Trends and characteristics of severe road traffic injuries in children: a nationwide cohort study in Japan

Nakao, Shunichiro; Katayama, Yusuke; Kitamura, Tetsuhisa; Hirose, Tomoya; Tachino, Jotaro; Ishida, Kenichiro; Ojima, Masahiro; Kiguchi, Takeyuki; Umemura, Yutaka; Kiyohara, Kosuke; Oda, Jun

doi:https://doi.org/10.1007/s00068-023-02372-z

Trends and characteristics of severe road traffic injuries in children: a nationwide cohort study in Japan

Nakao, Shunichiro; Katayama, Yusuke; Kitamura, Tetsuhisa et al.

European Journal of Trauma and Emergency Surgery, 2023

Number of Access:1,467（2025-08-16 03:18 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/93221

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Title	Trends and characteristics of severe road traffic injuries in children: a nationwide cohort study in Japan
Creator	NRID 1000080834150 1000080834150 ORCID 0000-0001-5530-806X 0000-0001-5530-806X researchmap permalink shunichironakao shunichironakao Scopus Author ID 57216959268 57216959268 CreatorName Nakao, Shunichiro
	NRID 1000050747144 1000050747144 ORCID 0000-0003-2585-4259 0000-0003-2585-4259 researchmap permalink orion2013 orion2013 Scopus Author ID 56470235000 56470235000 CreatorName Katayama, Yusuke
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
	NRID 1000070597509 1000070597509 researchmap permalink tomoyahirose tomoyahirose Scopus Author ID 41861413300 41861413300 CreatorName Hirose, Tomoya
	NRID 1000050747152 1000050747152 ORCID 0000-0002-0423-7713 0000-0002-0423-7713 researchmap permalink jotarotachino jotarotachino Scopus Author ID 57203882578 57203882578 CreatorName Tachino, Jotaro
	CreatorName Ishida, Kenichiro
	NRID 1000070721091 1000070721091 CreatorName Ojima, Masahiro
	NRID 1000030724380 1000030724380 CreatorName Kiguchi, Takeyuki
	NRID 1000020743561 1000020743561 CreatorName Umemura, Yutaka
	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	NRID 1000060459500 1000060459500 ORCID 0000-0002-8254-3716 0000-0002-8254-3716 researchmap permalink read0068529 read0068529 Scopus Author ID 56210537000 56210537000 CreatorName Oda, Jun
Subject	Japan Trauma Data Bank
	Mortality
	Pediatric traffic injury
	Temporal trends
Description	The version of record of this article, first published in European Journal of Trauma and Emergency Surgery, is available online at Publisher’s website: https://doi.org/10.1007/s00068-023-02372-z
Abstract	Purpose: The purpose of this study was to evaluate temporal trends of characteristics of severe road traffic injuries in children and identify factors associated with mortality using a nationwide database in Japan. Methods: We performed a retrospective analysis of Japan Trauma Data Bank (JTDB) from 2004 to 2018. We included patients with traffic injuries under the age of 18 who were hospitalized. The primary outcome was in-hospital mortality. We evaluated trends in characteristics and assessed factors associated with in-hospital mortality using a logistic regression analysis. Results: A total of 4706 patients were analyzed. The most common mechanism of injury was bicycle crash (34.4%), followed by pedestrian (28.3%), and motorcycle crash (21.3%). The overall in-hospital mortality was 11.2%. We found decreasing trends in motorcycle crash and in-hospital mortality and increasing trends in rear passenger seats in cars over the 15-year period. The following factors were associated with in-hospital mortality: car crash (aOR 1.69, 95%CI 1.18–2.40), pedestrian (aOR 1.50, 95%CI 1.13–1.99), motorcycle crash (aOR 1.42, 95%CI 1.03–1.95) [bicycle crash as a reference]; concomitant injuries to head/neck (aOR 5.06, 95%CI 3.81–6.79), thorax (aOR 2.34, 95%CI 1.92–2.87), abdomen (aOR 1.74, 95%CI 1.29–2.33), pelvis/lower-extremity (aOR 1.57, 95%CI 1.23–2.00), spine (aOR 3.01, 95%CI 2.02–4.43); and 5-year increase in time period (aOR 0.80, 95%CI 0.70–0.91). Conclusions: We found decreasing trends in motorcycle crash and in-hospital mortality, increasing trends in rear passenger seats in cars over the 15-year period, and factors associated with in-hospital mortality such as type of mechanisms and concomitant injuries. Strengthening child road safety measures, particularly for rear passenger seats in vehicles, is imperative to enhance our dedication to injury prevention.
Publisher	Springer Science and Business Media Deutschland GmbH
Source Title	European Journal of Trauma and Emergency Surgery
Date of Issued	2023-10-17
Language	English
Handle URL	https://hdl.handle.net/11094/93221
PISSN	18639933
eISSN	18639941
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1007/s00068-023-02372-z
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	European Journal of Trauma and Emergency Surgery. 2023
DC.title	Trends and characteristics of severe road traffic injuries in children: a nationwide cohort study in Japan
DC.creator	Nakao, Shunichiro
	Katayama, Yusuke
	Kitamura, Tetsuhisa
	Hirose, Tomoya
	Tachino, Jotaro
	Ishida, Kenichiro
	Ojima, Masahiro
	Kiguchi, Takeyuki
	Umemura, Yutaka
	Kiyohara, Kosuke
	Oda, Jun
DC.publisher	Springer Science and Business Media Deutschland GmbH
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2023-10-17
DC.identifier	https://doi.org/10.1007/s00068-023-02372-z
DC.subject	Japan Trauma Data Bank
	Mortality
	Pediatric traffic injury
	Temporal trends
DC.description	The version of record of this article, first published in European Journal of Trauma and Emergency Surgery, is available online at Publisher’s website: https://doi.org/10.1007/s00068-023-02372-z
DCTERMS.abstract	Purpose: The purpose of this study was to evaluate temporal trends of characteristics of severe road traffic injuries in children and identify factors associated with mortality using a nationwide database in Japan. Methods: We performed a retrospective analysis of Japan Trauma Data Bank (JTDB) from 2004 to 2018. We included patients with traffic injuries under the age of 18 who were hospitalized. The primary outcome was in-hospital mortality. We evaluated trends in characteristics and assessed factors associated with in-hospital mortality using a logistic regression analysis. Results: A total of 4706 patients were analyzed. The most common mechanism of injury was bicycle crash (34.4%), followed by pedestrian (28.3%), and motorcycle crash (21.3%). The overall in-hospital mortality was 11.2%. We found decreasing trends in motorcycle crash and in-hospital mortality and increasing trends in rear passenger seats in cars over the 15-year period. The following factors were associated with in-hospital mortality: car crash (aOR 1.69, 95%CI 1.18–2.40), pedestrian (aOR 1.50, 95%CI 1.13–1.99), motorcycle crash (aOR 1.42, 95%CI 1.03–1.95) [bicycle crash as a reference]; concomitant injuries to head/neck (aOR 5.06, 95%CI 3.81–6.79), thorax (aOR 2.34, 95%CI 1.92–2.87), abdomen (aOR 1.74, 95%CI 1.29–2.33), pelvis/lower-extremity (aOR 1.57, 95%CI 1.23–2.00), spine (aOR 3.01, 95%CI 2.02–4.43); and 5-year increase in time period (aOR 0.80, 95%CI 0.70–0.91). Conclusions: We found decreasing trends in motorcycle crash and in-hospital mortality, increasing trends in rear passenger seats in cars over the 15-year period, and factors associated with in-hospital mortality such as type of mechanisms and concomitant injuries. Strengthening child road safety measures, particularly for rear passenger seats in vehicles, is imperative to enhance our dedication to injury prevention.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	93221
citation_title	Trends and characteristics of severe road traffic injuries in children: a nationwide cohort study in Japan
citation_author	Nakao, Shunichiro
	Katayama, Yusuke
	Kitamura, Tetsuhisa
	Hirose, Tomoya
	Tachino, Jotaro
	Ishida, Kenichiro
	Ojima, Masahiro
	Kiguchi, Takeyuki
	Umemura, Yutaka
	Kiyohara, Kosuke
	Oda, Jun
citation_publisher	Springer Science and Business Media Deutschland GmbH
citation_language	English
citation_date	2023-10-17
citation_journal_title	European Journal of Trauma and Emergency Surgery
citation_doi	https://doi.org/10.1007/s00068-023-02372-z
citation_public_url	https://hdl.handle.net/11094/93221

Trends and characteristics of severe road traffic injuries in children: a nationwide cohort study in Japan

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