ArticleSingapore medical journal2018
Road traffic accidents in children: the 'what', 'how' and 'why'.
Article in Singapore medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 24 citations in OpenAlex.
- Demographics, Injury Patterns, Injury Severity and Injury Predictors in Children with Non-Fatal Injuries Due to Road Traffic Injuries: An Analysis by Mode of Transportation.Children (Basel, Switzerland) · 2026Article
- The inequality in the burden of road traffic injuries among children aged 0-14 years in Iran: estimates from the global burden of disease study 2019.BMC public health · 2025Article
- Age-Related Patterns in Pediatric Road Traffic Injuries in Romania.Journal of clinical medicine · 2025Article
- Comparison of pedestrian injury characteristics between preschoolers and early school-aged children in Korea: a cross-sectional study.Journal of trauma and injury · 2025Article
- Child Deaths in Pediatric Intensive Care Unit: Unveiling Preventable Risks and Urging Awareness.Turkish archives of pediatrics · 2025Article
- Street safety through children's eyes: integrating Photovoice and machine learning to uncover disparities in environmental safety perception between children and adults.Frontiers in psychology · 2025Article
- Trends in transport injuries burden and risk factors among children under 14 years old in China: 1990-2019.BMC public health · 2024Article
- Measuring the effectiveness of a car seat program in an urban, level one pediatric trauma center.Injury epidemiology · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRoad traffic accidents (RTAs) in Singapore involving children were evaluated, with particular focus on the epidemiology, surrounding circumstances and outcomes of these accidents. Key factors associated with worse prognosis were identified. We proposed some measures that may be implemented to reduce the frequency and severity of such accidents.
methodsThis was a retrospective study of RTAs involving children aged 0-16 years who presented to the Children's Emergency at KK Women's and Children's Hospital, Singapore, from January 2011 to June 2014. Data was obtained from the National Trauma Registry and analysed in tiers based on the Injury Severity Score (ISS).
resultsA total of 1,243 accidents were reviewed. RTA victims included motor vehicle passengers (60.4%), pedestrians (28.5%), cyclists (9.9%) and motorcycle pillion riders (1.2%). The disposition of emergency department (ED) patients was consistent with RTA severity. For serious RTAs, pedestrians accounted for 63.6% and 57.7% of Tier 1 (ISS > 15) and Tier 2 (ISS 9-15) presentations, respectively. Overall use of restraints was worryingly low (36.7%). Not restraining increased the risk of serious RTAs by 8.4 times. Young age, high ISS and low Glasgow Coma Scale score predicted a longer duration of intensive care unit stay.
conclusionThe importance of restraints for motor vehicle passengers or helmets for motorcycle pillion riders and cyclists in reducing morbidity requires emphasis. Suggestions for future prevention and intervention include road safety education, regulation of protective restraints, use of speed enforcement devices and creation of transport policies that minimise kerbside parking.
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