Factors influencing pediatric injury in side impact collisions

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Arbogast, Kristy B.; Moll, Elisa K.; Morris, Shannon D.; Anderko, Rebecca L.; Durbin, Dennis R.; Winston, Flaura K.

Factors influencing pediatric injury in side impact collisions

44th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM)

Affiliations

¹TraumaLink and the Department of Pediatrics, The Children’s Hospital of Philadelphia

²Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA
Abstract

Side impacts collisions pose a great risk to children in crashes but information about the injury mechanisms is limited. The heights and weights of children vary widely and as a result, the injury patterns may vary across the pediatric age range. This study involves a case series of children in side impact collisions who were identified through Partners for Child Passenger Safety, a large child-focused crash surveillance system. The aim of the current study was to use indepth crash investigations to identify injury mechanisms to children in side impact collisions.

93 children in 55 side impact crashes were studied. 23% (n=22) of the children received an AIS ≥2 (clinically significant) injury. In these 22 children, head (39%), extremity (22%), and abdominal injuries (17%) were the most common significant injuries. The cases revealed that serious injuries occur even in minor crashes. Cases that illustrate body region-specific injury mechanisms are discussed.

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Cited By (7)

Year	Entry
2001	Durbin DR, Elliott M, Arbogast KB, Anderko RL, Winston FK. The effect of seating position on risk of injury for children in side impact collisions. In: 45th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 24-26, 2001; San Antonio, TX.
2003	Sherwood CP, Ferguson SA, Crandall JR. Factors leading to crash fatalities to children in child restraints. In: 47th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 22-24, 2003; Lisbon, Portugal.343-359.
2013	Hauschild HW, Humm JR, Yoganandan N. Injury potential at center rear seating positions in rear-facing child restraint systems in side impacts. In: 57th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 22-25, 2013; Quebec City, QC.281-295.
2005	Klinich KD, Ritchie NL, Manary MA, Reed MP, Tamborra N, Schneider LW. Kinematics of the Q3S ATD in a child restraint under far-side impact loading. In: Proceedings of the 19th International Technical Conference on the Enhanced Safety of Vehicles (ESV). June 6-9, 2005; Washington, DC.
2014	Ita ME. Comparison of Q3s Anthropomorphic Test Device Biomechanical Responses to Pediatric Volunteers [Master's thesis]. The Ohio State University; 2014.
2009	Parent DP. Scaling and Optimization of Thoracic Impact Response in Pediatric Subjects [Master's thesis]. Charlottesville, VA: University of Virginia; 2009.
in press	Hauschild HW. Rear-Facing Child Restraint Device Performance in Side Impact Crashes [Master's thesis]. University of Wisconsin – Whitewater.