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Prevention of Childhood Pedestrian Trauma A Study of Interventions over Six Years
Gregory A. Merrell, MD; Jon C. Driscoll, MD; Linda C. Degutis, DrPH; Thomas S. Renshaw, MD
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Gregory A. Merrell, MD
Jon C. Driscoll, MD
Thomas S. Renshaw, MD
Department of Orthopaedic Surgery, Yale University School of Medicine, P.O. Box 208071, New Haven, CT 06520-8071

Linda C. Degutis, DrPH
Section of Emergency Medicine, Department of Surgery, Yale University School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2002 May 01;84(5):863-867
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Pedestrian injury is second only to cancer as the leading cause of death of children between the ages of five and nine years 1,2 . Furthermore, pedestrian injury accounts for 31% to 61% of all admissions of children to the hospital for treatment of injuries 3-5 . In the United States, rates of pedestrian injuries among children are estimated to be 111 per 100,000 and account for approximately 18,000 hospital admissions each year 6-8 . In 1996, 1191 children under the age of sixteen were killed in pedestrian-motor vehicle collisions 9 . Operative intervention is required after approximately 11% of pedestrian injuries, and hospital admission is required after 36% 10,11 . Pedestrian injuries are more likely to be severe than are injuries sustained by motor-vehicle occupants, and they are associated with a higher rate of mortality (4% compared with 0.5%) 12 . Mortality is caused by multisystem trauma (80%) or isolated head injury (20%) 13 .
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