Safety/booster seats in pediatric motor vehicle crashes: Public health concern - 19/01/24
, Morgan Schellenberg, MD MPH b, Kazuhide Matsushima, MD b, Jeffry Nahmias, MD MHPE a, Rebecca Barros, MD c, Kenji Inaba, MD bAbstract |
Introduction |
The American Academy of Pediatrics (AAP) guidelines recommend that children ≤12-years-old with height < 145 cm should use safety/booster seats. However, national adherence and clinical outcomes for eligible children involved in motor vehicle collisions (MVCs) are unknown. We hypothesized that children recommended to use safety/booster seats involved in MVCs have a lower rate of serious injuries if a safety/booster seat is used, compared to children without safety/booster seat.
Methods |
This retrospective cohort study queried the 2017–2019 Trauma Quality Improvement Program database for patients ≤12-years-old and <145 cm (recommendation for use of safety/booster seat per American Academy of Pediatrics) presenting after MVC. Serious injury was defined by abbreviated injury scale grade ≥3 for any body-region. High-risk MVC was defined by authors in conjunction with definitions provided by the Centers for Disease Control and Prevention and the American College of Surgeons Committee on Trauma.
Results |
From 8259 cases, 41% used a safety/booster seat. There was no difference in overall rate of serious traumatic injuries or mortality (both p > 0.05) between the safety/booster seat and no safety/booster seat groups. In a subset analysis of high-risk MVCs, the overall use of safety/booster seats was 56%. The rate of serious traumatic injury (53.6% vs. 62.1%, p = 0.017) and operative intervention (15.8% vs. 21.6%, p = 0.039) was lower in the safety/booster seat group compared to the no safety/booster seat group.
Conclusions |
Despite AAP guidelines, less than half of recommended children in our study population presenting to a trauma center after MVC used safety/booster seats. Pediatric patients involved in a high-risk MVC suffered more serious injuries and were more likely to require surgical intervention without a safety/booster seat. A public health program to increase adherence to safety/booster seat use within this population appears warranted.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Pediatric safety seats decrease rates of injury and mortality. |
• | Variability in recommendations for use of safety/booster seats. |
• | 41% adherence rate to American Academy of Pediatrics guidelines for safety seat use. |
• | Safety seat use had lower rates of severe injury and need for surgery. |
Keywords : Pediatric trauma, Safety seat, Pediatric car seat, Booster seat, Motor vehicle collision
Abbreviations : AAP, ACS-COT, AIS, CDC, ED, ISS, LOS, MVC, NHTSA, STROBE, TQIP
Plan
| ☆ | This manuscript was presented at the Academic Surgical Congress in Houston, TX on February 9, 2023. |
Vol 76
P. 180-184 - février 2024 Retour au numéro
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