Crash costs by body part injured, fracture involvement, and threat-to-life severity, United States, 2000

Pacific Institute for Research and Evaluation, 11710 Beltsville Drive, Suite 300, Calverton, MD 20705-3102, USA.
Accident Analysis & Prevention (Impact Factor: 1.87). 06/2004; 36(3):415-27. DOI: 10.1016/S0001-4575(03)00035-6
Source: PubMed


This paper presents costs per US motor vehicle crash victim differentiated into many more diagnostic categories than prior estimates. These unit costs, which include the first keyed to the 1990 edition of Abbreviated Injury Scale (AIS) threat-to-life severity scores, are reported by body part, whether a fracture/dislocation was involved, and the maximum AIS score among the victim's injuries. This level of detail allows for a more accurate estimation of the social costs of motor vehicle crashes. It also allows for reliable analyses of interventions targeting narrow ranges of injuries. The paper updates the medical care data underlying the US crash costs from 1979 to 1986 to the mid 1990s and improves on prior productivity cost estimates. In addition to presenting the latest generation of crash victim costs, this paper analyzes the effects of applying injury costs classified by AIS code from the 1985 edition to injury incidence data coded with the 1990 edition of AIS. This long-standing practice results in inaccurate cost-benefit analyses that typically overestimate benefits. This problem is more acute when old published costs adjusted for inflation are used rather than the recent costs.

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Available from: Ted R Miller, May 18, 2015

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    ABSTRACT: This report describes a software tool that is being developed at UMTRI to represent the effects of nonindependent safety measures (the Unified Tool for Mapping Opportunities for Safety Technology, UTMOST). The tool has as its core a model representing crashes in terms of precrash conditions, occupant characteristics, crash type, and outcome. Overlaid on this is a model of the effect of implementing each of a number of safety measures, including public policy and technological measures. This portion of the model allows for visualization of the potential benefits of various approaches and combinations of approaches to safety. UTMOST is being developed and validated using existing U.S. crash databases for the purpose of understanding future safety trends in the U.S., as well as current differences between the U.S. and selected other countries, and future trends in those countries. Our goal is to be able to use this model to: 1) predict the benefit of specific changes in policy or technology in the context of other safety measures; 2) describe the largest remaining problems after a policy or technology has been implemented; and 3) assess the overall safety performance of individual vehicles, both in general and with respect to particular demographic groups. The University of Michigan Strategic Worldwide Transportation 2020
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