TY - JOUR PY - 1994// TI - Mandatory seatbelts: epidemiologic, financial, and medical rationale from the Colorado matched pairs study JO - Journal of trauma A1 - Grosso, M. A. A1 - Baron, A. E. A1 - Lezotte, D. C. A1 - Moore, E. E. A1 - Kerwin, E. M. A1 - Marine, W. M. SP - 96 EP - 100 VL - 36 IS - 1 N2 - In what approximated a controlled clinical trial for efficacy of seatbelts, the Colorado matched pairs study examined 256 crashes meeting the following criteria: driver plus front-seat passenger, one belted (SB) and one nonbelted (NSB) occupant, and at least one occupant injured. Nearly half (119 of 256) of the SB partners escaped injury, while only 16% (41 of 256) of the NSB group were as fortunate. To ascertain a differential effect the 160 pairs discordant for injury were analyzed. The relative odds for injury in the SB group was 0.34 (95% Cl: 0.24, 0.49) of that in the NSB group. Likewise, relative odds for any medical costs in the SB group was reduced to 0.24 (95% Cl: 0.14, 0.43) and for hospitalization to 0.29 (95% Cl: 0.10, 0.80). Sixty-five percent of the SB group had no medical costs in contrast to only 29% of the NSB group. Altogether the NSB group accounted for 76% of the medical costs and 72% of the hospitalizations. This study establishes the effectiveness of seatbelts in reducing nonfatal injuries using epidemiologic, financial, and medical data. LA - SN - 0022-5282 UR - http://dx.doi.org/ ID - ref1 ER -