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Published on: September 21, 2017
[Multicentre study on risk factors of injuries in car crashes]
F Panzino1, A Pizà Oliveras, N Pociello Almiñana
1Sección de Urgencias, Servicio de Pediatría, Hospital Universitari Sant Joan de Déu, Universitat de Barcelona, Barcelona, España.
Insights
Child safety in cars is crucial. Inadequate use of child restraint systems (CRS) significantly increases the risk of severe injuries and fatalities in pediatric traffic accidents.
Area of Science:
- Pediatric Traumatology
- Road Safety Research
- Epidemiology of Traffic Injuries
Context:
- Traffic accidents are a leading cause of death for children aged 2-14 in developed nations.
- This study examines clinical outcomes and injury patterns in young traffic accident victims.
Purpose:
- To analyze the clinical repercussions and epidemiological characteristics of traffic accidents involving children under 12.
- To evaluate the use and suitability of Child Restraint Systems (CRS) and their correlation with injury severity.
Summary:
- A multicenter study of 366 children (mean age 6) found 69.7% sustained injuries, primarily to the head and neck.
- Only 55.7% of Child Restraint Systems (CRS) used were suitable, with non-use or inadequate use linked to increased injury severity and fatalities.
Impact:
- Highlights the critical role of appropriate Child Restraint Systems (CRS) in mitigating pediatric traffic accident injuries.
- Findings underscore the need for improved adherence to and proper utilization of CRS to reduce childhood morbidity and mortality from road traffic incidents.
Introduction:
Traffic accidents are the main cause of death in children between 2 and 14 years in developed countries. We analysed their clinical repercussions, epidemiological characteristics, use and suitability of Child Restraint Systems (CRS) and its correlation with the type of injuries in children less than 12 years old.
Material And Methods:
Multicentre descriptive prospective study. The following data was collected: personal details of the victims and the type of accident, use and suitability of the CRS, classification of injuries according to location and severity, need for hospitalisation, medical treatment received, use of Emergency Services and final destination of the injured.
Results:
A total of 366 patients were studied, with a sex ratio of 1:1 and a mean age of 6 years. Of these, 69.7% had some injury (slight 92.3%). A total of 81.1% affected the head and neck, and 77.9% used some type of CRS (suitable only in 55.7%). CRS were used more in >6 year olds (27.1%-P<0.001). Driving long distances (odds ratio 6.7) and not using a suitable CRS (odds ratio 3.7) were associated with the severity of the injuries. The age of the patients and the position within the automobile were not related. All the patients with a Glasgow less than 8 and all the deceased were using an unsuitable CRS. The hospitalization rate was 8.7% and the mortality rate at 24h was 0.8%.
Conclusions:
An important percentage of the injured children do not use suitable child restraint systems. Non-use of a CRS or its inadequate use is a risk factor of morbidity in the traffic accidents in childhood.
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