July 12, 2021
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The probability of death in road traffic accidents. How important is a quick medical response?

Publicated to:ACCIDENT ANALYSIS AND PREVENTION. 42 (4): 1048-1056 - 2010-07-01 42(4), DOI: 10.1016/j.aap.2009.12.012

Authors: Sanchez-Mangas, Rocio; Garcia-Ferrrer, Antonio; de Juan, Aranzazu; Martin Arroyo, Antonio

Affiliations

Univ Autonoma Madrid, Dpt Quantitat Econ, E-28049 Madrid, Spain - Author
Universidad Autónoma de Madrid - Author

Abstract

The number of deaths in road traffic accidents in Spain exceeds three thousand people each year. Public authorities have implemented some policies with the aim to reducing this number. Among them, the improvement of road quality standards and some legal changes encouraging careful driving behavior. However, less attention has been focused on one of the issues that may be critical to reducing the number of fatalities caused by traffic accidents: a quick emergency medical care. In this paper, we use a sample of more than 1400 accidents occurred on Spanish roads in May 2004. Our objective is to analyze to which extent a reduction of the time interval between the crash and the arrival of the emergency services to the crash scene is related to a lower probability of death. Our results suggest that a 10 min reduction of the medical response time can be statistically associated with an average decrease of the probability of death by one third, both on motorways and conventional roads. (C) 2009 Elsevier Ltd. All rights reserved.

Keywords

Accidents, trafficAdultAgedAlcoholCareCross-sectional studiesDatabases, factualDriverEmergency medical servicesEmergency servicesFemaleHumansMaleMedical response timeMiddle agedMortalityMotor-vehicle crashesNeeds assessmentProbability of deathProbit modelReductionsRegression analysisRetrospective studiesRiskRisk factorsRoad traffic accidentsSpainTimeTime factorsWounds and injuriesYoung adult

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal ACCIDENT ANALYSIS AND PREVENTION due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2010, it was in position 2/84, thus managing to position itself as a Q1 (Primer Cuartil), in the category Social Sciences, Interdisciplinary.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 39.09, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-18, the following number of citations:

  • WoS: 133
  • Scopus: 156
  • Europe PMC: 41
  • Google Scholar: 280

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-18:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 226.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 231 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 6.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (SANCHEZ MANGAS, MARIA DEL ROCIO) and Last Author (Martín Arroyo, Antonio).

the author responsible for correspondence tasks has been de Juan, Aranzazu.