Prevención primaria. Sillas para autos: ¿qué saben los padres y qué podemos hacer los pediatras?
01 Jan 2002-
About: The article was published on 2002-01-01 and is currently open access. It has received None citations till now.
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TL;DR: Understanding a few basic principles of child safety seat usage and knowing when and where to refer families for additional information can help pediatricians provide parents and caregivers with the information they need to effectively restrain their children in motor vehicles.
Abstract: For many parents, the confusion about how best to restrain their children and the myriad of restraint types that are available can be a major source of frustration. Child safety seat inspectors and advocates whose full-time job is to educate parents, caregivers, and advocates find it challenging to stay current with developments and changes in child occupant protection. For pediatricians who work less frequently and less intensively with child safety seats, the challenge of staying current with information is monumental. However, understanding a few basic principles of child safety seat usage and knowing when and where to refer families for additional information can help pediatricians provide parents and caregivers with the information they need to effectively restrain their children in motor vehicles.
Significant reduction of deaths of children in motor vehicle crashes, especially those involving children <5 years old, has occurred over the past 20 years.1 This has been largely attributable to improvement in child safety seat and vehicle design, intense educational efforts of safety specialists and health professionals, and enforcement of child safety seat laws. Pediatricians have played a prominent role in this process from the early efforts of the First Ride/Safe Ride program of the American Academy of Pediatrics and continue to do so through the formation of policy recommendations and dissemination of public education materials.
National statistics show that 80% to 90% of child safety seats are used incorrectly or misused.2,3 Although many of these misuses are minor, other misuses are considered gross and may render the child safety seat “virtually useless.”4,5 It is common to find child safety seats installed in family vehicles with multiple misuses, and this can collectively degrade performance of the child safety seat. Most parents assume that simply placing their child in a safety seat, placing the seat in …
23 citations
TL;DR: The 1990s saw a decline in front-seating of children in vehicles involved in fatal crashes among all types of vehicles and drivers, and children ages 6 to 12 and children traveling alone with the driver remain at higher risk of being seated in the front.
Abstract: Children seated in the front seats of vehicles are at increased risk of death and injury in crashes, especially in vehicles with passenger-side air bags. This paper identifies factors associated with the seating of children in the front seat of vehicles involved in fatal crashes between 1990 and 1998. Using data from a U.S. census of fatal motor vehicle crashes, multivariable logistic regression was used to model the association between child seating behavior and vehicle, driver and occupant characteristics. Results found that the proportion of vehicles carrying children in the front declined from 42% to 31% over the 9-year period. Controlling for driver and vehicle characteristics, the risk of front-seating declined between 1990 and 1998, and this risk was smaller in vehicles carrying only children under 7 years old than in those carrying older children. Traveling in a vehicle with dual air bags and only children age 6 or younger was associated with a 95% lower chance of a child being seated in the front by the end of 1998. An important factor in safer seating position was the presence of multiple passengers. Children were at higher risk of front-seating when they traveled alone with the driver.
16 citations
Journal Article•
4 citations