Back to Search
Start Over
Evaluating the 'cushion effect' among children in frontal motor vehicle crashes
- Source :
- Journal of Pediatric Surgery. 53:1033-1036
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background The "Cushion Effect," the phenomenon in which obesity protects against abdominal injury in adults in motor vehicle accidents, has not been evaluated among pediatric patients. This work evaluates the association between subcutaneous fat cross-sectional area, quantified using analytic morphomic techniques and abdominal injury. Methods This retrospective study includes 119 patients aged 1 to 18years involved in frontal impact motor vehicle accidents (2003–2015) with computed tomography scans. Subcutaneous fat cross-sectional area was measured and converted to age- and gender-adjusted percentiles from population-based normative data. Multivariable analysis determined the risk of the primary outcome, Maximum Abbreviated Injury Scale (MAIS) 2+ abdominal injury, after adjusting for age, weight, seatbelt status, and impact rating. Results MAIS 2+ abdominal injuries occurred in 20 (16.8%) of the patients. Subcutaneous fat area percentile was not significantly associated with MAIS 2+ abdominal injury on multivariable logistic regression (adjusted Odds Ratio, 0.86; 95% CI, 0.72–1.03; p=0.10). Discussion The "cushion effect" was not apparent among pediatric frontal motor vehicle crash victims in this study. Future work is needed to investigate other analytic morphomic measures. By understanding how body composition relates to injury patterns, there is a unique opportunity to improve vehicle safety design. Level of Evidence Prognosis Study, Level III.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Adolescent
Thoracic Injuries
Population
Poison control
Abdominal Injuries
Logistic regression
03 medical and health sciences
Injury Severity Score
0302 clinical medicine
Injury prevention
Humans
Medicine
Obesity
Child
education
Retrospective Studies
education.field_of_study
Abbreviated Injury Scale
business.industry
Incidence
Body Weight
Accidents, Traffic
Retrospective cohort study
Seat Belts
General Medicine
Odds ratio
United States
Survival Rate
Child, Preschool
030220 oncology & carcinogenesis
Pediatrics, Perinatology and Child Health
Female
030211 gastroenterology & hepatology
Surgery
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 53
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....9abab1dd8820500b26c580b784836390
- Full Text :
- https://doi.org/10.1016/j.jpedsurg.2018.02.042