Abstract:
BACKGROUND AND OBJECTIVES:Seating position in motor vehicle collisions (MVC) plays a major role in determining the injury pattern in mainly restrained children. However, compliance with child seating and restraint laws is still suboptimal. The role of seating position in predicting injury patterns among unrestrained children has not been previously studied. DESIGN AND SETTING:Retrospective review based on the trauma registry of a level I trauma center in Riyadh, Saudi Arabia. Data collection was restricted to unrestrained children involved in MVC. PATIENTS AND METHODS:Between July 2001 and March 2010, 274 records were identified. Detailed information about the collision, child seating position and the use of restraints was cross-verified using parental phone interviews. RESULTS:Of the 274 identified records, cross-verification was possible for 89 (32.4%) unrestrained children, 64 boys and 25 girls, with a mean (SD) age of 83 (40) months. Of these children, 41 (46.1%) were front seated (FS), and 48 (53.9%) were back seated (BS). There were higher rates of rollover (52.1% vs 24.4%, P=.02), ejection (41.7% vs 22%, P=.05), and occupant death ratio (14.8 vs 4, P=.04) among BS children. However, the two groups did not differ in pediatric trauma scores, Glascow coma scale score, or age distribution. FS children were more likely to present with isolated head, neck or facial injuries (HNFI) (51.2% vs 25%, P=.01), whereas BS children were more likely to suffer long bone or pelvic fractures (LPF) (60.4% vs 36.6%, P=.025). CONCLUSION:Injury pattern can vary according to seating position among unrestrained children presenting at trauma centers after MVC. While FS children are more likely to present with HNFI, BS children more often sustain LPF. BS children had similar trauma severity compared with FS children despite the higher-impact nature of their MVCs. While highlighting the value of proper restraints use and seating position, these results can be valuable in the initial assessment of traumatized children involved in MVC.
journal_name
Ann Saudi Medjournal_title
Annals of Saudi medicineauthors
Al-Jazaeri A,Zamakhshary M,Al-Omair A,Al-Haddab Y,Al-Jarallah O,Al-Qahtani Rdoi
10.5144/0256-4947.2012.502subject
Has Abstractpub_date
2012-09-01 00:00:00pages
502-6issue
5eissn
0256-4947issn
0975-4466journal_volume
32pub_type
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journal_title:Annals of Saudi medicine
pub_type: 临床试验,杂志文章
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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doi:10.5144/0256-4947.1995.563
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journal_title:Annals of Saudi medicine
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doi:10.5144/0256-4947.1994.467
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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journal_title:Annals of Saudi medicine
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Annals of Saudi medicine
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abstract::This is the first population-based data in Saudi Arabia on the incidence of leukemias in the Eastern Region, as conducted by its regional tumor registry. Data on cancer were captured from all health facilities in the region in 1987-1988. Population census was derived from a survey. Data on cancer deaths were obtained ...
journal_title:Annals of Saudi medicine
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