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On-lap travel: still a problem in motor vehicles
P F Agran1, D G Winn, D N Castillo
1Department of Pediatrics, University of California, Irvine 92717-4650.
Pediatrics
|July 1, 1992
Summary
Infants traveling on another passenger's lap in cars face significant injury risks. Using child safety seats (CSSs) could drastically reduce these injuries and hospitalizations.
Area of Science:
- Pediatric injury prevention
- Traffic safety research
- Public health
Background:
- Infants not in child safety seats (CSSs) often travel unrestrained on an adult's lap.
- On-lap travel is common even in non-crowded vehicles and often occurs in front seats.
Purpose of the Study:
- To investigate the circumstances of on-lap infant travel in motor vehicles.
- To quantify the potential injury reduction benefits of using CSSs for these infants.
Main Methods:
- Analysis of data from a multihospital pediatric injury monitoring system and a county coroner's office (1980-1989).
- Evaluation of 110 infants under one year old involved in motor vehicle crashes while traveling on-lap.
Main Results:
- 58% of on-lap infants sustained injuries, 22% required hospitalization, and 15% had intracranial injuries.
- Restraint in CSSs could potentially reduce overall injury by 30%, hospitalization by 75%, and intracranial injury by 69%.
Conclusions:
- On-lap travel poses substantial risks to infants, with significant potential for injury reduction through CSS use.
- Implementing parent education and enforcing CSS laws are crucial for improving infant safety in vehicles.
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