Driveway crush injuries in young children : A highly lethal, devastating, and potentially preventable event.
Annual Meeting of the Pacific Association of Pediatrics Surgeons. Maui, HI, USA, 1998/06/09.
The aim of this study was to investigate driveway-related injuries in children, identify associated risk factors, and evaluate outcome compared with other mechanisms of blunt trauma.
A 6-year review (1991 to 1996) of pediatric (age less than 18 years) pedestrian injuries treated at two urban trauma centers was conducted : one regional pediatric trauma center and one level I trauma center with pediatric commitment.
Five hundred twenty-seven children injured in pedestrian accidents were identified from the trauma registry ; 51 children (10%) sustained traumatic injuries as a result of being struck in their driveway.
Data are reported as mean ± SEM
Children less than 5 years of age In=41) had an injury severity score (ISS) of 12.3 ± 2.3,15 (37%) sustained closed head injury, 13 (37%) had torso trauma, 19 (46%) skeletal trauma, and eight (20%) died.
Children >= 5 years old In=10) had an ISS of 10.7 ± 2.4, three (30%) sustained closed head injury, four (40%) torso trauma, six (60%) skeletal trauma, and none died.
In contrast, all other pediatric pedestrian accidents analyzed over the same time period had a mortality rate of only 2% (11 of 476).
Pediatric driveway trauma carries a significant risk of head injury and a 10-fold increase in mortality in children under 5 years of age when compared with all other pediatric pedestrian accidents. (...)
Mots-clés Pascal : Piéton, Automobile, Traumatisme, Ecrasement, Facteur risque, Pronostic, Mortalité, Enfant, Homme
Mots-clés Pascal anglais : Pedestrian, Motor car, Trauma, Crush, Risk factor, Prognosis, Mortality, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0120145
Code Inist : 002B16B. Création : 16/11/1999.