In the past twenty years hundreds of infants and young children have died after being left in vehicles, usually by accident. When turning the vehicle off, drivers of the MDX are reminded to check the back seat if they opened the rear door before starting out. The XC90 doesn’t offer a back seat reminder.
The Acura MDX has standard driver and front passenger side knee airbags mounted low on the dashboard. These airbags helps prevent the driver and front passenger from sliding under their seatbelts or the main frontal airbags; this keeps them better positioned during a collision for maximum protection. Knee airbags also help keep the legs from striking the dashboard, preventing knee and leg injuries in the case of a serious frontal collision. The XC90 doesn’t offer a front passenger side knee airbag.
Over 200 people are killed each year when backed over by motor vehicles. The MDX offers an optional Low-Speed Braking Control that use rear sensors to monitor and automatically apply the brakes to prevent a rear collision. The XC90 doesn’t offer backup collision prevention brakes.
Both the MDX and the XC90 have standard driver and passenger frontal airbags, front side-impact airbags, driver knee airbags, side-impact head airbags, front and rear seatbelt pretensioners, front wheel drive, height adjustable front shoulder belts, four-wheel antilock brakes, traction control, electronic stability systems to prevent skidding, crash mitigating brakes, daytime running lights, lane departure warning systems, blind spot warning systems, rearview cameras, rear cross-path warning, driver alert monitors, available all wheel drive and around view monitors.
For its top level performance in IIHS driver and passenger-side small overlap frontal, moderate overlap frontal, side impact, roof strength and head restraint tests, its standard front crash prevention system, and its headlight’s “Good” rating, the Insurance Institute for Highway Safety grants the MDX its highest rating: “Top Safety Pick Plus” for 2019, a rating granted to only 112 vehicles tested by the IIHS. The XC90 is only a standard “Top Safety Pick” for 2019.