A review of serious injuries and deaths among car occupants after motor vehicle crashes in Sweden from 1987 to 1994

Car occupants injured in motor vehicle crashes (MVC) are a common problem i n emergency departments. The aims of this study were to determine the incid ence over time, according to the type of injury, age and sex distribution, mortality rate and geographical differences among all patients admitted to Swedish hospitals because of MVC injuries. Between 1987 and 1994, Swedish h ospitals admitted 37,871 persons (51,348 admissions) who had been involved in MVC as drivers or passengers. There were 23,369 men and 14,502 women. Th e annual frequency of hospital admissions ranged from 5943 to 7175. There w ere 74.8 injured persons admitted per 100,000 of the population each year. Males between 16 and 24 years of age were more commonly involved. Injuries to the head and neck were particularly frequent (39%), Older persons, males , and passengers had a poor survival outcome. The incidence of injured car occupants was significantly higher in sparsly populated areas of Sweden.