Do sports utility vehicles (SUVs) and light truck vehicles (LTVs) cause more severe injuries to pedestrians and cyclists than passenger cars in the case of a crash? A systematic review and meta-analysis.
IF 2.5 3区 医学Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Elsa Robinson, Phil Edwards, Anthony Laverty, Anna Goodman
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引用次数: 0
Abstract
Questions: In the case of a road traffic crash, do sports utility vehicles (SUVs) and light truck vehicles (LTVs) cause more severe injuries to pedestrians and cyclists than passenger cars? Does any effect differ between adults and children?
Design: Systematic review and meta-analysis.
Data sources: MEDLINE, TRID and Global Index Medicus were searched up to September 2024, with no restrictions by setting or language.
Inclusion criteria: Eligible studies had to compare injury severity between pedestrians and/or cyclists hit by an SUV or LTV versus a passenger car. Only sources using real-world crash data were included.
Main outcome measure: Injury severity, defined either as 'fatal versus non-fatal injury' or as 'killed or seriously injured (KSI) versus slight injury'.
Results: 24 studies were included in the meta-analysis. The results were similar between pedestrians and cyclists. When combining pedestrians and cyclists, the pooled odds of KSI versus slight injury if hit by an SUV/LTV versus a passenger car were higher among adults/all-age samples by 1.24 (95% CI 1.15, 1.34) and higher among children by 1.28 (95% CI 1.19, 1.37). The odds of fatal versus non-fatal injury if hit by an SUV/LTV versus a passenger car increased among adults/all-age samples by 1.44 (95% CI 1.33, 1.56) and among children by 1.82 (95% CI 1.57, 2.11; p=0.006 for heterogeneity by age).
Conclusion: In the case of a crash, SUVs and LTVs cause more severe injuries to pedestrians and cyclists than passenger cars. This effect is larger for fatalities than for KSIs, and the fatality effect is particularly large for children.PROSPERO registration number CRD42024597283.
问题：在道路交通碰撞的情况下，运动型多功能车（suv）和轻型卡车（ltv）对行人和骑自行车的人造成的伤害是否比乘用车更严重？成人和儿童的影响有什么不同吗？设计：系统回顾和荟萃分析。数据来源：MEDLINE， TRID和Global Index Medicus检索截止到2024年9月，无设置或语言限制。纳入标准：符合条件的研究必须比较行人和/或骑自行车的人被SUV或LTV与乘用车撞击的伤害严重程度。仅包括使用真实崩溃数据的来源。主要结局指标：伤害严重程度，定义为“致命与非致命伤害”或“死亡或重伤（KSI）与轻伤”。结果：24项研究被纳入meta分析。行人和骑自行车的人的结果相似。当将行人和骑自行车的人结合在一起时，成年人/所有年龄段的样本中，被SUV/LTV撞到的KSI和轻伤的总几率比乘用车高1.24 (95% CI 1.15, 1.34)，儿童高1.28 （95% CI 1.19, 1.37）。与乘用车相比，成人/所有年龄段的样本中，SUV/LTV造成致命和非致命伤害的几率增加了1.44 (95% CI 1.33, 1.56)，儿童增加了1.82 (95% CI 1.57, 2.11；年龄异质性P =0.006)。结论：在碰撞的情况下，suv和ltv对行人和骑自行车的伤害比乘用车更严重。这种影响对死亡率的影响大于对ksi的影响，对儿童的死亡率影响尤其大。普洛斯彼罗注册号CRD42024597283。
期刊介绍：
Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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