85
Views
1
CrossRef citations to date
0
Altmetric
Articles

Urban versus rural setting as a predictor of injury type and severity among pediatric pedestrians: using a database derived from state-wide crash data and hospital discharge data in Illinois

ORCID Icon, , , , &
Pages 22-28 | Received 28 Mar 2020, Accepted 09 Oct 2020, Published online: 26 Oct 2020
 

Abstract

We obtained and linked data from the Illinois Department of Transportation and the Illinois Hospital Discharge Data System 2008 − 2015. We evaluated differences in demographic characteristics, injury severity and type among cases and examined associations among injury type, severity, and crash location. There were 11,303 injured pedestrians under 19 years of age and 46% matched to hospital data. Demographic characteristics were similar to unlinked cases. Among linked cases, fractures, traumatic brain injury, open wound or amputation, and internal organ injuries occurred more often in rural areas (p < 0.001), as were more severe injuries (p < 0.001). Mild injury and soft tissue injuries occurred more often in urban areas (p < 0.001). These data can inform targeted interventions for injury reduction. Preliminary investigations found that more severe injuries and specific injury types are more likely to occur in rural versus urban settings. Our combined database approach may be extended to other databases.

Acknowledgement

The study team acknowledges the Division of Emergency Medicine at Ann and Robert Lurie Children’s Hospital of Chicago for providing developmental support of this study, and the Illinois Department of Public Health for providing data.

Disclosure statement

No potential conflict of interest was reported by the authors.

Data availability statement

Portions of the data that support the findings of this study are available from the Illinois Department of Transportation. Restrictions apply to the availability of these data, which were used under license for this study.

Additional information

Funding

This research has been supported in part by the Stanley Manne Children’s Research Institute and Ann & Robert H. Lurie Children’s Hospital of Chicago.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 61.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 523.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.