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  • Title: Passenger and heavy vehicle collisions with pedestrians: Assessment of injury mechanisms and risk.
    Author: Schubert A, Babisch S, Scanlon JM, Campolettano ET, Roessler R, Unger T, McMurry TL.
    Journal: Accid Anal Prev; 2023 Sep; 190():107139. PubMed ID: 37320981.
    Abstract:
    OBJECTIVE: Automated Driving System (ADS) fleets are currently being deployed in several dense-urban operational design domains within the United States. In these dense-urban areas, pedestrians have historically comprised a significant portion, and sometimes the majority, of injury and fatal collisions. An expanded understanding of the injury risk in collision events involving pedestrians and human-driven vehicles can inform continued ADS development and safety benefits evaluation. There is no current systematic investigation of United States pedestrian collisions, so this study used reconstruction data from the German In-Depth Accident Study (GIDAS) to develop mechanistic injury risk models for pedestrians involved in collisions with vehicles. DATA SOURCE: The study queried the GIDAS database for cases from 1999 to 2021 involving passenger vehicle or heavy vehicle collisions with pedestrians. METHODS: We describe the injury patterns and frequencies for passenger vehicle-to-pedestrian and heavy vehicle-to-pedestrian collisions, where heavy vehicles included heavy trucks and buses. Injury risk functions were developed at the AIS2+, 3+, 4+ and 5+ levels for pedestrians involved in frontal collisions with passenger vehicles and separately for frontal collisions with heavy vehicles. Model predictors included mechanistic factors of collision speed, pedestrian age, sex, pedestrian height relative to vehicle bumper height, and vehicle acceleration before impact. Children (≤17 y.o.) and elderly (≥65 y.o.) pedestrians were included. We further conducted weighted and imputed analyses to understand the effects of missing data elements and of weighting towards the overall population of German pedestrian crashes. RESULTS: We identified 3,112 pedestrians involved in collisions with passenger vehicles, where 2,524 of those collisions were frontal vehicle strikes. Furthermore, we determined 154 pedestrians involved in collisions with heavy vehicles, where 87 of those identified collisions were frontal vehicle strikes. Children were found to be at higher risk of injury compared to young adults, and the highest risk of serious injuries (AIS 3+) existed for the oldest pedestrians in the dataset. Collisions with heavy vehicles were more likely to produce serious (AIS 3+) injuries at low speeds than collisions with passenger vehicles. Injury mechanisms differed between collisions with passenger vehicles and with heavy vehicles. The initial engagement caused 36% of pedestrians' most-severe injuries in passenger vehicle collisions, compared with 23% in heavy vehicles collisions. Conversely, the vehicle underside caused 6% of the most-severe injuries in passenger vehicle collisions and 20% in heavy vehicles collisions. SIGNIFICANCE: U.S. pedestrian fatalities have risen 59% since their recent recorded low in 2009. It is imperative that we understand and describe injury risk so that we can target effective strategies for injury and fatality reduction. This study builds on previous analyses by including the most modern vehicles, including children and elderly pedestrians, incorporating additional mechanistic predictors, broadening the scope of included crashes, and using multiple imputation and weighting to better estimate these effects relative to the entire population of German pedestrian collisions. This study is the first to investigate the risk of injury to pedestrians in collisions with heavy vehicles based on field data.
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