Risk factors for ‘whiplash’ in drivers: a cohort study of rear-end traffic crashes
- 1 April 1997
- journal article
- Published by Elsevier BV in Injury
- Vol. 28 (3), 173-179
- https://doi.org/10.1016/s0020-1383(96)00186-6
Abstract
'Whiplash' injuries are a common cause of road traffic accident (RTA) related morbidity. However, few epidemiological studies have investigated risk factors associated with the occurrence of such injuries. The purpose of this study was to examine relationships between vehicle and occupant factors and the incidence of 'whiplash' in drivers with recent experience of a rear-end impact in an RTA. A cohort of 246 car drivers with recent experience of a rear-end impact in the Adelaide metropolitan area was recruited. Structured telephone interviews were used to obtain information about driver demographics, the circumstances of the crash, and injuries resulting from the crash. Two factors were identified as independent risk factors for 'whiplash' injury: a history of neck injury (adjusted odds ratio = 4.50, 95 per cent confidence interval 1.97-10.28) and female sex (adjusted odds ratio = 2.08, 95 per cent confidence interval 1.13-3.82). The relative weight of the striking vehicle to the driver's vehicle was also positively associated with risk of 'whiplash' injury. There was no evidence that the driver's occupation or level of education are predictors of occurrence. Methodological aspects of the study which might have resulted in bias are discussed and suggestions are given for overcoming these in future work.Keywords
This publication has 7 references indexed in Scilit:
- Driver injury and fatality risk in two-car crashes versus mass ratio inferred using Newtonian mechanicsAccident Analysis & Prevention, 1994
- Presenting symptoms and signs after whiplash injuryNeurology, 1994
- NECK INJURIES AMONG BELTED AND UNBELTED OCCUPANTS OF THE FRONT SEAT OF CARSJournal Of Trauma-Injury Infection and Critical Care, 1993
- Neck strain in car occupantsThe Medical Journal of Australia, 1993
- Whiplash injury and surgically treated cervical disc diseaseInjury, 1993
- Prognostic factors in soft tissue injuries of the cervical spineInjury, 1991
- Soft tissue cervical spinal injuries in motor vehicle accidentsInjury, 1989