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J Trauma Inj > Volume 28(3); 2015 > Article
Journal of Trauma and Injury 2015;28(3):98-103.
DOI: https://doi.org/10.20408/jti.2015.28.3.98    Published online September 30, 2015.
Injury Analysis of Child Passenger According to the Types of Safety Restraint Systems in Motor Vehicle Crashes
Kang Min Sung, Sang Chul Kim, Hyuk Jin Jeon, Yeong Soo Kwak, Young Han Youn, Kang Hyun Lee, Jong Chan Park, Ji Hun Choi
1Department of Emergency Medicine, Konkuk University School of Medicine, Konkuk University Hospital, Seoul, Republic of Korea.
2Department of Emergency Medicine, Konkuk University School of Medicine, Konkuk University Chungju Hospital, Chungju, Republic of Korea. arahan@kku.ac.kr
3Department of Mechatronics, Korea University of Technology & Education, Cheonan, Republic of Korea.
4Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
5Traffic Accident Analysis Division, National Forensic Service, Wonju, Republic of Korea.
영유아 탑승자의 차량사고에서 보호장구에 따른 손상 분석
성강민, 김상철<sup>1</sup>, 전혁진<sup>1</sup>, 곽영수<sup>1</sup>, 윤영한<sup>2</sup>, 이강현<sup>3</sup>, 박종찬<sup>4</sup>, 최지훈<sup>4</sup>
건국대학교병원 응급의학과,<br><sup>1</sup>건국대학교 충주병원 응급의학과,<br><sup>2</sup>한국기술교육대학교 메카트로닉스 공학
<br><sup>3</sup>연세원주의대 응급의학과,<br><sup>4</sup>국립과학수사연구원 교통사고분석과
Received: 29 April 2015   • Revised: 24 August 2015   • Accepted: 4 October 2015
Abstract
PURPOSE
To compare injury sustained and severity of child occupant according to the types of safety restraint systems in motor vehicle crashes.
METHODS
This was a retrospective observational study. The study subjects were child occupants under the age of 8 years who visited a local emergency center following a motor vehicle crash from 2010 to 2014. According to safety restraint: child restraint systems (CRS), belted, and unbelted, we compared injuries sustained and injury severity using the maximal Abbreviated Injury Scale (MAIS) and Injury Severity Score (ISS), and analyzed the characteristics of severe injuries (AIS2+).
RESULTS
Among 241 subjects, 9.1% were restrained in CRS, 14.5% were only belted, and 76.3% was unbelted at the time of the crashes. Fourteen had severe injuries (AIS2+), all of whom didn't be restrained by CRS. Injuries in face and neck were the highest in unbelted group, and MAIS and ISS were the lowest in CRS group.
CONCLUSION
Among safety restraint systems for child occupant in motor vehicle crashes, the CRS have the preventive effect of face and neck injuries, and are the most effective safety restraint systems.
Key Words: Child; Traffic accidents; Child restraint systems; Injury severity score; Abbreviated injury scale
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