Analysis of childhood pedestrian deaths in New Mexico, 1986-1990

Ann Emerg Med. 1993 Mar;22(3):512-6. doi: 10.1016/s0196-0644(05)81934-1.

Abstract

Study objective: To determine if the mechanism of fatal childhood pedestrian injuries correlated with location, injury pattern, and age of the pedestrian and to determine ethnic differences in fatality rates.

Design: Retrospective review of state medical investigator reports and autopsies from 1986 to 1990. Logistic regression and chi 2 were used to test for statistically significant differences between the groups in our data set.

Type of participants: New Mexican children, 0 to 14 years old fatally injured by moving vehicles.

Results: Sixty-four children died for an overall fatality rate of 3.8 (per 100,000). Native American children and children younger than 5 years experienced the highest fatality rates. Children younger than 5 years were more likely to be crushed under the wheels of a slow-moving vehicle in both a nontraffic and a traffic location, whereas older children were found more often to have died from injuries from a high-speed impact event in a traffic location (P < .001). Leg fractures (P = .001) and spinal fractures (P = .02) occurred more frequently in impact than crush injuries.

Conclusion: Young children are at risk for a crush injury in both the traffic and nontraffic environment.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidents, Traffic / mortality*
  • Adolescent
  • Age Factors
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Ethnic Groups
  • Female
  • Humans
  • Infant
  • Male
  • Minority Groups
  • New Mexico / epidemiology
  • Regression Analysis
  • Retrospective Studies
  • Wounds and Injuries / ethnology
  • Wounds and Injuries / mortality*