J Korean Soc Traumatol.  2015 Sep;28(3):98-103. 10.0000/jti.2015.28.3.98.

Injury Analysis of Child Passenger According to the Types of Safety Restraint Systems in Motor Vehicle Crashes

• Sung KM
• Kim SC
• Jeon HJ
• Kwak YS
• Youn YH
• Lee KH
• Park JC
• Choi JH

• KMID: 2224046
• DOI: http://doi.org/10.0000/jti.2015.28.3.98

Abstract

PURPOSE
To compare injury sustained and severity of child occupant according to the types of safety restraint systems in motor vehicle crashes.
METHODS
This was a retrospective observational study. The study subjects were child occupants under the age of 8 years who visited a local emergency center following a motor vehicle crash from 2010 to 2014. According to safety restraint: child restraint systems (CRS), belted, and unbelted, we compared injuries sustained and injury severity using the maximal Abbreviated Injury Scale (MAIS) and Injury Severity Score (ISS), and analyzed the characteristics of severe injuries (AIS2+).
RESULTS
Among 241 subjects, 9.1% were restrained in CRS, 14.5% were only belted, and 76.3% was unbelted at the time of the crashes. Fourteen had severe injuries (AIS2+), all of whom didn't be restrained by CRS. Injuries in face and neck were the highest in unbelted group, and MAIS and ISS were the lowest in CRS group.
CONCLUSION
Among safety restraint systems for child occupant in motor vehicle crashes, the CRS have the preventive effect of face and neck injuries, and are the most effective safety restraint systems.

Keyword

Child; Traffic accidents; Child restraint systems; Injury severity score; Abbreviated injury scale

MeSH Terms

Abbreviated Injury Scale
Accidents, Traffic
Child Restraint Systems
Child*
Emergencies
Humans
Injury Severity Score
Motor Vehicles*
Neck
Neck Injuries
Observational Study
Retrospective Studies