@article{ref1,
title="Severe outcome of children following trauma resulting from road accidents",
journal="European journal of pediatrics",
year="2006",
author="Chiron, Mireille and Floret, D. and Javouhey, Etienne and Amoros, Emmanuelle and Guerin, Anne-Celine and Ndiaye, Amina and Haddak, Mohamed Mouloud",
volume="165",
number="8",
pages="519-525",
abstract="OBJECTIVE: The aim of the study was to determine the risk factors of a severe outcome for children severely injured [killed or with an Injury Severity Score (ISS) &gt;/=16] in a road accident. MATERIALS AND METHODS: Casualties that occurred between 1996 and 2001 which involved children under 14 years of age were assessed in a population-based study based on data included in a French road trauma Registry. A severe traumatic brain injury (TBI) was defined as a head injury with an Abbreviated Injury Scale (AIS) severity score &gt;/=3. A multivariate logistic regression was performed to quantify the risk of a &quot;severe outcome&quot; defined as death or an expected serious impairment 1 year later. RESULTS: The annual incidence of an ISS of 16+ was 7.7 per 100,000 children. Among the 126 severely injured children included in this study, 40 died (including 16 immediate deaths), and a severe outcome was expected for 54 of the 86 survivors. Children with an &quot;isolated severe TBI&quot; and those with &quot;multiple injuries including TBI&quot; were more likely to have a severe outcome than those who had an &quot;isolated severe injury without TBI&quot; (OR: 7.91; 95%CI: 1.43-43.77 and OR: 8.37; 95%CI: 1.52-46.13, respectively). Age was inversely linked to a severe outcome. The unprotected motor vehicle occupants (MVO) had an odds ratio of 7.56 (95%CI: 1.07-53.56) compared to the protected MVO. Only 30% of children who survived a severe TBI were admitted to rehabilitation. CONCLUSION: The mechanism of the injury, an injury pattern involving the head and a young age were associated with a severe outcome following a road accident. A majority of children severely injured were not referred to inpatient rehabilitation.   <p></p>  <p>Language: en</p>",
language="en",
issn="0340-6199",
doi="10.1007/s00431-006-0118-z",
url="http://dx.doi.org/10.1007/s00431-006-0118-z"
}