The impact of a standard enforcement safety belt law on fatalities and hospital charges in Ohio.
BACKGROUND
The purpose of this study was to analyze linked crash and hospital data to determine the effect that enactment of a standard enforcement safety belt law in Ohio would have on hospital charges and direct medical costs due to motor-vehicle crashes, focusing on the impact to the state's Medicaid system.


METHODS
The linkage and analysis was conducted as part of the Ohio Crash Outcome Data Evaluation System (CODES) program. Current safety belt usage in Ohio stands at 82% with its secondary enforcement safety belt law.


RESULTS
Assuming an increase in usage to 92% through standard enforcement, over $15.3 million in medical costs to Medicaid for injuries that occur in a single year could be prevented over a 10-year period. Cumulative savings could reach more than $91.2 million during the 10-year period. In addition, 161 fatalities could have been prevented in one year had all unbelted occupants who sustained a fatal injury instead chosen to wear their safety belt. SUMMARY AND IMPACT ON INDUSTRY: Clearly, substantial progress can be made in reducing the number of deaths and injuries, as well as medical costs associated with motor-vehicle crashes, by strengthening safety belt laws and increasing safety belt usage in Ohio.
Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Kristen A
KA
Conner
Huiyun
H
Xiang
Gary A
GA
Smith
D000063:Accidents, Traffic / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D001930:Brain Injuries / Q000191:economics* / Q000453:epidemiology / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D017046:Cost Savings; D005249:Fees and Charges / Q000706:statistics & numerical data*; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D009820:Ohio; D012622:Seat Belts / Q000706:statistics & numerical data*; D013119:Spinal Cord Injuries / Q000191:economics* / Q000453:epidemiology / Q000401:mortality; D014481:United States; D055815:Young Adult