This content is not included in your SAE MOBILUS subscription, or you are not logged in.
A Study of Motor Vehicle Accidents Involving Children
ISSN: 0148-7191, e-ISSN: 2688-3627
Published November 01, 1996 by SAE International in United States
Annotation ability available
This study utilizes a unique database that allows for the calculation of the correlation of injuries to child passengers involved in motor vehicle accidents with the restraint system and the accident characteristics. The database contains 4600 records of accidents involving children age 12 and under that occurred in 13 counties in western New York State during 1991 and 1992. Injured subjects and non-injured subjects were selected from data provided by the New York State Department of Motor Vehicles identifying reported accidents involving the target population in the time period and geographical area defined. The data sources included police accident reports, emergency medical team reports, hospital records and contact with the parents of children who were in child restraints. In child restraint cases, the type of child restraint in use is identified and misuse or equipment failure is noted. Injuries to child occupants are presented in Maximum Abbreviated Injury Scale (MAIS) and Injury Severity Score (ISS) formats, with each specific injury assigned Abbreviated Injury Scale (AIS90) and International Classification of Diseases (ICD9) identifiers. Data presented include descriptive statistics concerning accident configurations and occupant and injury characteristics; no statistical comparisons are made. Analyses indicate that the risk of injury in this study is 58% for unrestrained children, 30% for children restrained by adult systems and 16% for those in properly used child restraints. The most severe injures to children in properly used child restraints included five children (2%) who sustained MAIS=3 injuries. MAIS ≥ 3 injuries were reported to 25 unrestrained children (6.5%, including 7 fatalities) and 13 children in adult restraints (2%, including 2 fatalities).
CitationWalsh, M., Kelleher-Walsh, B., and McCullough, C., "A Study of Motor Vehicle Accidents Involving Children," SAE Technical Paper 962436, 1996, https://doi.org/10.4271/962436.
- Kelleher-Walsh, B.J. Walsh, M.J. States, J.D. Duffy, L.C. “Trauma to Children in Forward-Facing Car Seats” Proceedings of the Society of Automotive Engineers Child Occupant Protection Conference San Antonio, TX November 1993
- Nopporn, K. Nguyen, T.T. Bents, F.D. Eichelberger, M.R. Gotschall, C.S. Morrissey, R. “Injury Severity in Restrained Children in Motor Vehicle Crashes” Proceedings of the 39th Stapp Car Crash Conference San Diego, CA November 1995
- Trosseille, X. Tarriere, C. “Neck Injury Criteria for Children from Real Crash Reconstructions” Proceedings of the Society of Automotive Engineers Child Occupant Protection Conference San Antonio, TX November 1993
- Osberg, J. S. DiScala, C. “Morbidity Among Pediatric Motor Vehicle Crash Victims: The Effectiveness of Seat Belts.” American Journal of Public Health 82 3 422 March 1992
- Agran, P. Winn, D. Dunkle, D. “Injuries Among 4 to 9 Year Old Restrained Motor Vehicle Occupants by Seat Location and Crash Impact Site.” American Journal of the Diseases of Children 143 November 1989
- Henderson, M. Brown, J. Paine, M “Injuries to Restrained Children” 38th Annual Proceedings AAAM Lyon, France September 1994
- Rattenbury, S. J. Gloyns, P. F. “A Population Study of UK Car Accidents in Which Restrained Children Were Killed” Proceedings of the Society of Automotive Engineers Child Occupant Protection Conference San Antonio, TX November 1993
- Agran, P. Dunkle, D. Winn, D. G. “Motor Vehicle Accident Trauma and Restraint Usage Patterns in Children Less Than 4 Years of Age” Pediatrics 76 3 September 1985
- Fuchs, S. Barthel, M. J. Flannery, A. M. Christoffel, K. K. “Cervical Spine Fractures Sustained by Young Children in Forward-Facing Car Seats” Pediatrics 84 2 August 1989
- Langweider, K. Hummel, T. “Neck Injuries to Restrained Children” 1989 International IRCOBI Conference on the Biomechanics of Impact, Workshop “Future in Child Restraints” Stockholm, Sweden September 1989
- State of New York Chapter 742, Laws of 1972, An Act Authorizing the Commissioner of Motor Vehicles to Study and Approve Accident-Investigation Units
- Committee on Injury Scaling “The Abbreviated Injury Scale, 1990 Revision” Association for the Advancement of Automotive Medicine Arlington Heights, IL 60005
- International Classification of Diseases, Revision 9 St. Anthony Press 500 Montgomery St., Alexandria, VA 22314
- Klinich, K.D. Burton, R. W. “Injury Patterns of Older Children in Automotive Accidents” Proceedings of the Society of Automotive Engineers Child Occupant Protection Conference San Antonio, TX November 1993
- Baker, S.P. O'Neill, B. Hadon, W. Long, W.B. “The Injury Severity Score: A method for describing patients with multiple injuries and evaluating emergency care” J Trauma 14 187 196 1974