Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Mayr, JM; Eder, C; Berghold, A; Wernig, J; Khayati, S; Ruppert-Kohlmayr, A.
Causes and consequences of pedestrian injuries in children.
Eur J Pediatr. 2003; 162(3):184-190
Doi: 10.1007/s00431-002-1099-1
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Mayr Johannes
- Co-Autor*innen der Med Uni Graz
- Berghold Andrea
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- Abstract:
- Pedestrian-car collisions are in motorised countries one of the leading causes of unintentional-injury-related death and morbidity among children. The objective of this study was to assess correlations between the mode and the severity or post-traumatic sequels of the injury. A 12-year (1989-2001) retrospective study of children aged 0-16 years injured in pedestrian-motor-vehicle collisions was undertaken. An anonymous survey with questionnaires completed by families was conducted. In this time period, 501 children (average age: 7.9 years) were injured. The lack of visibility of the vehicle (45%) and/or the pedestrian (39%) was the leading cause of injury. The mean injury severity score was 6.0 (1-75) and the mortality rate was 0.8% ( n=4, injury severity scores 47, 75, 75, 75). In this study, 217 questionnaires were analysed. When the children were injured, 37% of them were alone, 32.3% were in the presence of accompanying adults, and 24.0% were in the presence of other children. The latter group suffered the highest injury severity score ( P=0.016). Positive correlations were noted between injury severity score and impact speed ( r=0.31, P<0.001) and the distances that the children were thrown off or transported on the vehicle front ( r=0.29, P<0.001). Physical sequels were reported by 27% of the families, and 23% noted psychological disturbances. A positive correlation was noted between impact speed and the occurrence of physical sequels ( P<0.001). The number of deformed parts per vehicle was correlated to the occurrence of behavioural disturbances ( P<0.004). CONCLUSION: The incidence of post-traumatic sequels seems to be associated with higher speed at impact, lack of braking attempts, and higher numbers of vehicle parts deformed.
- Find related publications in this database (using NLM MeSH Indexing)
- Accidents, Traffic - mortality
- Adolescent - mortality
- Austria - epidemiology
- Child - epidemiology
- Child, Preschool - epidemiology
- Environment Design - epidemiology
- Humans - epidemiology
- Infant - epidemiology
- Infant, Newborn - epidemiology
- Logistic Models - epidemiology
- Multivariate Analysis - epidemiology
- Retrospective Studies - epidemiology
- Risk Factors - epidemiology
- Stress Disorders, Post-Traumatic - epidemiology
- Walking - injuries
- Wounds and Injuries - complications
- Find related publications in this database (Keywords)
- car
- follow-up
- pedestrian
- injury prevention
- mode of injury