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July 1988

Bicycle-Mounted Child Seats: Injury Risk and Prevention

Author Affiliations

From the Department of Pediatrics, Boston City Hospital, Boston University School of Medicine and Public Health (Drs Sargent and Weitzman); and the Department of Community Health Service, City of Boston (Dr Peck).

Am J Dis Child. 1988;142(7):765-767. doi:10.1001/archpedi.1988.02150070079030

• Little Information is available about bicycle-mounted child seats despite their general use for a decade. We analyzed two existing data sets to gain Information about frequency, trend, and characteristics of bicycle-mounted child seat injuries to children 5 years old and younger. Available data suggest an increased frequency of these injuries, with the rate of passenger injuries rising from 17% to 28% of all reported bicycle-related injuries to children in this age group In California during the years 1977 to 1986. In a detailed sample of 52 injuries related to the use of bicycle-mounted child seats, 42% occurred when the bicycle crashed or tipped over and 25% occurred when the child fell out of the seat. Sixty-five percent involved the head and face, and 27% of the head Injuries were serious. Substantial morbidity associated with these injuries could be ameliorated if children using these seats wore appropriate bicycle helmets.

(AJDC 1988;142:765-767)

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