Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study
Objective: Motor vehicle collisions (MVCs) are known to cause traumatic cardiac arrest; it is unclear whether seat belts prevent this. This study aimed to evaluate the association between seat belt use and immediate cardiac arrest in cases of MVCs. Method: This cross-sectional observational study us...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024013677 |
| _version_ | 1797304510989729792 |
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| author | Yeongho Choi Jeong Ho Park Young Sun Ro Joo Jeong Yu Jin Kim Kyoung Jun Song Sang Do Shin |
| author_facet | Yeongho Choi Jeong Ho Park Young Sun Ro Joo Jeong Yu Jin Kim Kyoung Jun Song Sang Do Shin |
| author_sort | Yeongho Choi |
| collection | DOAJ |
| description | Objective: Motor vehicle collisions (MVCs) are known to cause traumatic cardiac arrest; it is unclear whether seat belts prevent this. This study aimed to evaluate the association between seat belt use and immediate cardiac arrest in cases of MVCs. Method: This cross-sectional observational study used data from a nationwide EMS-based severe trauma registry in South Korea. The sample comprised adult patients with EMS-assessed severe trauma due to MVCs between 2018 and 2019. The primary, secondary, and tertiary outcomes were immediate cardiac arrest, in-hospital mortality, and death or severe disability, respectively. We calculated the adjusted odds ratios (AORs) of immediate cardiac arrest with seat belt use after adjusting for potential confounders. Results: Among the 8178 eligible patients, 6314 (77.2 %) and 1864 (29.5 %) were wearing and not wearing seat belts, respectively. Immediate cardiac arrest, mortality, and death/severe disability rates were higher in the “no seat belt use” group than in the “seat belt use” group (9.4 % vs. 4.0 %, 12.4 % vs. 6.2 %, 17.7 % vs. 9.9 %, respectively; p < 0.001). The former group was more likely to experience immediate cardiac arrest (AOR [95 %CI]: 3.29 [2.65–4.08]), in-hospital mortality (AOR [95 %CI]: 2.72 [2.26–3.27]), and death or severe disability (AOR [95 %CI]: 2.40 [2.05–2.80]). Conclusion: There was an association between wearing seat belts during MVCs and a reduced risk of immediate cardiac arrest. |
| first_indexed | 2024-03-08T00:10:33Z |
| format | Article |
| id | doaj.art-daae68a1fef14c4fb68759eceb8a0831 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T00:10:33Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-daae68a1fef14c4fb68759eceb8a08312024-02-17T06:40:42ZengElsevierHeliyon2405-84402024-02-01103e25336Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational studyYeongho Choi0Jeong Ho Park1Young Sun Ro2Joo Jeong3Yu Jin Kim4Kyoung Jun Song5Sang Do Shin6Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Bundang, South Korea; Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South KoreaLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South Korea; Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South Korea; Corresponding author. Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South KoreaLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South Korea; Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South KoreaDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Bundang, South Korea; Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South KoreaDepartment of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Bundang, South Korea; Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South KoreaLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South Korea; Department of Emergency Medicine, Seoul National University Boramae Medical Center, Seoul, South KoreaLaboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, Seoul, South Korea; Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, South KoreaObjective: Motor vehicle collisions (MVCs) are known to cause traumatic cardiac arrest; it is unclear whether seat belts prevent this. This study aimed to evaluate the association between seat belt use and immediate cardiac arrest in cases of MVCs. Method: This cross-sectional observational study used data from a nationwide EMS-based severe trauma registry in South Korea. The sample comprised adult patients with EMS-assessed severe trauma due to MVCs between 2018 and 2019. The primary, secondary, and tertiary outcomes were immediate cardiac arrest, in-hospital mortality, and death or severe disability, respectively. We calculated the adjusted odds ratios (AORs) of immediate cardiac arrest with seat belt use after adjusting for potential confounders. Results: Among the 8178 eligible patients, 6314 (77.2 %) and 1864 (29.5 %) were wearing and not wearing seat belts, respectively. Immediate cardiac arrest, mortality, and death/severe disability rates were higher in the “no seat belt use” group than in the “seat belt use” group (9.4 % vs. 4.0 %, 12.4 % vs. 6.2 %, 17.7 % vs. 9.9 %, respectively; p < 0.001). The former group was more likely to experience immediate cardiac arrest (AOR [95 %CI]: 3.29 [2.65–4.08]), in-hospital mortality (AOR [95 %CI]: 2.72 [2.26–3.27]), and death or severe disability (AOR [95 %CI]: 2.40 [2.05–2.80]). Conclusion: There was an association between wearing seat belts during MVCs and a reduced risk of immediate cardiac arrest.http://www.sciencedirect.com/science/article/pii/S2405844024013677Seat beltsMotor vehiclesTraffic collisionsCardiac arrest |
| spellingShingle | Yeongho Choi Jeong Ho Park Young Sun Ro Joo Jeong Yu Jin Kim Kyoung Jun Song Sang Do Shin Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study Heliyon Seat belts Motor vehicles Traffic collisions Cardiac arrest |
| title | Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study |
| title_full | Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study |
| title_fullStr | Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study |
| title_full_unstemmed | Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study |
| title_short | Seat belt use and cardiac arrest immediately after motor vehicle collision: Nationwide observational study |
| title_sort | seat belt use and cardiac arrest immediately after motor vehicle collision nationwide observational study |
| topic | Seat belts Motor vehicles Traffic collisions Cardiac arrest |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024013677 |
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