Injuries to a Sample of Seatbelted Children Evaluated and Treated in a Hospital Emergency Room

Agran, Phyllis F.; Dunkle, Debora E.; Winn, Diane G.

doi:10.1097/00005373-198701000-00011

Cited by 107 publications

(51 citation statements)

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“…The first descriptions of SBS in children began appearing in the 1970's as restraint of children became more common with the introduction of rear seat belts. [14] Iniuries from Seat Belt Syndrome…”

Section: Results a Seat Belt Syndromementioning

confidence: 99%

“…[14] A total of 1,642 children injured as occupants in motor vehicle crashes were identified using an emergency department-based surveillance system in Orange County, CA between 1981 and1984. Among this group, 191 (12%) were reported to be wearing a vehicle seat belt at the time of the crash.…”

Section: Prevalence Of Seat Belt Syndromementioning

confidence: 99%

“…[8,14] Lane noted that, among the 46 patients with SBS, 8 (17%) were under 4 years old, and 19 (41 %) each were 5-9 and 10-14 years of age. The small number of subjects in the Agran study preclude a meaningful statistical analysis of incidence by age group.…”

Section: Prevalence Of Seat Belt Syndromementioning

confidence: 99%

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The premature graduation of children from child restraints to vehicle safety belts

Winston¹,

Moll²,

Durbin³

et al. 2000

PsycEXTRA Dataset

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Belt-positioning booster seats are recommended for children between 40 and 80 pounds, however, usage is estimated at only 5% nationally. The goal of this project was to determine reasons for the premature graduation of children from child safety seats to vehicle seat belts and to suggest strategies for increasing booster seat use.The project utilized multiple methods, including a review of existing literature and programs regarding premature graduation and booster seat use; discussions with parents, children, and experts via telephone or focus groups; and facilitated brainstorming sessions. These qualitative methods were used to gain a broad understanding of the issues relating to the premature use of seat belts by young children and to suggest strategies to increase booster seat use.This research showed that the premature graduation of children from child safety seats to vehicle seat belts occurs for a variety of reasons. Most notably, a parent's perception of risk of their child being injured in a crash plays an important role -parents who used booster seats tended to have a higher risk perception than parents who used seat belts for their children. Parents' knowledge of best practice for child passenger safety and the potential consequences for not following these recommendations played a key role among the subjects studied in this research. Parents identified several potential barriers to optimal restraint for their young children including situational circumstances (e.g., extra adult or child in the vehicle), child behavior, child discomfort, the law, availability of the booster seat, cost, convenience/ ease of use, and perceptions of safer alternatives. This research also identified potential strategies to overcome barriers to booster seat use, and to promote continued booster seat use among parents who use them. ii Executive SummarySeat belts do not properly fit young children. The lap belt rides up around the child's waist and the shoulder belt crosses the face or neck, often causing the child to place the belt behind his/her back or under his/her arm. This reduces the effectiveness and compromises the torso restraint. As a result, the premature use of seat belts can cause significant injury in the event of a motor vehicle crash. In particular, young children restrained using seat belts are 3.5 times more likely to sustain a significant injury and 4.2 times more likely to sustain a significant head injury than children using child safety seats or booster seats (Wnston, et al., 2000). In addition, young children using seat belts are also at risk for seat belt syndrome, which can include serious injuries to the abdomen and/or spine.In order to help prevent these injuries, the National Highway Traffic Safety Administration recommends that children between 40 and 80 pounds be restrained using a belt positioning booster seat.' Unfortunately, however, belt positioning booster seat use is only about 5%nationally. The goal of this project was to determine reasons for the premature graduation of children from chi...

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Section: Results a Seat Belt Syndromementioning

confidence: 99%

Section: Prevalence Of Seat Belt Syndromementioning

confidence: 99%

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The premature graduation of children from child restraints to vehicle safety belts

Winston¹,

Moll²,

Durbin³

et al. 2000

PsycEXTRA Dataset

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show abstract

“…A forward-facing seat, a combination seat, or a belt-positioning booster seat should be used when the child has outgrown a convertible safety seat but is too small to use the vehicle's safety belts. Vehicle safety belts should not be used until the shoulder belt can be positioned across the chest with the lap belt low and snug across the thighs 6,7 . The child should fit against the vehicle's seat back with his or her feet hanging down when the legs are bent at the knees.…”

Section: Seat Selectionmentioning

confidence: 99%

Car safety in children

Lucas

2010

Sri Lanka J Child Health

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“…A forward-facing seat, a combination seat, or a belt-positioning booster seat should be used when the child has outgrown a convertible safety seat but is too small to use the vehicle's safety belts. Vehicle safety belts should not be used until the shoulder belt can be positioned across the chest with the lap belt low and snug across the thighs 7,8 ; the child should fit against the vehicle's seat back with his or her feet hanging down when the legs are bent at the knees. A belt-positioning booster seat should be used until the vehicle safety belt fits well.…”

Section: Seat Selectionmentioning

confidence: 99%

Selecting and Using the Most Appropriate Car Safety Seats for Growing Children: Guidelines for Counseling Parents

Prevention¹

2002

Pediatrics

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ABSTRACT. Despite the existence of laws in all 50 states requiring the use of car safety seats or child restraint devices for young children, more children are still killed as passengers in car crashes than from any other type of injury. Pediatricians and other health care professionals need to provide up-to-date, appropriate information for parents regarding car safety seat choices and proper use. Although the American Academy of Pediatrics is not a testing or standard-setting organization, this policy statement discusses the Academy's current recommendations based on the peer-reviewed literature available at the time of publication and sets forth some of the factors that parents should consider before selecting and using a car safety seat.

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Injuries to a Sample of Seatbelted Children Evaluated and Treated in a Hospital Emergency Room

Cited by 107 publications

References 0 publications

The premature graduation of children from child restraints to vehicle safety belts

The premature graduation of children from child restraints to vehicle safety belts

Car safety in children

Selecting and Using the Most Appropriate Car Safety Seats for Growing Children: Guidelines for Counseling Parents

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