Real-world car-to-pedestrian-crash data from an urban centre

doi:10.1186/1752-2897-4-2

Journal of Trauma Management & Outcomes

Volume 4

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Schmucker U
Beirau M
Frank M
Stengel D
Matthes G
Ekkernkamp A
Seifert J

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Beirau M
Frank M
Stengel D
Matthes G
Ekkernkamp A
Seifert J
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Research

Real-world car-to-pedestrian-crash data from an urban centre

Uli Schmucker² , Melissa Beirau¹^* , Matthias Frank¹^,2^* , Dirk Stengel¹ , Gerrit Matthes¹^,2 , Axel Ekkernkamp¹^,2 and Julia Seifert¹^,2

¹Dept of Orthopedic and Trauma Surgery, Unfallkrankenhaus Berlin, Warener Strasse 7, 12683 Berlin, Germany

²Dept of Orthopedic and Trauma Surgery, Ernst-Moritz-Arndt-University Greifswald, Sauerbruchstrasse, 17475 Greifswald, Germany

author email corresponding author email* Contributed equally

Journal of Trauma Management & Outcomes 2010, 4:2doi:10.1186/1752-2897-4-2


Published:	16 February 2010

Abstract

Background

Pedestrians are at a high risk for crash and injury. This study aims at comparing data from real world crashes with data gathered from experimental settings.

Methods

IMPAIR (In-Depth Medical Pedestrian Accident Investigation and Reconstruction) was a prospective, observational study performed in a metropolitan area. Data was collected on-scene, from clinical records, and interviews. Data comprise crash data, details on injury pattern and injury severity.

Results

Thirty-seven pedestrians (of which 19 males) with a mean 37.1 years of age were included in the study. The mean collision speed was 49.5 km/h (SD 13.7, range, 28 - 93). The mean ISS (31.0, SD 25.4) and the 24% fatality rate indicate a substantial trauma load. The most common AIS 4+ injuries were to the head (23 subjects), followed by chest (8), pelvis (4), and abdomen (2). An association of impact side and injury side (right/left) was found for abdominal, chest, pelvic, and upper limb injuries. Primary head impacts were documented on the windscreen (19 subjects), hood (10), A-pillar (2), and edge of the car roof (2). With bivariate analysis, a significant increase of MAIS 4+ head injury risk was found for collision speeds of >40 km/h (OR 9.00, 95% CI 1.96-41.36).

Conclusion

The real-world data from this study is in agreement with previous findings from biomechanical models and other simulations. This data suggest that there may be reason to include further pedestrian regulations in EuroNCAP.