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ARTICLE |

Age Effects and Autopsy Evidence of Disease in Fatally Injured Drivers FREE

Susan P. Baker, MPH; Werner U. Spitz, MD
[+] Author Affiliations

The opinions, findings, and conclusions expressed in this paper are those of the authors and not necessarily those of the National Highway Safety Bureau.

A preliminary report of this study was read before the Third International Congress on Medical and Related Aspects of Motor Vehicle Accidents, New York, May 30, 1969.

Reprint requests to 111 Penn St, Baltimore 21201 (Mrs. Baker).


JAMA. 1970;214(6):1079-1090. doi:10.1001/jama.1970.03180060057011
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A total of 328 drivers who died as the result of highway crashes was investigated, using autopsy records and police reports. There was no correlation between driver responsibility for the crash and autopsy evidence of disease or physical disability. Arteriosclerotic heart disease was found with similar frequency in drivers at fault and drivers not at fault. Several findings indicated that a decreased ability to survive crashes caused older persons to be greatly overrepresented among fatally injured drivers. The proportion of drivers who were 60 years of age or older was five times as high among those killed as among drivers who survived multivehicle crashes. Delayed death was more common among older drivers and was associated with less-serious injuries than in younger drivers.

REFERENCES

Accident Facts, 1968 . Chicago, National Safety Council, 1969;.
McFarland RA:  The epidemiology of automobile accidents in the USA . Read before the International Conference on Accident Pathology, Washington, DC, 1968 .
Haddon W Jr, Valien P, McCarroll JR, et al:  A controlled investigation of the characteristics of adult pedestrians fatally injured by motor vehicles in Manhattan . J Chron Dis 14:655-678, 1961;.
Robertson JS, Tonge JI:  Duration of survival in traffic accident fatalities . Med J Aust 2:571-579, 1968;.
DiMaio DJ:  A survey of sudden, unexpected deaths in automobile drivers . Read before the Third Triennial Congress on Medical and Related Aspects of Motor Vehicle Accidents, New York, 1969 .
Peterson BJ, Petty CS:  Sudden natural death among automobile drivers . J Forensic Sci 7:274-285, 1962;.
West I, Gilmore AE, Nielsen GL, et al:  Natural death at the wheel . JAMA 205: 266-271, 1968;.
Gerber SR, Joliet PV, Feegel JR:  Single vehicle accidents in Cuyahoga County (Ohio): 1958-1963 . J Forensic Sci 11:144-151, 1966;.
Bellet S, Roman L, Kostis J, et al:  Continuous electrocardiographic monitoring during automobile driving . Amer J Cardiol 22:856-862, 1968;.
Taggart P, Gibbons D, Somerville W:  Some effects of motor car driving on the normal and abnormal heart . Brit Med J 4:130-134, 1969;.
Gould SE, Ionnides G, in Gould SE, Pathology of the Heart and Blood Vessels , ed 3. Charles C Thomas, Publisher, Springfield, Ill, 1968;, p 602.
Council FM:  Seat belts: A follow-up study of their use under normal driving conditions . J Safety Res 1:127-136, 1969;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Accident Facts, 1968 . Chicago, National Safety Council, 1969;.
McFarland RA:  The epidemiology of automobile accidents in the USA . Read before the International Conference on Accident Pathology, Washington, DC, 1968 .
Haddon W Jr, Valien P, McCarroll JR, et al:  A controlled investigation of the characteristics of adult pedestrians fatally injured by motor vehicles in Manhattan . J Chron Dis 14:655-678, 1961;.
Robertson JS, Tonge JI:  Duration of survival in traffic accident fatalities . Med J Aust 2:571-579, 1968;.
DiMaio DJ:  A survey of sudden, unexpected deaths in automobile drivers . Read before the Third Triennial Congress on Medical and Related Aspects of Motor Vehicle Accidents, New York, 1969 .
Peterson BJ, Petty CS:  Sudden natural death among automobile drivers . J Forensic Sci 7:274-285, 1962;.
West I, Gilmore AE, Nielsen GL, et al:  Natural death at the wheel . JAMA 205: 266-271, 1968;.
Gerber SR, Joliet PV, Feegel JR:  Single vehicle accidents in Cuyahoga County (Ohio): 1958-1963 . J Forensic Sci 11:144-151, 1966;.
Bellet S, Roman L, Kostis J, et al:  Continuous electrocardiographic monitoring during automobile driving . Amer J Cardiol 22:856-862, 1968;.
Taggart P, Gibbons D, Somerville W:  Some effects of motor car driving on the normal and abnormal heart . Brit Med J 4:130-134, 1969;.
Gould SE, Ionnides G, in Gould SE, Pathology of the Heart and Blood Vessels , ed 3. Charles C Thomas, Publisher, Springfield, Ill, 1968;, p 602.
Council FM:  Seat belts: A follow-up study of their use under normal driving conditions . J Safety Res 1:127-136, 1969;.
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