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Car restraints and seating position for prevention of motorvehicle injuries in Greece

机译:汽车防撞装置和座椅位置以防止电动机希腊车辆受伤

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摘要

The protective effect of child restraint and the relative safety of front and rear seating in a population where children often travel unrestrained was assessed in a population based case-control study. The cases were all 129 children aged 0-11 years injured as car passengers in a motor vehicle accident who contacted, during 1996, one of the two major children's hospitals in Athens; emergency cases are accepted by the two hospitals on alternate days throughout the year, thus generating a random sample of children injured as car passengers. The prevalence of the studied exposures in the study base was estimated from an inspection survey comprising a random sample of 191 children of the same age who travelled in passenger cars. The survey was conducted by medical staff from our centre in collaboration with the road traffic police. Odds ratios (ORs) were calculated after adjustment for confounding factors through the Mantel-Haenszel procedure. The OR for injury was 3.3 among unrestrained children compared with restrained children (comparison essentially limited to children aged 0-4 years) and 5.0 for children seated in the front compared with those seated in the rear (comparison essentially limited among unrestrained children).Protective effect estimates derived from this analytical study suggestthat in Greece about two thirds of all childhood injuries from carcrashes could have been avoided through the regular use of a properchild restraint. The data also indicate that, in the absence of a childrestraint system, a rear seating position conveys substantialprotection and could explain the low mortality of children as carpassengers in Greece, a country which is characterised by a highoverall road traffic mortality as well as a high childhood accident mortality.

机译:在一项基于人群的病例对照研究中,评估了约束儿童的保护效果以及儿童经常出行时不受约束的前后座位的相对安全性。这些案件全部是129名0-11岁的儿童在机动车事故中受伤,他们在1996年期间与雅典的两家主要儿童医院之一联系;两家医院在一年中的不同日期接受紧急情况,从而随机抽取了作为乘车乘客受伤的儿童的样本。通过对包括乘车旅行的191名同龄儿童的随机样本进行的抽样调查,对研究基地中所研究的暴露发生率进行了估算。这项调查是由我们中心的医务人员与道路交通警察合作进行的。通过Mantel-Haenszel程序调整混杂因素后,计算赔率(OR)。不受约束的儿童与受约束的儿童相比,受伤的OR为3.3(比较主要限于0-4岁的儿童),与坐在后排的儿童相比,坐在前排的儿童为5.0(比较有限的儿童的比较)。这项分析研究得出的保护效果估计表明在希腊,约有三分之二的儿童因汽车受伤可以通过定期使用适当的设备来避免崩溃儿童约束。数据还表明,在没有孩子的情况下约束系统,后排座椅位置传达出保护,可以解释儿童乘车死亡率低希腊的旅客人数很高总体道路交通死亡率以及儿童意外事故的高死亡率。

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