ArticlePediatric emergency care2025
Racial Differences in the Identification of Seat Belt Signs Among Pediatric Motor Vehicle Crash Occupants.
Article in Pediatric emergency care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Reliability of Physical Examination Findings in Youths Diagnosed With Pneumonia.JAMA network open · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo determine if there are racial differences in the identification of seat belt signs (SBS) among children with motor vehicle crash (MVC)-related blunt torso trauma.
methodsThis was a secondary analysis of a de-identified, public-use data set from a Pediatric Emergency Care Applied Research Network (PECARN) prospective cohort study of children with blunt torso trauma between May 2007 and January 2010. Children <18 years in MVCs were included. Patient demographics, documentation of an abdominal SBS presence, MVC crash speed, and restraint status were analyzed. Descriptive statistics, χ 2 analyses, and the Cochran-Armitage test for trend were performed.
resultsThere were 3832 children in MVCs. The mean age was 10.6 years (SD: 5.5), 52.6% of patients were White, 31.1% Black, 16.3% other/unknown, and 2.3% Asian. Restraint status differed significantly by race ( P <0.001), with 74.1% of White children (95% CI: 72.2%-76.0%), 64.5% of Black children (95% CI: 61.7%-67.2%), 83.0% of Asian children (95% CI: 75.1%-90.8%), and 68.3% of other/unknown race children (95% CI: 64.4%-72.3%) reported as restrained. There was a significant difference in the proportion of restrained Black children with SBS (7.2% [95% CI: 5.3%-9.0%]) compared with White children (27.0% [95% CI: 24.7%-29.2%]) ( P <0.001) and Asian children (26.0% [95% Cl: 16.0%-36.1%]). When adjusting for age, MVC speed, and restraint status, Black patients were 74% less likely than White patients to have SBS observed (OR: 0.26, 95% CI: 0.18-0.36).
conclusionsThere were significant differences in SBS identification among Black children compared with other race children after MVCs. Prospective studies accounting for skin tone are necessary to further investigate these findings.
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