ArticleThe Journal of pediatrics2017
Factors Associated with Pediatric Mortality from Motor Vehicle Crashes in the United States: A State-Based Analysis.
Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relationships between trauma death, disability, and geographic factors: a systematic review.Clinical and experimental emergency medicine · 2023Pooled it
- Pilot Trial of an Emergency Department-based Intervention to Promote Child Passenger Safety Best Practices.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Trial
- Pediatric Trauma Trends Before and After Recreational Cannabis Legalization in Nevada: A Retrospective Repeated Cross-Sectional Study.Children (Basel, Switzerland) · 2026Article
- Parental knowledge, attitude and practice of child car restraint use in Singapore: a survey and literature review.Singapore medical journal · 2025Article
- Childhood opportunity and appropriate use of child safety restraints in motor vehicle collisions.World journal of pediatric surgery · 2024Article
- Article
- The Future of Road Safety: Challenges and Opportunities.The Milbank quarterly · 2023Article
- Urban and Rural Child Deaths from Motor Vehicle Crashes: United States, 2015-2019.The Journal of pediatrics · 2022Article
- Rideshare use among parents and their children.Injury epidemiology · 2021Article
- Factors associated with EMS transport decisions for pediatric patients after motor vehicle collisions.Traffic injury prevention · 2020Article
- Mortality in a cohort of 3.1 million children, adolescents and young adults.Journal of epidemiology and community health · 2020Article
- Restraint Factors and Child Passenger Deaths in New South Wales, Australia.International journal of environmental research and public health · 2020Article
- Child passenger fatality: Child restraint system usage and contributing factors among the youngest passengers from 2011 to 2015.Journal of safety research · 2019Article
- Epidemiology, Patterns of treatment, and Mortality of Pediatric Trauma Patients in Japan.Scientific reports · 2019Article
- A comparison of pediatric ocular injuries based on intention in patients admitted with trauma.BMC ophthalmology · 2019Article
- Factors Associated With Child Restraint Use in Motor Vehicle Crashes.Clinical pediatrics · 2018Article
- Discordance between age- and size-based criteria of child passenger restraint appropriateness.Traffic injury prevention · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo examine geographic variation in motor vehicle crash (MVC)-related pediatric mortality and identify state-level predictors of mortality. STUDY
designUsing the 2010-2014 Fatality Analysis Reporting System, we identified passengers <15 years of age involved in fatal MVCs, defined as crashes on US public roads with ≥1 death (adult or pediatric) within 30 days. We assessed passenger, driver, vehicle, crash, and state policy characteristics as factors potentially associated with MVC-related pediatric mortality. Our outcomes were age-adjusted, MVC-related mortality rate per 100 000 children and percentage of children who died of those in fatal MVCs. Unit of analysis was US state. We used multivariable linear regression to define state characteristics associated with higher levels of each outcome.
resultsOf 18 116 children in fatal MVCs, 15.9% died. The age-adjusted, MVC-related mortality rate per 100 000 children varied from 0.25 in Massachusetts to 3.23 in Mississippi (mean national rate of 0.94). Predictors of greater age-adjusted, MVC-related mortality rate per 100 000 children included greater percentage of children who were unrestrained or inappropriately restrained (P < .001) and greater percentage of crashes on rural roads (P = .016). Additionally, greater percentages of children died in states without red light camera legislation (P < .001). For 10% absolute improvement in appropriate child restraint use nationally, our risk-adjusted model predicted >1100 pediatric deaths averted over 5 years.
conclusionsMVC-related pediatric mortality varied by state and was associated with restraint nonuse or misuse, rural roads, vehicle type, and red light camera policy. Revising state regulations and improving enforcement around these factors may prevent substantial pediatric mortality.
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