Pedestrian Injuries to Children and Youth

Guyer, B.; Talbot, Ana; Pless, Ivan Barry

doi:10.1097/01241398-198601000-00086

Cited by 6 publications

(7 citation statements)

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“…O mesmo sucede com os acidentes automobilísticos. Estes dados confirmam estudos nos E.U.A, onde a cada ano, 2.000 crianças e jovens morrem devido a acidentes envolvendo veículos automotores e outros 110.000 recebem ferimentos não fatais 24,26 . Juntamente com o trauma, as mordeduras e as picadas incidiram predominantemente em crianças acima de 5 anos, provavelmente pelas características deste grupo etário na sua relação com o meio ambiente.…”

Section: Discussionunclassified

“…Com grande freqüência, a criança vítima de trauma procura serviços que não integram um sistema bem organizado de saúde, e muitas vezes é encaminhada a um hospital terciário por falta de recursos na unidade de atendimento ou por insegurança e despreparo dos trabalhadores de saúde que a atendem. Fica evidente a necessidade de descentralização do atendimento, que, para ser satisfatório, precisa de equipes de saúde treinadas e orientadas por protocolos padronizados de conduta e unidades de saúde de fácil acesso26,28 . Seria de grande importância a inclusão de rotinas de atendimento na estratégia de Atenção Integrada às Doenças Prevalentes da Infância (AIDPI).Há muito, os pediatras notaram a necessidade do aconselhamento na prevenção de acidentes.…”

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Accidents involving children in the region of Campinas, Brazil

Baracat¹,

Paraschin²,

Nogueira³

et al. 2000

J Pediatr (Rio J)

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Section: Discussionunclassified

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Accidents involving children in the region of Campinas, Brazil

Baracat¹,

Paraschin²,

Nogueira³

et al. 2000

J Pediatr (Rio J)

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“…Precise comparisons of the relative safety of different modes of transportation cannot be made without actual measures of exposure. 8,36 However, if the popularity of subway travel among adults is an indication of its popularity among children in northern Manhattan (Table 1), these results would appear to suggest that the subway provides a far safer mode of travel than do the other modes used by children in the community.…”

Section: Descriptive Epidemiologymentioning

confidence: 99%

Epidemiology and Prevention of Traffic Injuries to Urban Children and Adolescents

et al. 1999

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Traffic injuries were a leading cause of severe childhood injury in this population, accounting for nearly 16% of the injuries, second only to falls (24%). During the preintervention period (1983-1988), severe traffic injuries occurred at a rate of 147.2/100 000 children <17 years per year. Slightly <2% of these injuries were fatal. Pedestrian injuries accounted for two thirds of all severe traffic injuries in the population. Among school-aged children, average annual rates (per 100 000) of severe injuries before the intervention were 127.2 for pedestrian, 37.4 for bicyclist, and 25.5 for motor vehicle occupant injuries. Peak incidence of pedestrian and bicyclist injuries occurred during the summer months and afternoon hours, whereas motor vehicle occupant injuries showed little seasonal variation and were more common during evening and night-time hours. Age-specific rates showed peak incidence of pedestrian injuries among 6- to 10-year-old children, of bicyclist injuries among 9- to 15-year-old children, and of motor vehicle occupant injuries among adolescents between the ages of 12 and 16 years. The peak age for all traffic injuries combined was 15 years, an age at which nearly 3 of every 1000 children each year in this population sustained a severe traffic injury. Among children hospitalized for traffic injuries during the preintervention period, 6.3% sustained major head trauma (including concussion with loss of consciousness for >/=1 hour, cerebral laceration and/or cerebral hemorrhage), and 36.9% sustained minor head trauma (skull fracture and/or concussion with no loss of consciousness >/=1 hour and no major head injury). The percentage of injured children with major and minor head trauma was higher among those injured in traffic than among those injured by all other means (43.2% vs 14.2%, respectively; chi2 = 336; degrees of freedom = 1). The percentages of children sustaining head trauma were 45.4% of those who were injured as pedestrians, 40.2% of those who were injured as bicyclists, and 38.9% of those who were injured as motor vehicle occupants. During the intervention period, the average incidence of traffic injuries among school aged children declined by 36% relative to the preintervention period (rate ratio:.64; 95% CI:.58,.72). After adjusting for annual trends in incidence, pedestrian injuries declined during the intervention period among school aged children by 45% (adjusted rate ratio:.55; 95% CI:.38,.79). No comparable reduction occurred in nontargeted injuries among school-aged children (adjusted rate ratio:.89; 95% CI:.72, 1.09) or in traffic injuries among younger children who

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“…Setting-Six cities in five countries: Melbourne and Perth (Australia), Montreal (Canada), Auckland (New Zealand), Umea (Sweden), and Baltimore (USA). Subjects-Children aged 6 and 9 years. Main outcome measures-Modes oftravel on the school-home journey, total daily time spent waLking, and the average daily number of roads crossed.…”

Section: Introductionmentioning

confidence: 99%