A retrospective evaluation of children's hospital admissions suffered from road traffic injuries

Creative Commons License

Uğur Baysal S., Yıldırım Şalbaş Ö., Ulusoy E., Duman M.

14th World Conference on Injury Prevention and Safety Promotion, Adelaide, Australia, 27 - 30 November 2022, pp.173-400

  • Publication Type: Conference Paper / Summary Text
  • City: Adelaide
  • Country: Australia
  • Page Numbers: pp.173-400
  • Dokuz Eylül University Affiliated: Yes


Page Number: 279       Date of submission: 19 March 2022

A retrospective evaluation of children's hospital admissions suffered from road traffic injury


Serpil Uğur Baysal1, Özge Yıldırım Şalbaş2, Emel Ulusoy3, Nihan Şık3, Durgül Yılmaz3, Murat Duman3

1Dokuz Eylül University Faculty of Medicine, Department of Pediatrics, Division of Social Pediatrics, İzmir, Turkey

2Dokuz Eylül University Faculty of Medicine, Department of Pediatrics, İzmir, Turkey

3Dokuz Eylül University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, İzmir, Turkey

Background and Aims: With each passing year, the number of individuals injured in road traffic increases in proportion to our country’s number of vehicles and growing population. This study aimed to analyze road injuries in children and reduce morbidity and mortality by determining the risk factors.

Methods: Children admitted at the Dokuz Eylül University, Pediatric Emergency Department last five years due to road traffic injuries, were retrospectively analyzed. 1227 cases with complete data were included in the study. Descriptive information about the children, their families, the event, injury characteristics, the follow-up, and the results were recorded in the Data Registration Form. Data were evaluated by frequency, percentage distribution, mean, median, and comparative analysis.

Results: Of cases included in the study, 66.1% were male, and 33.9% were female. 35.7% of the injured are between the ages of 5-9. Most injuries occurred in June and July. The peak admission hours were between 16:00 and 20:00. 45.6% of them were pedestrians. The most frequently injured area was recorded as the head and neck. According to the Injury Severity Score, severe injury rates were 18.5%; it was found 3% according to the Glasgow Coma Scale. In in-vehicle injuries, 12% of the cases had seat belts; 5.5% of children were using child safety seats. 1.5% of the children wore protective clothing, and 26.7% wore a helmet on bicycles and motorcycles. 33.7% (n =414) of the cases were followed-up in the ward. Hospitalizations were mostly made to the Pediatric Emergency Department and the Department of Pediatric Surgery, and 9.7% of the injured children had to undergo surgery. Most of the surgeries (64.7%) were performed at the Department of Orthopedics and Traumatology. 4.6% of the cases were followed-up at the Pediatric Intensive Care Unit. Disability developed in 2% of the injured children. Three children died from hemorrhagic shock, four children with intracranial hemorrhage also died.

Conclusion: Road traffic injury is a significant cause of morbidity, mortality, and disability during childhood, especially for pedestrians.


Learning Outcomes: Risk awareness is low and protective measures are still insufficient in our country. Individual counseling is needed during health care.




Dr. Serpil Uğur Baysal, professor of pediatrics, is an attending physician at the Dokuz Eylül University, Department of Pediatrics, İzmir, Turkey. She had graduated as a medical doctor from İstanbul University(İÜ) and had a fellowship in pediatrics at the İÜ Cerrahpaşa Faculty of Medicine.  She started work as a pediatrician at the  İstanbul University in 1987.  She has Pediatric Emergency Medicine and Pediatric Critical Care fellowships.

She continues her studies in the field of Social Pediatrics. Special interests in this field are Injury Prevention and Control, Prevention of Child Abuse and Neglect, and Health Promotion of Children and Adolescents.

Beginning as a medical student, she conducted observations and research in pediatrics, pediatric intensive care unit, pediatric emergency medicine for 1-6 month periods in Finland (University of Oulu), Germany (Free University of Berlin), and the USA(Universities of Illinois, Northwestern, Texas, Johns Hopkins, Pennsylvania).

She had attended World Safety 2016 in Tampere.