For enhanced safety, the front and middle seat shoulder belts of the Acura MDX have pretensioners to tighten the seatbelts and eliminate dangerous slack in the event of a collision and force limiters to limit the pressure the belts will exert on the passengers. The Cadillac XT5 doesn’t offer pretensioners for the middle seat belts.
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 XT5 doesn’t offer a front passenger side knee airbag.
The MDX has a standard blind spot warning system which uses sensors to alert the driver to objects in the vehicle’s blind spots where the side view mirrors don’t reveal them. Only the XT5 Premium Luxury/Sport offers a blind spot warning system.
To help make backing out of a parking space safer, the MDX has a standard rear cross-path warning system, which uses sensors in the rear bumper to alert the driver to vehicles approaching from the side, helping the driver avoid collisions. Only the XT5 Premium Luxury/Sport has a rear cross-path warning system.
The MDX’s driver alert monitor detects an inattentive driver then sounds a warning and suggests a break. According to the NHTSA, drivers who fall asleep cause about 100,000 crashes and 1500 deaths a year. The XT5 doesn’t offer a driver alert monitor.
Both the MDX and the XT5 have standard driver and passenger frontal airbags, front side-impact airbags, driver knee airbags, side-impact head airbags, 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, rearview cameras, 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 vehicle-to-vehicle front crash prevention system, its standard vehicle-to-pedestrian front crash prevention system, and its standard headlight’s “Good” rating, the Insurance Institute for Highway Safety grants the MDX its highest rating: “Top Pick Plus” for 2021, a rating granted to only 76 vehicles tested by the IIHS. The XT5 last would have qualified as only a standard “Top Pick” in 2017.