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Citation |
Zaloshnja E, Miller TR, Hendrie D. Arch. Pediatr. Adolesc. Med. 2007; 161(1): 65-68. |
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Affiliation |
Pacific Institute for Research and Evaluation, Calverton, Md. |
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Copyright |
(Copyright © 2007, American Medical Association) |
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DOI |
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PMID |
17199069 |
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Abstract |
OBJECTIVE: To compare the effectiveness of child safety seats and lap-shoulder belts in rear passenger vehicle seats for 2- to 3-year-old crash survivors. DESIGN: Cohort study. SETTING: The January 1, 1998, to December 31, 2004, US data on a nationally representative sample of crashes that resulted in at least 1 vehicle being towed away. PARTICIPANTS: Toddlers who were sitting in rear vehicle seats and using lap-shoulder belts or child seats when involved in highway crashes. Intervention Child safety seat vs safety belt. Outcome Measure Presence of any injury after a crash. RESULTS: The adjusted odds of injury were 81.8% lower (95% confidence interval, 58.3%-92.1% lower) for toddlers in child seats than belted toddlers. CONCLUSIONS: Child safety seats seem to be more effective rear seat restraints than lap-shoulder safety belts for children aged 2 to 3 years. Laws requiring that children younger than 4 years travel in child safety seats have a sound basis and should remain in force. Language: en |