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Pediatric Pedestrian Injuries: Striking Too Close to Home.

Rebecca A Saberi1, Justin Stoler2, Gareth P Gilna1

  • 1DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL, USA; Ryder Trauma Center at Jackson Memorial Hospital, Miami, FL, USA.

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Summary

Pediatric pedestrian injuries (PPI) disproportionately affect minority children and occur near homes and public spaces. Injury severity is linked to distance from home and younger age, highlighting the need for targeted prevention strategies.

Keywords:
DisparitiesGeospatial analysisInjury preventionPedestrian injuryPediatric trauma

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Area of Science:

  • Public Health
  • Epidemiology
  • Geospatial Analysis

Background:

  • Pediatric pedestrian injuries (PPI) represent a significant public health challenge requiring detailed risk and severity characterization.
  • Geospatial analysis offers a powerful tool for understanding the spatial distribution and clustering of PPI.

Purpose of the Study:

  • To characterize the risk and injury severity of pediatric pedestrian injuries using geospatial analysis.
  • To identify spatial clusters and predictors of severe PPI.

Main Methods:

  • Retrospective chart review of pediatric patients (<18 years) treated for PPI at a level 1 trauma center (2013-2020).
  • Geographic Information System (GIS) used to geocode injury locations and analyze spatial clustering of PPI rates per 10,000 children.
  • Logistic regression employed to identify predictors of increased injury severity, using ICU admission as a marker.

Main Results:

  • PPI constituted 6% of pediatric traumas, with most patients being Black, male, older than 13, and insured by Medicaid.
  • A statistically significant cluster of PPI was identified in nine zip codes, with injuries frequently occurring near homes, schools, parks, and major roadways.
  • Increased injury severity (ICU admission) was independently predicted by greater distance from home (OR 1.060) and younger age (<13 years) (OR 3.662).

Conclusions:

  • Significant sociodemographic disparities exist in PPI, with injuries concentrated near patient residences and public landmarks.
  • Multidisciplinary injury prevention efforts are crucial for informing policymakers and local safety programs.
  • This study provides a model for national-level PPI prevention strategies.