Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers

Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that influence death and serious injury in child motor vehicle passengers to establish effective preventive me...

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Autores principales:	Wataru Ishii, Masahito Hitosugi, Mineko Baba, Kenji Kandori, Yusuke Arai
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	child motor vehicle passenger traffic accident Japan Trauma Data Bank Medicine R
Acceso en línea:	https://doaj.org/article/ad4ec064cd8b43a7a70cbb8c2bfeddb3
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spelling	oai:doaj.org-article:ad4ec064cd8b43a7a70cbb8c2bfeddb32021-11-25T17:43:51ZFactors Affecting Death and Severe Injury in Child Motor Vehicle Passengers10.3390/healthcare91114312227-9032https://doaj.org/article/ad4ec064cd8b43a7a70cbb8c2bfeddb32021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1431https://doaj.org/toc/2227-9032Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that influence death and serious injury in child motor vehicle passengers to establish effective preventive measures. To identify these factors, we performed a retrospective study using a nationwide medical database. The data of child motor vehicle passengers younger than 15 years (<i>n</i> = 1084) were obtained from the Japanese Trauma Data Bank, registered from 2004 to 2019. Physiological variables, outcomes, and injury severity were compared between fatal and non-fatal patients and between those with and without severe injuries. Multivariate logistic regression analysis was performed to determine factors affecting fatality and severe injury. The Glasgow Coma Scale score (odds ratio (OR): 1.964), body temperature (OR: 2.578), and the Abbreviated Injury Scale score of the head (OR: 0.287) were identified as independent predictors of a non-fatal outcome. Systolic blood pressure (OR: 1.012), the Glasgow Coma Scale score (OR: 0.705), and Focused Assessment with Sonography for Trauma positivity (OR: 3.236) were identified as independent predictors of having severe injury. Decreasing the severity of head injury is the highest priority for child motor vehicle passengers to prevent fatality and severe injury.Wataru IshiiMasahito HitosugiMineko BabaKenji KandoriYusuke AraiMDPI AGarticlechildmotor vehicle passengertraffic accidentJapan Trauma Data BankMedicineRENHealthcare, Vol 9, Iss 1431, p 1431 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	child motor vehicle passenger traffic accident Japan Trauma Data Bank Medicine R
spellingShingle	child motor vehicle passenger traffic accident Japan Trauma Data Bank Medicine R Wataru Ishii Masahito Hitosugi Mineko Baba Kenji Kandori Yusuke Arai Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
description	Saving children from motor vehicle collisions is a high priority because the injury rate among motor vehicle passengers has been increasing in Japan. This study aimed to examine the factors that influence death and serious injury in child motor vehicle passengers to establish effective preventive measures. To identify these factors, we performed a retrospective study using a nationwide medical database. The data of child motor vehicle passengers younger than 15 years (<i>n</i> = 1084) were obtained from the Japanese Trauma Data Bank, registered from 2004 to 2019. Physiological variables, outcomes, and injury severity were compared between fatal and non-fatal patients and between those with and without severe injuries. Multivariate logistic regression analysis was performed to determine factors affecting fatality and severe injury. The Glasgow Coma Scale score (odds ratio (OR): 1.964), body temperature (OR: 2.578), and the Abbreviated Injury Scale score of the head (OR: 0.287) were identified as independent predictors of a non-fatal outcome. Systolic blood pressure (OR: 1.012), the Glasgow Coma Scale score (OR: 0.705), and Focused Assessment with Sonography for Trauma positivity (OR: 3.236) were identified as independent predictors of having severe injury. Decreasing the severity of head injury is the highest priority for child motor vehicle passengers to prevent fatality and severe injury.
format	article
author	Wataru Ishii Masahito Hitosugi Mineko Baba Kenji Kandori Yusuke Arai
author_facet	Wataru Ishii Masahito Hitosugi Mineko Baba Kenji Kandori Yusuke Arai
author_sort	Wataru Ishii
title	Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
title_short	Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
title_full	Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
title_fullStr	Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
title_full_unstemmed	Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers
title_sort	factors affecting death and severe injury in child motor vehicle passengers
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ad4ec064cd8b43a7a70cbb8c2bfeddb3
work_keys_str_mv	AT wataruishii factorsaffectingdeathandsevereinjuryinchildmotorvehiclepassengers AT masahitohitosugi factorsaffectingdeathandsevereinjuryinchildmotorvehiclepassengers AT minekobaba factorsaffectingdeathandsevereinjuryinchildmotorvehiclepassengers AT kenjikandori factorsaffectingdeathandsevereinjuryinchildmotorvehiclepassengers AT yusukearai factorsaffectingdeathandsevereinjuryinchildmotorvehiclepassengers
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Factors Affecting Death and Severe Injury in Child Motor Vehicle Passengers

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