title: The association between occupant restraint systems and risk of injury in frontal motor vehicle collisions.
abstract: BACKGROUND
  An evaluation of seat belt use and airbag deployment, either alone or in combination, on risk of injury to specific body regions has yet to be completed.
  
  
  METHODS
  A retrospective cohort study of front seat occupants involved in police-reported, tow-away, frontal motor vehicle collisions using data from the 1995 through 2000 National Automotive Sampling System was conducted. Only vehicles with a change in velocity (delta-V) of >/= 15 km/h were included. Risk of injury (Abbreviated Injury Scale score >/= 2) to specific body regions was compared according to seat belt use and airbag deployment.
  
  
  RESULTS
  Compared with completely unrestrained occupants, those using a seat belt alone or in combination with an airbag had a reduced overall risk of injury (relative risk, 0.42 and 0.71, respectively); no association was observed for those restrained with an airbag only (relative risk, 0.98). This pattern of results was similar for specific body regions with the exception of the lower extremity, wherein a significantly increased risk was observed for airbag deployment alone.
  
  
  CONCLUSIONS
  Airbag deployment does not appear to significantly reduce the risk of injury either alone or in combination with seat belts. Airbag deployment without associated seat belt use may increase the risk of lower extremity injury.
authors.affiliation: Department of Surgery, School of Medicine, University of Alabama at Birmingham, USA. gerald.mcgwin@ccc.uab.edu
authors.forename: Gerald
authors.initials: G
authors.lastname: McGwin
authors.forename: Jesse
authors.initials: J
authors.lastname: Metzger
authors.forename: Jorge E
authors.initials: JE
authors.lastname: Alonso
authors.forename: Loring W
authors.initials: LW
authors.lastname: Rue
mesh_terms: D000063:Accidents, Traffic / Q000145:classification / Q000706:statistics & numerical data*; D000328:Adult; D017677:Age Distribution; D017278:Air Bags / Q000706:statistics & numerical data*; D001336:Automobiles / Q000145:classification; D015331:Cohort Studies; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D008297:Male; D016017:Odds Ratio; D011187:Posture; D012189:Retrospective Studies; D012307:Risk Factors; D012622:Seat Belts / Q000706:statistics & numerical data*; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000145:classification / Q000453:epidemiology*