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Road traffic accidents in children: the 'what', 'how' and 'why'

Yue Yen Lee1, Eric Fang1, Yanyi Weng1

  • 1Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.

Singapore Medical Journal
|December 8, 2017
PubMed

Insights

Childhood road traffic accidents (RTAs) in Singapore are common, with low restraint use significantly increasing severe injury risk. Pedestrians are most vulnerable in serious RTAs.

Area of Science:

  • Pediatric Traumatology
  • Road Safety Epidemiology
  • Public Health Interventions

Background:

  • Road traffic accidents (RTAs) pose a significant risk to child safety.
  • Understanding the epidemiology and circumstances of pediatric RTAs is crucial for prevention.

Purpose of the Study:

  • To evaluate RTAs involving children in Singapore.
  • To identify factors associated with severe outcomes.
  • To propose measures for reducing RTA frequency and severity.

Main Methods:

  • Retrospective study of children (0-16 years) involved in RTAs.
  • Data collected from January 2011 to June 2014 via the National Trauma Registry.
  • Analysis stratified by Injury Severity Score (ISS).

Main Results:

  • 1,243 RTAs reviewed; passengers (60.4%), pedestrians (28.5%), cyclists (9.9%) were victims.
  • Pedestrians comprised the majority of severe RTA cases (Tier 1 & 2).
  • Restraint use was low (36.7%), with non-restrained individuals having 8.4x higher risk of serious RTA.

Conclusions:

  • Emphasize the critical role of restraints and helmets in mitigating pediatric RTA morbidity.
  • Recommend enhanced road safety education, stricter restraint regulations, speed enforcement, and safer transport policies.
Abstract

Keywords:
Singaporechildrenrestraintsroad traffic accidents

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