This content is not included in
your SAE MOBILUS subscription, or you are not logged in.
Injury Patterns Associated with Child Restraint Misuse
Annotation ability available
Sector:
Language:
English
Abstract
This study investigates the role of restraint misuse in pediatric motor vehicle trauma. Restrained children ages 0-12 years who were injured in motor vehicle crashes and admitted to a trauma center were studied. Restraint use was determined via crash reconstruction. Clinical data were collected prospectively and analyzed with respect to injury severity, and cost. Restraint misuse was found for 84% of children. Incorrectly restrained children experienced a higher mean ISS than correctly restrained children (12.3 vs. 7.1; p = 0.05) and incurred medical charges more than 2 times higher (US$36,839 vs. $15,004; p = 0.013). Case presentations illustrate patterns of injury associated with types of misuse. Incorrect restraint use is associated with greater injury severity and higher medical charges.
Recommended Content
| Technical Paper | Performance of Child Restraint Systems in Real-Life Lateral Collisions |
| Technical Paper | A Method to Assess the Effectiveness of Child Restraint Systems |
Authors
Citation
Gotschall, C., Eichelberger, M., Morrissey, J., Better, A. et al., "Injury Patterns Associated with Child Restraint Misuse," SAE Technical Paper 973311, 1997, https://doi.org/10.4271/973311.Also In
References
- Henderson M. Children in Car Crashes An in-depth study of car crashes in which child occupants were injured Child Accident Prevention Foundation of Australia New South Wales June 1994
- National Transportation Safety Board The Performance and Use of Child Restraint Systems, Seatbelts, and Air Bags for Children in Passenger Vehicles 1 Analysis Washington, DC September 1996
- Bull MJ Stroup KB Gerhart S Misuse of car safety seats Pediatrics 81 98 1988
- Margolis LH Wagenaar AC Molnar LF Recognizing the common problem of child automotive restraint misuse Pediatrics 81 717 1988
- Agran PF Epidemiology of injuries to children in traffic: children as occupants Irvine, CA University of California Irvine, Pediatric Injury Prevention Research Group 1995
- Decina LE Knoebel KY Patterns of misuse of child safety seats US DOT DTNH22-93-C-05014 Washington, DC 1996
- Graham CJ Kittredge D Stuemky JH Injuries associated with child safety seat misuse Pediatr Emerg Care 1992 8 351 353
- Bents FD Disinger PC Siegel JH Trauma Center based crash investigation research: methodologies and application SAE Technical Paper 940709 1994
- Association for the Advancement of Automotive Medicine The Abbreviated Injury Scale Des Plaines, IL Association for the Advancement of Automotive Medicine 1990
- Baker SP O'Neill B Haddon W JR et al The Injury Severity Score: A method for describing patients with multiple injuries and evaluating emergency care J Trauma 14 187 1974
- Baker SP O'Neill B The Injury Severity Score: An update J Trauma 16 882 1976
- Champion HR Sacco WJ Carnazzo AJ et al Trauma Score Crit Care Med 9 672 1981
- Boyd CR Tolson MA Copes WS Evaluating trauma care: The TRISS method J Trauma 27 370 1987
- Eichelberger MR Champion HR Sacco WJ et al Pediatric coefficients for TRISS analysis J Trauma 34 319 1993
- National Highway Traffic Safety Administration Child passenger safety tips September 1995
- Baker SP O'Neill BB Karpf RS The Injury Fact Book Lexington, Mass Lexington Books 1984
- Siegel JH Mason-Gonzalez S Dischinger P et al Safety belt restraints and compartment intrusions in frontal and lateral motor vehicle crashes: mechanisms of injuries, complications, and acute care costs J Trauma 35 736 1993
- Williams AF Zador P Injuries to children in automobiles in relation to seating location and restraint use Accid Anal & Prev 9 69 1977