title: Does the frontal airbag avoid thoracic injury?
abstract: BACKGROUND
  The airbag is an established car safety device. However, recent studies pointed out that even the airbag might cause injuries. Nevertheless, most physicians do consider a lower risk in accident victims sustaining severe injury of the chest, when a deployed frontal airbag has been reported. We set out to verify the frequency and pattern of thoracic injury in car drivers protected by a frontal airbag during traffic accidents.
  
  
  METHODS
  This investigation was conducted as part of a prospective surveillance analyzing traffic accidents. Enrolled were car drivers included in a databank between January 2001 and December 2004 consecutively. The chance for sustaining chest injury with or without a frontal airbag was described using the relative risk.
  
  
  RESULTS
  A total of 188 car drivers were included in the analysis. In 54 (28.7%) cases a deployed airbag and in 134 (71.3%) the absence of an airbag has been documented. Out of those cases 16 (29.6%) drivers with airbag and 30 (22.4%) without airbag sustained a chest injury. The mean abbreviated injury scale (AIS) of chest injuries in drivers with deployed airbag was 2.3 (1-5; SD +/- 1.45; mean injury severity scale [ISS] 21.1 [SD +/- 17.18]), in drivers without airbag 1.6 (1-4; SD +/- 1.12; mean ISS 15.8 [SD +/- 20.6]). For belted drivers with an airbag the relative risk to sustain chest injury was 1.96 compared to those without an airbag.
  
  
  CONCLUSIONS
  The airbag does not avoid chest injury definitively. Much more, it has been demonstrated that the relative risk to sustain relevant thoracic injury seems to be almost higher in restrained drivers with a frontal airbag.
authors.affiliation: Department of Orthopedic and Trauma Surgery, Ernst-Moritz-Arndt-University Greifswald, Sauerbruchstr., 17 487 Greifswald, Germany. gerrit.matthes@uni-greifswald.de
authors.forename: G
authors.initials: G
authors.lastname: Matthes
authors.forename: U
authors.initials: U
authors.lastname: Schmucker
authors.forename: E
authors.initials: E
authors.lastname: Lignitz
authors.forename: M
authors.initials: M
authors.lastname: Huth
authors.forename: A
authors.initials: A
authors.lastname: Ekkernkamp
authors.forename: J
authors.initials: J
authors.lastname: Seifert
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D017278:Air Bags / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012306:Risk; D013898:Thoracic Injuries / Q000517:prevention & control*