5174.0: Wednesday, October 24, 2001 - 3:30 PM

Abstract #25432

The effect of seating position on risk of injury for children in side

Shannon D. Morris1, Michael Elliott, PhD2, Rebecca Anderko, MS2, Dennis Durbin, MD, MSCE2, Flaura Winston, MD, PhD1, and Edith Simpson3. (1) Partners for Child Passenger Safety, The Children's Hospital of Philadelphia, 34th & Civic Center Blvd, 3535 TraumaLink-10th FL, Philadelphia, PA 19104, (2) The University of Pennsylvania, Philadelphia, PA, (3) , 215-898-0570, edith2@nursing.upenn.edu

Objective: To evaluate the effect of seating position on risk of injury to children in side impact (SI) crashes.

Study Population: 5,632 children < 15 years of age in model year 1990 or newer passenger cars involved in 4,104 SI collisions between 12/1/98 5/31/00.

Methods: This study was performed as part of the Partners for Child Passenger Safety project, an on-going child-focused MVC surveillance system. A sample of eligible crashes was selected for a telephone survey with the driver of the vehicle in which crash and injury details were collected.

Results: 77% of the children were seated in the back and 96%were restrained. The overall risk of significant injury was 2.7%, and was higher (4.1%) for children seated on the side of impact. Children in the front seat were more likely to be injured (OR 2.6 95% CI (1.1-6.2)) than children seated in the rear when the child was sitting on the side of the impact. The risk of significant injury for rear-seated children was similar regardless of whether the child was seated next to or away from the impact.

Conclusions: Sitting in the front seat increases a child’s risk of injury in side impact crashes, supporting the current recommendation to place all children < 13 years of age in the rear seats of vehicles. These results have implication for public health initiatives targeting child occupant protection

Learning Objectives: To evaluate the effect of seating position on risk of injury to children in side impact (SI) crashes.

Keywords: Motor Vehicles, Children

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Dynamic Science Incorporated, RoperStarch Worldwide
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA