Academic Journal
Preventing pediatric backover trauma: The impact of a federally mandated car safety feature.
| Τίτλος: | Preventing pediatric backover trauma: The impact of a federally mandated car safety feature. |
|---|---|
| Συγγραφείς: | Joly JM; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA; Center for Surgical Trials and Evidence-Based Practice (CSTEP), McGovern Medical School at UTHealth Houston, Houston, TX, USA. Electronic address: https://twitter.com/@jeannettemjoly., Sutyak KM; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA; Center for Surgical Trials and Evidence-Based Practice (CSTEP), McGovern Medical School at UTHealth Houston, Houston, TX, USA. Electronic address: https://twitter.com/@ksutyak., Jayarajan NG; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA., Mina A; Department of Pediatric Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA., Morris EM; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA; Center for Surgical Trials and Evidence-Based Practice (CSTEP), McGovern Medical School at UTHealth Houston, Houston, TX, USA., Miller CC; Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth Houston, Houston, TX, USA., Rollins-Reis A; Kids and Car Safety, Philadelphia, PA, USA. Electronic address: https://twitter.com/@KidsAndCars., Fennell JE; Kids and Car Safety, Philadelphia, PA, USA. Electronic address: https://twitter.com/@KidsAndCars., Pryor HI; Department of Pediatric Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA., Tsao K; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA; Center for Surgical Trials and Evidence-Based Practice (CSTEP), McGovern Medical School at UTHealth Houston, Houston, TX, USA. Electronic address: https://twitter.com/@KuoJenTsao., Lally KP; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA; Center for Surgical Trials and Evidence-Based Practice (CSTEP), McGovern Medical School at UTHealth Houston, Houston, TX, USA. Electronic address: https://twitter.com/@UTH_Pedisurg., Drucker NA; Department of Pediatric Surgery, McGovern Medical School at UTHealth Houston and Children's Memorial Hermann Hospital, Houston, TX, USA; Center for Surgical Trials and Evidence-Based Practice (CSTEP), McGovern Medical School at UTHealth Houston, Houston, TX, USA. Electronic address: Natalie.a.drucker@uth.tmc.edu. |
| Πηγή: | Journal of pediatric surgery [J Pediatr Surg] 2026 Oct; Vol. 61 (10), pp. 163303. Date of Electronic Publication: 2026 Jul 17. |
| Τύπος έκδοσης: | Journal Article; Observational Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Philadelphia, PA : Saunders Original Publication: New York. |
| Ιατρικοί όροι (MeSH): | Wounds and Injuries*/prevention & control , Wounds and Injuries*/epidemiology , Accidents, Traffic*/prevention & control , Accidents, Traffic*/statistics & numerical data , Accidents, Traffic*/legislation & jurisprudence , Automobiles*/legislation & jurisprudence , Automobiles*/standards, United States/epidemiology ; Humans ; Retrospective Studies ; Child, Preschool ; Female ; Registries ; Infant ; Male ; Trauma Centers ; Incidence ; Pedestrians |
| Περίληψη: | Purpose: Backover trauma occurs when a reversing motorized vehicle strikes a pedestrian, often a small child. Injuries carry significant morbidity and mortality. A federal mandate required newly manufactured motor vehicles to meet a rear visibility standard by May 2018. This study characterizes the mandate's impact on pediatric backover trauma. Methods: A retrospective pre-post observational study was conducted of children (<5 years) with backover trauma (01/2011-11/2024). Two datasets were utilized: trauma registries from two Level I pediatric trauma centers serving a single catchment area, and case lists curated by Kids and Car Safety (KACS) from publicly available injury reports (same region). Univariate analyses and Poisson/quasi-Poisson models compared backover rates and incidences, pre-mandate versus post-mandate. Results: From trauma registry data, 120 patients were identified: 85 pre-mandate, 35 post-mandate. Patients were median 2.1 years old (IQR: 1.6-2.8) and 65% male. Median ISS was 10.0 (IQR: 5.0-17.3) with no difference between groups (p = 0.68), but fewer severe injuries occurred post-mandate (12 pre-mandate, 5 post-mandate). Backover injury rate decreased from 11.6/year pre-mandate to 5.3/year post-mandate (RR: 0.46; 95% CI: 0.28-0.75), and incidence decreased from 17.3 to 7.1 per 100,000 (Incidence RR: 0.41; 95% CI: 0.27-0.60). From KACS data, 28 victims were identified: 22 pre-mandate, 6 post-mandate. Backover injury rate was higher pre-mandate (3.0/year) and decreased post-mandate to 0.9/year (RR: 0.30; 95% CI: 0.12-0.75). Fatalities decreased from 18 (82%) pre-mandate to 4 (67%) post-mandate (p = 0.58). Conclusion: Pediatric backover rates decreased following full compliance with the federal mandate. Fewer severe injuries occurred, and publicly reported fatalities decreased by 78%. Reduced rate, incidence, and severity of backover injuries justify public health-driven regulatory requirements. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Backover; Federal mandate; Injury prevention; Motor vehicle collision; Pedestrian trauma; Pediatric trauma; Public health |
| Entry Date(s): | Date Created: 20260717 Date Completed: 20260911 Latest Revision: 20260916 |
| Update Code: | 20260916 |
| DOI: | 10.1016/j.jpedsurg.2026.163303 |
| PMID: | 42468686 |
| Βάση Δεδομένων: | MEDLINE |
καταχωρήστε σχόλιο πρώτοι!