title: The impact of aggressive driving-related injuries in Ohio, 2004-2009.
abstract: OBJECTIVE
  This study describes the medical and financial impact (hospital charges) of aggressive driving-related injuries in Ohio.
  
  
  METHODS
  Statewide crash and hospital databases were probabilistically linked for 2004 through 2009. Descriptive analyses and multivariate regression modeling of multiply-imputed data on motor vehicle occupants involved in aggressive driving-related crashes were performed.
  
  
  RESULTS
  There were 821,136 motor vehicle occupants involved in aggressive driving-related crashes in Ohio from 2004 through 2009; injuries were sustained by 15.0%. The rate of aggressive driving-related crashes was highest among drivers ages 16 to 19 years (3787.1 crashes per 100,000 licensed drivers). Aggressive driving-related inpatients accrued more than $250.8 million in hospital charges and 28,366 inpatient days of treatment in 2004 through 2009. Occupants ages 16 to 19 years had higher odds of sustaining injury when involved in aggressive driving-related crashes (OR = 1.10; 95% CI = 1.07, 1.12; p < 0.001), but lower odds of death, inpatient admission, ISS ≥ 16, and rehabilitation.
  
  
  CONCLUSIONS
  Aggressive driving-related injuries have a substantial medical and financial impact in Ohio.
  
  
  CONCLUSIONS
  Compared with other highway safety issues, prevention efforts aimed specifically at aggressive driving are lacking. Targeted enforcement and public awareness campaigns are needed.
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
authors.forename: Kristen A
authors.initials: KA
authors.lastname: Conner
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA; The Ohio State University College of Medicine, Department of Pediatrics, Columbus, OH, USA; Child Injury Prevention Alliance, Columbus, OH, USA. Electronic address: gary.smith@nationwidechildrens.org.
authors.forename: Gary A
authors.initials: GA
authors.lastname: Smith
mesh_terms: D000063:Accidents, Traffic / Q000191:economics* / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016208:Databases, Factual; D005260:Female; D017722:Hospital Charges / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009820:Ohio; D012622:Seat Belts / Q000706:statistics & numerical data; D012737:Sex Factors; D014947:Wounds and Injuries / Q000191:economics* / Q000453:epidemiology*
keywords: Aggressive driving; Hospital charges; Injury; Medical outcomes; Motor vehicle crash