title: Head injuries to restrained occupants in single-vehicle pure rollover crashes.
abstract: OBJECTIVE
  Studies performed previously of seat-belted occupants in real-world passenger vehicle rollover-only crashes have identified the head as one of the body regions most often seriously injured. However, there have been few studies investigating how these head injuries occur in any detail. This study aims to investigate the characteristics and patterns of head injury to seat-belted occupants in real-world rollover-only crashes and to identify possible biomechanical mechanisms responsible for head injury to aid in the development of a dynamic rollover test protocol.
  
  
  METHODS
  National Automotive Sampling System-Crashworthiness Data System (NASS-CDS) data were used to generate summary statistics and perform logistic regression analysis of restrained and contained occupants in U.S. pure trip-over rollover crashes. Specific information from selected CDS cases focused on identifying potential mechanisms and patterns of serious head injury and the rollover conditions under which the injury occurred are also presented.
  
  
  RESULTS
  Twenty-one percent of seriously injured occupants in pure trip-over rollovers had a serious head injury. On average, occupants seated on the far side of the rollover sustained serious head injuries more frequently and were more likely to receive injuries to the inboard side of the head than near-side occupants. Serious head injuries appear to be decoupled from serious injuries to other body regions except for a relationship found between basal skull fractures and cervical spine fractures. Serious head injuries were sustained by some occupants who had less than 15 cm of roof crush above their seated position.
  
  
  CONCLUSIONS
  Serious brain injuries appear to occur frequently as a result of loading to the periphery of the head from contact with the roof assembly. Two mechanisms of injury for basal skull fractures in rollover crashes were identified. The injury patterns and locations of contact to the head are sensitive to the seated position of the occupant.
authors.affiliation: Transport and Road Safety TARS Research, University of New South Wales, Sydney, New South Wales 2052, Australia. g.mattos@unsw.edu.au
authors.forename: G A
authors.initials: GA
authors.lastname: Mattos
authors.forename: R H
authors.initials: RH
authors.lastname: Grzebieta
authors.forename: M R
authors.initials: MR
authors.lastname: Bambach
authors.forename: A S
authors.initials: AS
authors.lastname: McIntosh
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D006259:Craniocerebral Trauma / Q000453:epidemiology*; D016208:Databases, Factual; D005260:Female; D006801:Humans; D008297:Male; D012622:Seat Belts / Q000706:statistics & numerical data*; D015599:Trauma Severity Indices; D014481:United States / Q000453:epidemiology