{
  "abstract": "Background: Seatbelts and age-appropriate restraints reduce crash-related injuries, but associations with specific pediatric traumatic brain injury (TBI) outcomes require further characterization. Objective: To examine associations between documented seatbelt use, TBI severity, head computed tomography (CT) findings, and hospital admission after pediatric motor vehicle collisions. Methods: This retrospective study reviewed trauma registry and medical record data from a Level I pediatric trauma center. Of 179 collision-related cases identified among 1,095 pediatric trauma records, 138 had documented seatbelt status. Categorical outcomes were compared using chi-square and exact tests. A multivariable logistic regression examined hospital admission in 96 complete cases. Results: ED TBI severity was available for 97 patients: 74 mild, 6 moderate, and 17 severe. Seatbelt use was not significantly associated with severity (P = .098). Among 107 patients with available CT results, abnormal findings occurred in 17/56 (30.4%) with seatbelt use and 25/51 (49.0%) without seatbelt use (Pearson P = .048; Fisher exact P = .074). The prehospital Glasgow Coma Scale comparison was not significant (P = .075). Loss of consciousness and transfer status were associated with higher adjusted odds of hospital admission, whereas higher ED Glasgow Coma Scale scores were associated with lower odds. Conclusion: Abnormal CT findings were less frequent with seatbelt use, ED TBI severity did not differ significantly. Missing data, limited sample size, and unmeasured crash characteristics constrain causal interpretation.",
  "abstract_shown": true,
  "affiliations": [
    "Lake Nona HS",
    "Brown University",
    "Creighton University School of Medicine",
    "The Warren Alpert Medical School of Brown University"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Victoria Melendez-Placa",
      "orcid": "0009-0007-4808-9410"
    },
    {
      "affs": [
        1
      ],
      "name": "Samuel Andrade",
      "orcid": "0009-0002-5237-5974"
    },
    {
      "affs": [
        2
      ],
      "name": "Omar Viswanath",
      "orcid": "0000-0002-6124-7037"
    },
    {
      "affs": [
        3
      ],
      "name": "Latha Ganti",
      "orcid": "0000-0001-7717-3864"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/62r6zbkx4fch2.bib",
  "cited_by": 0,
  "doi": "10.52965/001c.172460",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13716520/",
  "id": "62r6zbkx4fch2",
  "issns": [
    "2035-8237",
    "2035-8164"
  ],
  "landing_url": "https://doi.org/10.52965/001c.172460",
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "General"
    ],
    [
      "openalex",
      "2740|Automotive and Human Injury Biomechanics"
    ]
  ],
  "openalex": "W7223703200",
  "pdf_url": "https://orthopedicreviews.openmedicalpublishing.org/article/172460.pdf",
  "pmcid": "PMC13716520",
  "pmid": "42953884",
  "published": "2026-10-26",
  "publisher": "Open Medical Publishing",
  "ris": "https://research.draconitic.com/paper/62r6zbkx4fch2.ris",
  "sources": [
    {
      "first_seen": "2026-11-01T12:23:27Z",
      "native_id": "PMC13716520",
      "source": "pmc",
      "url": "https://doi.org/10.52965/001c.172460"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Orthopaedic implants and arthroplasty",
      "subfield": "surgery"
    }
  ],
  "title": "Seatbelt Use and Traumatic Brain Injury Outcomes After Pediatric Motor Vehicle Collisions",
  "title_text": "Seatbelt Use and Traumatic Brain Injury Outcomes After Pediatric Motor Vehicle Collisions",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:23:27Z",
  "url": "https://research.draconitic.com/paper/62r6zbkx4fch2",
  "venue": "Orthopedic Reviews",
  "versions": []
}