Nikolić Slobodan, Atanasijević Tatjana, Popović Vesna, Babić Dragan
Srp Arh Celok Lek. 2007 Jan-Feb;135(1-2):74-9. doi: 10.2298/sarh0702074n.
There is no specific injury among fatally injured frontal car-occupants in frontal car collisions, used in forensic expertise. We tried to point out the usefulness of the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) for the expertise in such cases.
Analyzing the severity of body region injuries and total injury severity of deceased car occupants, to point out their importance in forensic expertise.
Retrospective autopsy study was performed. Autopsy records of all deceased car-occupants in frontal car collisions were analyzed in order to establish the severity of injuries in body regions (AIS) and total severity of injuries (ISS). Statistical analysis was performed using the chi-square test, t-test, and logistic regression, with significance set at p < 0.05.
A total of 500 cases were analyzed: 282 car-drivers and 218 front car-passengers, average age of 41.48 +/- 15.31 and 39.78 +/- 16.93. There were 401 males and 99 females. The most injured body region was head with neck: AIS = 3.50 +/- 2.48, for car-drivers, and AIS = 3.54 +/- 2.50, for front car-passengers, as well as thorax: AIS = 3.63 +/- 2.16 car-drivers, and AIS = 3.37 +/- 2.14, for front car-passengers. More severe injuries of head (AIS > or =4) suggested that deceased was a front car-passenger (Wald = 13.27; p = 0.04). More severe injuries of thorax and abdomen (AIS > or =5) indicated that deceased was a car-driver (Wald = 5.72; p = 0.02, and Wald = 8.23; p = 0.01, respectively). The injury severity of the face and limbs were useless in such expertise (Wald = 1.72; p = 0.19, and Wald =0.89; p = 0.34, respectively). An average ISS was 57.31 +/- 20.16 for car-drivers, and 54.54 +/- 21.01 for front car-passengers. The ISS value was useless in expertise (t=1.50; p = 0.13, and Wald = 2.24; p = 0.13).
As the injury of the head is more severe, the deceased is more likely to be the front car-passenger. Severe thoracic and abdominal injuries are more characteristic for car-drivers. A total injury severity is useless for forensic expertise in cases of fatally injured in car collisions.
在法医学鉴定中，正面汽车碰撞中致命受伤的前排汽车驾乘人员并无特定损伤类型。我们试图指出简明损伤定级标准（AIS）和损伤严重度评分（ISS）在此类案件鉴定中的作用。
分析已故汽车驾乘人员身体各部位损伤的严重程度及总损伤严重程度，以指出其在法医学鉴定中的重要性。
进行回顾性尸检研究。分析所有正面汽车碰撞中已故汽车驾乘人员的尸检记录，以确定身体各部位损伤的严重程度（AIS）和损伤总严重程度（ISS）。采用卡方检验、t检验和逻辑回归进行统计分析，显著性水平设定为p<0.05。
共分析500例病例：282名汽车驾驶员和218名前排乘客，平均年龄分别为41.48±15.31岁和39.78±16.93岁。男性401名，女性99名。受伤最严重的身体部位是头部与颈部：汽车驾驶员的AIS为3.50±2.48，前排乘客的AIS为3.54±2.50；胸部也是：汽车驾驶员的AIS为3.63±2.16，前排乘客的AIS为3.37±2.14。头部更严重的损伤（AIS≥4）表明死者是前排乘客（Wald=13.27；p=0.04）。胸部和腹部更严重的损伤（AIS≥5）表明死者是汽车驾驶员（分别为Wald=5.72；p=0.02和Wald=8.23；p=0.01）。面部和四肢的损伤严重程度在此类鉴定中并无作用（分别为Wald=1.72；p=0.19和Wald=0.89；p=0.34）。汽车驾驶员的平均ISS为57.31±20.16，前排乘客为54.54±21.01。ISS值在此类鉴定中并无作用（t=1.50；p=0.13和Wald=2.24；p=0.13）。
头部损伤越严重，死者越有可能是前排乘客。严重的胸部和腹部损伤在汽车驾驶员中更具特征性。在汽车碰撞致命伤案件中，损伤总严重程度对法医学鉴定并无作用。
