Risk factors associated with the severity of injury outcome for paediatric road trauma

Robert Mitchell, Mike Bambach, Kim FOSTER, Kate Curtis

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Road trauma is one of the most common causes of injury for children. Yet risk factors associated with different levels of injury severity for childhood road trauma have not been examined in-depth. This study identifies crash and injury risk factors associated with the severity of non-fatal injury outcome for paediatric road trauma. A retrospective analysis was conducted of paediatric road trauma identified in linked police-reported and hospitalisation records during 1 January 2001 to 31 December 2011 in New South Wales (NSW), Australia. The linkage rate was 54%. Injury severity was calculated from diagnosis classifications in hospital records using the International Classification of Disease Injury Severity Score. Univariate and multi-variable logistic regression was conducted. There were 2412 car occupants, 1701 pedestrians and 612 pedal cyclists hospitalised where their hospital record linked to a police report. For car occupants, unauthorised vehicle drivers had twice the odds (OR: 2.21, 95%CI 1.47-3.34) and learner/provisional drivers had one and a half times higher odds (OR: 1.54, 95%CI 1.15-2.07) of a child car occupant sustaining a serious injury compared to a minor injury. For pedal cyclists and pedestrians, there were lower odds of a crash occurring during school commuting time and higher odds of a crash occurring during the weekend or on a dry road for children who sustained a serious versus a minor injury. Injury prevention initiatives, such as restraint and helmet use, that should reduce injury and/or crash severity are advocated
Original languageEnglish
Pages (from-to)874-882
Number of pages9
JournalInjury
Volume46
Issue number5
DOIs
Publication statusPublished - 2015

Fingerprint

Pediatrics
Wounds and Injuries
Hospital Records
Police
Foot
Head Protective Devices
South Australia
Injury Severity Score
New South Wales
International Classification of Diseases
Hospitalization
Logistic Models

Cite this

Mitchell, Robert ; Bambach, Mike ; FOSTER, Kim ; Curtis, Kate. / Risk factors associated with the severity of injury outcome for paediatric road trauma. In: Injury. 2015 ; Vol. 46, No. 5. pp. 874-882.
@article{b999a95636974df3b6a607f25e334940,
title = "Risk factors associated with the severity of injury outcome for paediatric road trauma",
abstract = "Road trauma is one of the most common causes of injury for children. Yet risk factors associated with different levels of injury severity for childhood road trauma have not been examined in-depth. This study identifies crash and injury risk factors associated with the severity of non-fatal injury outcome for paediatric road trauma. A retrospective analysis was conducted of paediatric road trauma identified in linked police-reported and hospitalisation records during 1 January 2001 to 31 December 2011 in New South Wales (NSW), Australia. The linkage rate was 54{\%}. Injury severity was calculated from diagnosis classifications in hospital records using the International Classification of Disease Injury Severity Score. Univariate and multi-variable logistic regression was conducted. There were 2412 car occupants, 1701 pedestrians and 612 pedal cyclists hospitalised where their hospital record linked to a police report. For car occupants, unauthorised vehicle drivers had twice the odds (OR: 2.21, 95{\%}CI 1.47-3.34) and learner/provisional drivers had one and a half times higher odds (OR: 1.54, 95{\%}CI 1.15-2.07) of a child car occupant sustaining a serious injury compared to a minor injury. For pedal cyclists and pedestrians, there were lower odds of a crash occurring during school commuting time and higher odds of a crash occurring during the weekend or on a dry road for children who sustained a serious versus a minor injury. Injury prevention initiatives, such as restraint and helmet use, that should reduce injury and/or crash severity are advocated",
keywords = "Injury severity, Paediatric injury, Road trauma",
author = "Robert Mitchell and Mike Bambach and Kim FOSTER and Kate Curtis",
year = "2015",
doi = "10.1016/j.injury.2015.02.006",
language = "English",
volume = "46",
pages = "874--882",
journal = "Injury",
issn = "1572-3461",
publisher = "Elsevier Limited",
number = "5",

}

Risk factors associated with the severity of injury outcome for paediatric road trauma. / Mitchell, Robert; Bambach, Mike; FOSTER, Kim; Curtis, Kate.

In: Injury, Vol. 46, No. 5, 2015, p. 874-882.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Risk factors associated with the severity of injury outcome for paediatric road trauma

AU - Mitchell, Robert

AU - Bambach, Mike

AU - FOSTER, Kim

AU - Curtis, Kate

PY - 2015

Y1 - 2015

N2 - Road trauma is one of the most common causes of injury for children. Yet risk factors associated with different levels of injury severity for childhood road trauma have not been examined in-depth. This study identifies crash and injury risk factors associated with the severity of non-fatal injury outcome for paediatric road trauma. A retrospective analysis was conducted of paediatric road trauma identified in linked police-reported and hospitalisation records during 1 January 2001 to 31 December 2011 in New South Wales (NSW), Australia. The linkage rate was 54%. Injury severity was calculated from diagnosis classifications in hospital records using the International Classification of Disease Injury Severity Score. Univariate and multi-variable logistic regression was conducted. There were 2412 car occupants, 1701 pedestrians and 612 pedal cyclists hospitalised where their hospital record linked to a police report. For car occupants, unauthorised vehicle drivers had twice the odds (OR: 2.21, 95%CI 1.47-3.34) and learner/provisional drivers had one and a half times higher odds (OR: 1.54, 95%CI 1.15-2.07) of a child car occupant sustaining a serious injury compared to a minor injury. For pedal cyclists and pedestrians, there were lower odds of a crash occurring during school commuting time and higher odds of a crash occurring during the weekend or on a dry road for children who sustained a serious versus a minor injury. Injury prevention initiatives, such as restraint and helmet use, that should reduce injury and/or crash severity are advocated

AB - Road trauma is one of the most common causes of injury for children. Yet risk factors associated with different levels of injury severity for childhood road trauma have not been examined in-depth. This study identifies crash and injury risk factors associated with the severity of non-fatal injury outcome for paediatric road trauma. A retrospective analysis was conducted of paediatric road trauma identified in linked police-reported and hospitalisation records during 1 January 2001 to 31 December 2011 in New South Wales (NSW), Australia. The linkage rate was 54%. Injury severity was calculated from diagnosis classifications in hospital records using the International Classification of Disease Injury Severity Score. Univariate and multi-variable logistic regression was conducted. There were 2412 car occupants, 1701 pedestrians and 612 pedal cyclists hospitalised where their hospital record linked to a police report. For car occupants, unauthorised vehicle drivers had twice the odds (OR: 2.21, 95%CI 1.47-3.34) and learner/provisional drivers had one and a half times higher odds (OR: 1.54, 95%CI 1.15-2.07) of a child car occupant sustaining a serious injury compared to a minor injury. For pedal cyclists and pedestrians, there were lower odds of a crash occurring during school commuting time and higher odds of a crash occurring during the weekend or on a dry road for children who sustained a serious versus a minor injury. Injury prevention initiatives, such as restraint and helmet use, that should reduce injury and/or crash severity are advocated

KW - Injury severity

KW - Paediatric injury

KW - Road trauma

U2 - 10.1016/j.injury.2015.02.006

DO - 10.1016/j.injury.2015.02.006

M3 - Article

VL - 46

SP - 874

EP - 882

JO - Injury

JF - Injury

SN - 1572-3461

IS - 5

ER -