TY - JOUR
T1 - Urban versus rural setting as a predictor of injury type and severity among pediatric pedestrians
T2 - using a database derived from state-wide crash data and hospital discharge data in Illinois
AU - Fant, Colleen
AU - Koopmans, Joy
AU - Simon, Norma Jean E.
AU - Lorenz, Doug
AU - Rychlik, Karen
AU - Sheehan, Karen
N1 - Funding Information:
This research has been supported in part by the Stanley Manne Children?s Research Institute and Ann & Robert H. Lurie Children?s Hospital of Chicago. The study team acknowledges the Division of Emergency Medicine at Ann and Robert Lurie Children?s Hospital of Chicago for providing developmental support of this study, and the Illinois Department of Public Health for providing data.
Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020
Y1 - 2020
N2 - We obtained and linked data from the Illinois Department of Transportation and the Illinois Hospital Discharge Data System 2008 − 2015. We evaluated differences in demographic characteristics, injury severity and type among cases and examined associations among injury type, severity, and crash location. There were 11,303 injured pedestrians under 19 years of age and 46% matched to hospital data. Demographic characteristics were similar to unlinked cases. Among linked cases, fractures, traumatic brain injury, open wound or amputation, and internal organ injuries occurred more often in rural areas (p < 0.001), as were more severe injuries (p < 0.001). Mild injury and soft tissue injuries occurred more often in urban areas (p < 0.001). These data can inform targeted interventions for injury reduction. Preliminary investigations found that more severe injuries and specific injury types are more likely to occur in rural versus urban settings. Our combined database approach may be extended to other databases.
AB - We obtained and linked data from the Illinois Department of Transportation and the Illinois Hospital Discharge Data System 2008 − 2015. We evaluated differences in demographic characteristics, injury severity and type among cases and examined associations among injury type, severity, and crash location. There were 11,303 injured pedestrians under 19 years of age and 46% matched to hospital data. Demographic characteristics were similar to unlinked cases. Among linked cases, fractures, traumatic brain injury, open wound or amputation, and internal organ injuries occurred more often in rural areas (p < 0.001), as were more severe injuries (p < 0.001). Mild injury and soft tissue injuries occurred more often in urban areas (p < 0.001). These data can inform targeted interventions for injury reduction. Preliminary investigations found that more severe injuries and specific injury types are more likely to occur in rural versus urban settings. Our combined database approach may be extended to other databases.
KW - Pediatric pedestrian
KW - crash
KW - injury
KW - location
KW - rural
KW - urban
UR - http://www.scopus.com/inward/record.url?scp=85094213090&partnerID=8YFLogxK
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U2 - 10.1080/17457300.2020.1835988
DO - 10.1080/17457300.2020.1835988
M3 - Article
C2 - 33106099
AN - SCOPUS:85094213090
VL - 28
SP - 22
EP - 28
JO - Injury control and safety promotion
JF - Injury control and safety promotion
SN - 1745-7300
IS - 1
ER -
