Congruency of Crash- and Hospital- Reported Injuries Among Child Passengers.

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL American Journal of Preventive Medicine Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI:10.1016/j.amepre.2024.07.008
Emma B Sartin, Melissa R Pfeiffer, Thomas Hartka, Mark R Zonfrillo, Federico E Vaca, Kristina B Metzger, Anthoni M Goodman, Allison E Curry, Rachel K Myers
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Abstract

Introduction: Prior work has found incongruencies in injury information reported by crash and hospital records. However, no work has focused on child passengers. The objective of this study was to compare crash scene and hospital-reported injury information for crash-involved child passengers. This study also explored injury location and severity by child age and restraint type.

Methods: Utilizing linked New Jersey data from 2017 through 2019, the authors identified crash-involved child passengers <13 years old and their injuries in crash and hospital reports. Then, they characterized the congruency of injury frequency, severity, and location, as well as the frequency of injuries by child age and restraint type. Analyses were conducted from December 2023 through February 2024.

Results: Of 84,060 crash-involved child passengers, crash reports documented 7,858 (9%) children with at least "possible" injuries, while 2,577 (3%) had at least one injury in hospital events. Crash report and hospital data were incongruent for both body region of injury and injury severity. The proportion of children injured increased as children's ages increased and as restraint type progressed.

Conclusions: Crash reports overestimated the number of injured child passengers and misrepresented injury severity and locations. Child restraint systems mitigated a child's injury risk. Importantly, injury information documented on crash reports currently informs the allocation of traffic safety resources. These results highlight the importance of improving these reports' accuracy and underscore calls to link administrative datasets for public health efforts.

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车祸和医院报告的儿童乘客受伤情况的一致性。
导言:之前的研究发现,车祸和医院记录所报告的受伤信息存在不一致的情况。但是,还没有研究关注过儿童乘客。本研究的目的是比较车祸现场和医院报告的车祸中儿童乘客的受伤信息。本研究还探讨了按儿童年龄和约束类型划分的受伤位置和严重程度:作者利用 2017 年至 2019 年新泽西州的相关数据,确定了车祸中的儿童乘客:在 84060 名涉及车祸的儿童乘客中,车祸报告记录了 7858 名(9%)儿童至少 "可能 "受伤,而 2577 名(3%)儿童在医院事件中至少受伤一次。碰撞报告和医院数据在受伤部位和受伤严重程度上都不一致。随着儿童年龄的增长和约束类型的增加,受伤儿童的比例也在增加:结论:碰撞报告高估了受伤儿童乘客的人数,并歪曲了受伤的严重程度和部位。儿童约束系统降低了儿童受伤的风险。重要的是,碰撞报告中记录的受伤信息目前为交通安全资源的分配提供了依据。这些结果突显了提高这些报告准确性的重要性,并强调了将行政数据集与公共卫生工作联系起来的呼吁。
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来源期刊
American Journal of Preventive Medicine
American Journal of Preventive Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.60
自引率
1.80%
发文量
395
审稿时长
32 days
期刊介绍: The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health. Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
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