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Paediatric driveway run-over injuries: time to redesign?
Kai Hsun Hsiao1, Clinton Newbury, Nita Bartlett
1Starship Children's Hospital, Private Bag 92024, Auckland, New Zealand.
The New Zealand Medical Journal
|August 15, 2009
Summary
Driveway run-over injuries disproportionately affect young children, especially in homes lacking fenced play areas. Physical separation between driveways and living spaces is crucial for preventing these tragic accidents.
Area of Science:
- Pediatric Injury Prevention
- Environmental Health and Safety
- Public Health Research
Background:
- Driveway run-over incidents represent a significant cause of severe injury and fatality in young children.
- Understanding the contributing factors is essential for developing effective prevention strategies.
Purpose of the Study:
- To identify demographic, accident, and environmental characteristics of driveway run-over injuries.
- To pinpoint modifiable factors and inform prevention strategies for these incidents.
Main Methods:
- A retrospective review of children under 15 hospitalized or deceased from driveway run-overs in Auckland, New Zealand (Nov 2001-Dec 2005).
- Data collection included demographics, accident circumstances, environmental factors, and parental awareness via clinical records and interviews.
Main Results:
- 93 cases were identified, with a median age of 2 years (73% under 5); 9 fatalities occurred.
- Injuries predominantly happened on home driveways (80%), often used as play areas (64%), with only 13% fenced.
- Many properties were rented (51%), with long (51%) or shared driveways (51%).
Conclusions:
- Lack of physical separation between driveways and children's living/play areas is a key risk factor.
- Further research is needed to determine optimal methods for implementing separation in existing and new properties.
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