Pediatric Pedestrian Injuries

BACKGROUND AND OBJECTIVESData on the epidemiology of traumatic head injuries (THI) is essential for any organized prevention program. Such data are few in the developing world. Our primary goal was to study the causes, descriptive features, and outcomes of THI in adults in Saudi Arabia.DESIGN AND SETTINGSThe present study is a retrospective review.METHODSThis retrospective review included all consecutive cases of adults with THI (>18 years) who were admitted to a major trauma centre in Riyadh, Saudi Arabia, from May 2001 to July 2010. Patients were identified through a trauma database, which includes cases that required hospital admission or died in the emergency department.RESULTSA total of 1870 patients met the inclusion criteria with a mean age of 32.6 years and a male predominance (91.2%). Most injuries were secondary to motor vehicle collisions (MVC; 69.4%). Pedestrian injuries were second (16.8%) and had 40% risk of mortality (odds ratio 0.62, 95% CI 0.48–0.8). Most patients (56.7%) had a severe THI (Glasgow coma score, GCS < 8). The overall mortality rate was 30%. Mortality was significantly associated with older age (P=.0001), lower GCS (P=.0001), and a higher injury severity score (ISS; P=.0001).CONCLUSIONThe most common causes of hospital admission following injury were MVC and pedestrian injuries. Both were also the most common causes for injury-related deaths. Safety on the roads should be the primary target for any organized injury prevention programs to be successful.

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“…Comparative fissures from the European Union indicate that out of 50 000 annual road traffic deaths, 8500 were pedestrians. 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Causes and patterns of adult traumatic head injuries in Saudi Arabia: implications for injury prevention

Al‐Habib

A-shail

Alaqeel

et al. 2013

Annals of Saudi Medicine

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“…According to the World Health Organization, road traffic accidents (RTAs) are the leading cause of death amongst 15-19-year-olds and the second leading cause amongst 5-14-year-olds [ 2 , 3 ]. In addition to mortality, several studies have highlighted TAs as one of the most common and severe causes of childhood injuries [4][5][6][7][8][9] . Although TA mortality has been decreasing in highincome countries such as Finland, TAs account for over seven per cent of disability-adjusted life years (DALYs) in 15-19-year-olds and close to three per cent in younger children, being also the main https://doi.org/10.1016/j.injury.2020.07.030 0020-1383/© 2020 The Authors.…”

Section: Introductionmentioning

confidence: 99%

Paediatric traffic accidents – current epidemiological trends at a finnish university hospital

Nurmi

Järvelä

Mattila

et al. 2020

Injury

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Background: Paediatric traffic accidents (TA) have a major impact globally on youth deaths and disabilities. It is known that the trends of TAs leading to fatal outcomes are decreasing in high-income countries. However, the literature concerning children's non-fatal TAs is scarce and outdated. The aim of this study was to report on the epidemiology of TAs amongst children admitted to the emergency department (ED) in Tampere, Finland. Materials and methods: We conducted a descriptive retrospective cohort study in Tampere University Hospital from January 2016 to May 2017. The study population consisted of all TA trauma patients aged 16 years or younger. A total of 386 cases (386 visits / 381 patients) fulfilled the inclusion criteria. Outcome variables such as length of stay, incidences of different accidents and types injuries, and seasonal variation were recorded. Results: The mean age of the patients was 12.2 ± 4.2 years (boys: n = 247, 64%). The incidence of TAs in Tampere was 26.6 per 10,0 0 0 with a peak of 119.6 in children 15 years of age. Most of the TAs occurred during the summer. Of the patients admitted to the ED, 33% (n = 127) did not require any specific medical treatment, and only 16% (n = 62) of the hospital stays lasted for two nights or more. Mopeds/motorcycles were the vehicles most commonly involved in accidents causing 35% (n = 134) of all accidents and resulting in the most severe injuries. The most common injuries were superficial (n = 142, 38%) and the most frequent anatomical region affected was the lower limbs (n = 130, 34%). Conclusion: We found that the majority of childhood traffic accidents in Tampere were mild and required only minor treatment. However, when the child reaches the legal age for acquiring a driving licence for a moped the risk for TAs and resulting injuries increases dramatically. These findings highlight the need for better targeted TA prevention.

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“…The research studies conducted so far revealed that the people most exposed to traffic crashes are children and seniors [2][3][4][5]. According to the World Health Organization, the injuries caused by traffic crashes are the leading cause of death among 10-19-year-olds at a global level [6].…”

Section: Introductionmentioning

confidence: 99%

School-Aged Pedestrian–Vehicle Crash Vulnerability

2019

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The analysis of pedestrian–vehicle crashes makes a significant contribution to sustainable pedestrian safety. Existing research is based mainly on the statistical analysis of traffic crashes involving pedestrians and their causes, without the identification of areas vulnerable to traffic crashes that involve pedestrians. The main aim of this paper is to identify areas vulnerable to school-aged pedestrian–vehicle crashes at a local level to support the local authorities in implementing new urban traffic safety measures. The vulnerable areas were determined by computing the severity index (SI) based on the number of fatal, serious, and slight casualties throughout the 2011–2016 period in a large urban agglomeration (Bucharest). As well as the vulnerable areas, the triggering factors and the time intervals related to school-aged pedestrian–vehicle crashes were identified. The outcomes of the study showed that the vulnerable areas were concentrated only in districts 2 and 4 of Bucharest, and they were associated with high vehicle speed and pedestrians’ unsafe crossing behavior. The findings revealed that speed and age are triggering factors in generating school-aged pedestrian–vehicle crashes. The identified time peaks with a high number of traffic crashes correspond to the afternoon time intervals, when scholars go home from school. The identification of the areas vulnerable to school-aged pedestrian crashes may help local authorities in identifying and implementing measures to improve traffic safety in large urban agglomerations.

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Pediatric Pedestrian Injuries

Cited by 24 publications

References 27 publications

Causes and patterns of adult traumatic head injuries in Saudi Arabia: implications for injury prevention

Causes and patterns of adult traumatic head injuries in Saudi Arabia: implications for injury prevention

Paediatric traffic accidents – current epidemiological trends at a finnish university hospital

School-Aged Pedestrian–Vehicle Crash Vulnerability

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