Impact of seatbelts in mitigating road traffic accident-related traumatic brain injury in school-aged children
摘要
This study aims to determine how seatbelt use in school-age children (ages 5-17) affects outcomes of traumatic brain injuries (TBIs) in road traffic accidents (RTA).
MethodsThis is an observational cohort of pediatric patients who sustained a TBI from an RTA.
ResultsThe cohort consisted of 169 patients with a median age of 15 years. Thirty-nine percent of the patients reported not wearing a seatbelt before the RTA, while 43% reported wearing a seatbelt. Not wearing a seatbelt was significantly associated with alteration of consciousness, loss of consciousness, TBI severity, hospital and intensive care unit (ICU) admission in univariate models (p < 0.05). In multivariate models, wearing a seatbelt was found to significantly reduce TBI severity (R2 = 0.6953, p < 0.001), hospital admissions (R2 = 0.2522, p = 0.003), ICU admissions (R2 = 0.5281, p = 0.016), and abnormal brain computed tomography scans (R2 = 0.4519, p = 0.010).
ConclusionLack of seatbelt use is associated with increased TBI severity, ICU admission, hospital admission, and abnormalities in CT scans. This supports the idea of educating children and parents about the increased risks that are linked to not wearing a seatbelt.