TY - JOUR PY - 1988// TI - Prospective study of the effect of safety belts on morbidity and health care costs in motor-vehicle accidents JO - JAMA journal of the American Medical Association A1 - Orsay, C. P. A1 - Langenberg, Patricia A1 - Barrett, J. A. A1 - Dunne, M. A1 - Turnbull, T. L. A1 - Orsay, E. M. SP - 3598 EP - 3603 VL - 260 IS - 24 N2 - To assess the impact of safety belt use on the extent of injuries sustained in motor-vehicle accidents and the incurred health care costs, 1,364 patients were prospectively evaluated at four Chicago-area hospitals. Of these, 791 (58%) were wearing a safety belt whereas 573 (42%) were not. The mean injury severity score for safety belt wearers was 1.8 +/- 0.07 vs 4.51 +/- 0.31 in those not wearing a safety belt. Only 6.8% of safety belt wearers required admission vs 19.2% of those not wearing a safety belt. Restrained occupants incurred mean charges of $534 +/- $67 compared with $1583 +/- $201 in unrestrained occupants. Thus, safety belt wearers had a 60.1% reduction in severity of injury, a 64.6% decrease in hospital admissions, and a 66.3% decline in hospital charges. Our findings demonstrate the significant societal burden of nonuse of safety belts in terms of morbidity and the costs of medical care. LA - SN - 0098-7484 UR - http://dx.doi.org/ ID - ref1 ER -