ORLEANS – An abstract presented Friday, Oct. 19, at the American Academy of
Pediatrics (AAP) National Conference and Exhibition in New Orleans highlights
the risky behavior of child pedestrians who are struck by cars – including
darting into the street, crossing in the middle of the block, and crossing
while using an electronic device.
the abstract, “Risky Behaviors of Pediatric Pedestrians Who are Struck by Motor
Vehicles,” researchers collected data on all pedestrians who were injured by a
motor vehicle and presented to a Level I trauma center in New York City between
2008 and 2011.
the 1,075 patients, 145 (13 percent) were under age 18. When compared with
adults, children were more likely to be male (65 percent versus. 53 percent),
have head injuries (82 percent versus 73 percent), and discharged without
admission (70 percent versus 67 percent).
age 6 and younger were most often injured when darting into the street (44
percent) or crossing in the middle of the street (36 percent). For children
ages 7 to 12, unsupervised activity accounted for 53 percent of the accidents,
followed by mid-block crossing (47 percent) and darting into the street (25
percent). Among teens ages 13 to 17, 88 percent were struck by a motor vehicle
while unsupervised, 32 percent while crossing mid-block, 18 percent while using
an electronic device and 14 percent when darting into the street. Just 4
percent of the teen accidents involved alcohol use.
comparison, 18 percent of the adult accidents were due to pedestrians crossing
in the middle of the street, 15 percent to alcohol use and 9 percent to
electronic device use.
most other research on this type of population looked only at discharge data of
those admitted to hospitals, one of the strengths of this study is that it
looks at all patients presented to the emergency department,” said study author
Nina E. Glass, MD. “While most of the young children in our study were
supervised by a parent or guardian, these children still exhibited a lot of
risky behaviors in terms of mid-block crossing and crossing against the
older children, there was a much higher incidence of using electronic devices,
and listening to cellphones or music, than researchers saw in the adult population
(20 percent of teens versus 10 percent of adults).
Glass said that greater parental supervision, and safety tip reminders by
pediatricians, could play an important role in preventing child pedestrian
The American Academy of Pediatrics is an organization of 60,000 primary
care pediatricians, pediatric medical subspecialists and pediatric surgical
specialists dedicated to the health, safety and well-being of infants,
children, adolescents and young adults. For more information, visit www.aap.org.