Still, motor vehicle crashes remain a primary killer of school-age children and teens, (Web-based injury statistics query and reporting system (WISQARS) 2016) and 21% of children killed in traffic crashes are pedestrians (National Highway Traffic and Safety Administration 2017a). Youth pedestrian fatalities have continued to decline in recent years in the United States (US), (National Highway Traffic and Safety Administration 2017a) despite increases in adult pedestrian and bicyclist deaths between 20 (National Highway Traffic and Safety Administration 2017b). ED data captures a substantially larger number of pediatric pedestrian injuries compared to crash reports and can play a role in those analyses. Differences between youth pedestrian and cycling injury trends merit further exploration and localized analyses, with respect to behavior patterns and interventions. There is a role for concurrent clinical focus on TBI recovery alongside ongoing efforts to mitigate and prevent motor vehicle crashes with pedestrians and bicyclists. TBI in young pedestrian ED patients was associated with a higher risk of mortality compared to cyclists. Pedestrian ED visits were more likely to be fatal than bicyclist injuries (aOR = 2.4, 95% CI 2.3, 2.6), with significant additive interaction between pedestrian status and TBI. TBI was implicated in 6.7% (95% CI 6.3, 7.1) of all pedestrian and bicyclist injuries and 55.5% (95% CI 27.9, 83.1) of fatalities. There was no significant change in bicyclist injury rates. ResultsĮD visits for pediatric pedestrian injuries declined 19.3% (95% CI 16.8, 21.8) from 2006 to 2012, with the largest decreases in 5-to-9 year olds and 10-to-14 year olds. We modeled in-hospital fatality risk controlling for age, gender, injury severity, TBI, and trauma center status. pedalcyclist) injury rates by age and region. Using a multi-year national sample of emergency department (ED) records, we estimated annual motorized-vehicle related pediatric pedestrian and bicyclist (i.e. There is a need for additional information on non-fatal pediatric pedestrian injuries and the role of traumatic brain injury (TBI), a leading cause of acquired disability. Despite reductions in youth pedestrian and bicyclist deaths over the past two decades, these injuries remain a substantial cause of morbidity and mortality for children and adolescents.
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