversos , Acidentes de Trânsito/prevenção & controle , Cultura , Fotografação/instrumentação , Acidentes de Trânsito/psicologia , Atitude , Análise Custo-Benefício , Comparação Transcultural , Desenho de Equipamento , Humanos , Motivação , Política Pública , Suécia , Vitória
20.
Traffic Inj Prev ; 10(5): 479-87, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19746312

RESUMO

This study set out to evaluate the effectiveness of antilock brake system (ABS) technology on motorcycles in reducing real-life injury crashes and to mitigate injury severity. The study comprised an analysis of in-depth fatal crash data in Sweden during 2005-2008 to investigate the potential of ABS as well an estimate of the effectiveness of ABS in crash reduction in Sweden between 2003 and 2008 using induced exposure methods. Findings show that head-on collisions were the least ABS-affected crash types and collisions at intersections the most influenced. Induced exposure analysis showed that the overall effectiveness of ABS was 38 percent on all crashes with injuries and 48 percent on all severe and fatal crashes, with a minimum effectiveness of 11 and 17 percent, respectively. The study recommends the fitment of ABS on all new motorcycles as soon as possible and that customers only purchase motorcycles with ABS.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Motocicletas , Equipamentos de Proteção/estatística & dados numéricos , Acidentes de Trânsito/classificação , Acidentes de Trânsito/mortalidade , Estudos de Casos e Controles , Intervalos de Confiança , Bases de Dados Factuais , Humanos , Escala de Gravidade do Ferimento , Motocicletas/classificação , Motocicletas/normas , Motocicletas/estatística & dados numéricos , Suécia/epidemiologia , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/mortalidade
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