Paediatric Pedestrian Trauma
Clinton Newberry
Outline
PAEDIATRIC PEDESTRIAN TRAUMA
INTRODUCTION
19% child deaths pedestrian trauma
national average of 13%
AIM
Demographics
Nature of injury
Outcome
Targeted prevention strategies
METHODS
Retrospective analysis
Children (aged <15 years) admitted to Starship and Middlemore hospitals
Greater Auckland area
6-year period 2000 to 2005
Excluded were pedestrians injured or killed in a driveway.
RESULTS
388 injuries
27 fatal
60/year
22.6 / 100,000 children per year
The average number of injuries for the years 1993 to 1997 was 142 (50.3 / 100,000 children per year)
Gender
63% male
Conclusions
Pedestrian injuries common
Incidence declining
This data shows that prevention strategies would do well to target children aged from 5-8 years with emphasis placed on preventing injuries at around 3pm when school finishes.
Acknowledgements
This study was funded by the Child Accident Prevention Foundation of New Zealand.
The support of SafeKids New Zealand is gratefully acknowledged.
The authors would like to thank Dr Timothy D. Koelmeyer for his assistance with the autopsy reports.
References
SafeKids. Children Walking Safely. Reducing Child Pedestrian Injuries. Regional Plan Scoping Report. April 2004
Pedestrian Injury Profile for the Auckland Region. September 1998. RoadSafe Auckland.
Gibson K. Land Transport New Zealand. 2006
Yiannakoulias N. et al. The Spatial and Temporal Dimensions of Child Pedestrian Injury in Edmonton. Canadian Journal of Public Health. Nov-Dec 2002
Johannes M. Mayr et al. Causes and Consequences of Pedestrian Injuries in Children. European Journal of Paediatrics. 2003; 162: 184-190
Roberts I.G, Keall M.D and Frith W.J. Pedestrian Exposure and the Risk of Child Pedestrian Injury. Journal of Paediatric Child Health. 1994; 30: 00-00
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