A Prospective study of children as car passengers in road traffic accidents with respect to restraint effectiveness

  • Published: Acta Pediatrica, Vol76, Issue s339, Oct 1987
  • Authors: H. Gustafsson, Å. Nygren and C. Tingvall
  • Date Added: 09 Apr 2012
  • Last Update: 23 Jul 2013
  • Format: html


To assess the types of injuries suffered by child car passengers and the effectiveness of child car restraints in preventing such injuries.


Epidemiological study of injuries to children as car passengers in road traffic accidents.

Key Findings:

  • Protective measures should be focused on the head region, as both fatal and disabling injuries occur mainly in this part of the body.

  • Unrestrained children at greatest risk; children in rear-facing child restraints at lowest risk. The injury risk for children aged 0 – 4 years was almost 5 times greater in a forward-facing child restraint than in a rearward-facing one.

  • Rearward-facing seats were 90% effective and forward-facing seats in rear outboard position were 60% effective at reducing injuries.

  • Forward-facing seats distinctly more effective in frontal collisions than in side impacts. All the seats were boosters, ie no internal harness.