Seat belt injuries and external markings at autopsy in cases of lethal vehicle crashes.

IF 1.5 4区 医学 Q1 LAW
Siobhan O'Donovan, Corinna van den Heuvel, Matthew Baldock, Melissa A Humphries, Roger W Byard
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引用次数: 0

Abstract

A study was undertaken to determine what injuries are associated with the wearing of seat belts and if the presence of cutaneous seat belt markings observed on victims of lethal vehicle crashes increased the likelihood of underlying injury. Autopsy reports from the files at Forensic Science South Australia were reviewed for all fatal motor vehicle crashes from January 2014 to December 2018. A total of 173 cases were included for analysis with 127 occupants wearing seat belts at the time of impact (73.4%) (age range = 18-93; mean = 45 M:F = 81:46). Of these, only 38 had external seat belt markings (29.9%) (age range = 19-83; mean = 49 M:F = 20:18). Logistic regression modelling showed that occupants who were wearing seat belts were more likely to experience closed head injury without skull fractures in addition to mesenteric and gastrointestinal injury. Increasing body mass index increased the incidence of seat belt markings (p < 0.01) and markings were more likely to be found in the presence of bilateral pelvic fractures. Thus, external seat belt markings were observed in only a minority of seatbelt wearers, and more often in individuals with higher BMIs and with bilateral pelvic fractures (possibly associated with greater momentum and impact force).

在致命车祸的尸检中,安全带损伤和外部标记。
进行了一项研究,以确定哪些伤害与系安全带有关,以及在致命车辆碰撞的受害者身上观察到的皮肤安全带标记是否增加了潜在伤害的可能性。对2014年1月至2018年12月期间所有致命机动车事故的尸检报告进行了审查。共纳入173例病例进行分析,其中127名乘员在碰撞时系安全带(73.4%)(年龄范围= 18-93;均值= 45 M:F = 81:46)。其中,只有38人(29.9%)有外部安全带标记(年龄范围= 19-83;mean = 49 M:F = 20:18)。Logistic回归模型显示,除了肠系膜损伤和胃肠道损伤外,系安全带的乘员更容易发生闭合性头部损伤而不发生颅骨骨折。体重指数的增加增加了安全带标记的发生率(p
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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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