{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:14:06Z","timestamp":1770815646617,"version":"3.50.1"},"reference-count":13,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2006,11,1]]},"abstract":"<jats:p>OBJECTIVE. The purpose of this work was to describe the epidemiology of nonfatal school bus\u2013related injuries among children and teenagers aged \u226419 years in the United States.<\/jats:p>\n               <jats:p>DESIGN\/METHODS. Nationally representative data from the National Electronic Injury Surveillance System All-Injury Program operated by the US Consumer Product Safety Commission were analyzed. Case subjects included all of the patients in the National Electronic Injury Surveillance System All-Injury Program database who were treated in a hospital emergency department for a nonfatal school bus\u2013related injury from 2001 to 2003.<\/jats:p>\n               <jats:p>RESULTS. There were an estimated 51100 school bus\u2013related injuries treated in US emergency departments from 2001 to 2003, for a national estimate of 17000 injuries (rate: 21.0 per 100000 population) annually. Ninety-seven percent of children were treated and released from the hospital. Children 10 to 14 years of age accounted for the greatest proportion of injuries (43.0%; rate: 34.7) compared with all other age groups. Motor vehicle crashes accounted for 42.3% of all injuries, followed by injuries that occurred as the child was boarding\/alighting\/approaching the bus (23.8%). Head injuries accounted for more than half (52.1%) of all injuries among children &amp;lt;10 years of age, whereas lower extremity injuries predominated among children 10 to 19 years of age (25.5%). Strains and sprains accounted for the highest percentage of all injuries, followed by contusions and abrasions (28.3%) and lacerations (14.9%). More than three quarters (77.7%) of lacerations were to the head.<\/jats:p>\n               <jats:p>CONCLUSIONS. This is the first study to describe nonfatal school bus\u2013related injuries to US children and teenagers treated in US hospital emergency departments using a national sample. This study identified a much greater annual number of school bus\u2013related injuries to children than reported previously.<\/jats:p>","DOI":"10.1542\/peds.2006-1314","type":"journal-article","created":{"date-parts":[[2006,11,2]],"date-time":"2006-11-02T18:04:44Z","timestamp":1162490684000},"page":"1978-1984","source":"Crossref","is-referenced-by-count":21,"title":["School Bus\u2013Related Injuries Among Children and Teenagers in the United States, 2001-2003"],"prefix":"10.1542","volume":"118","author":[{"given":"Jennifer","family":"McGeehan","sequence":"first","affiliation":[{"name":"Center for Innovation in Pediatric Practice"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph L.","family":"Annest","sequence":"additional","affiliation":[{"name":"Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhavi","family":"Vajani","sequence":"additional","affiliation":[{"name":"Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn J.","family":"Bull","sequence":"additional","affiliation":[{"name":"Section of Developmental Pediatrics, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phyllis E.","family":"Agran","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Center for Trauma and Injury Prevention Research, University of California, Irvine, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Policy, Columbus Children's Research Institute, Children's Hospital, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2006,11,1]]},"reference":[{"key":"2021120823222806800_R1","unstructured":"Research and Development, National Highway Traffic Safety Administration. Report to Congress. School Bus Safety: Crashworthiness Research. Washington, DC: National Highway Traffic Safety Administration; 2002"},{"key":"2021120823222806800_R2","unstructured":"National Highway Traffic Safety Administration. School bus restraint study. Available at: www.nrd.nhtsa.dot.gov\/vrtc\/cw\/BUS_GIJune2000a.pdf. Accessed June 21, 2005"},{"key":"2021120823222806800_R3","unstructured":"Transportation Research Board, Committee on School Transportation. Special Report 269. The Relative Risks of School Travel: A National Perspective and Guidance for Local Community Risk Assessment. Washington, DC: Transportation Research Board of the National Academies; 2002"},{"key":"2021120823222806800_R4","unstructured":"US Consumer Product Safety Commission. National Electronic Injury Surveillance System (NEISS) Sample Design 1997-Present. Washington DC: US Consumer Product Safety Commission; 2001"},{"key":"2021120823222806800_R5","unstructured":"Schroeder T, Ault K. NEISS Sample: Design and Implementation. Washington, DC: US Consumer Product Safety Commission; 2001"},{"key":"2021120823222806800_R6","unstructured":"Schroeder T, Ault K. NEISS All Injury Program: Sample Design and Implementation. Washington, DC: US Consumer Product Safety Commission; 2001"},{"key":"2021120823222806800_R7","unstructured":"US Consumer Product Safety Commission. National Electronic Injury Surveillance System Coding Manual. Washington, DC: US Consumer Product Safety Commission; 2002"},{"key":"2021120823222806800_R8","unstructured":"Centers for Disease Control and Prevention. National estimates of nonfatal and fatal injuries treated in hospital emergency departments\u2014United States, 2000. MMWR Morb Mortal Wkly Rep.\u20082001;50:340\u2013346"},{"key":"2021120823222806800_R9","unstructured":"National Center for Health Statistics. US census populations with bridged-race categories. Available at: www.cdc.gov\/nchs\/about\/major\/dvs\/popbridge\/popbridge.htm. Accessed August 11, 2006"},{"key":"2021120823222806800_R10","unstructured":"National Transportation Safety Board. Bus Crashworthiness Issues. Highway Special Investigation Report NTSB\/SIR-99\/04. Washington, DC: National Transportation Safety Board; 1999"},{"key":"2021120823222806800_R11","unstructured":"American Academy of Pediatrics, Committee on School Health and Committee on Injury and Poison Prevention. School transportation safety. Pediatrics.\u20081996;97:754\u2013757"},{"key":"2021120823222806800_R12","unstructured":"New York State Education Department. 1997 Survey of Public School Districts. Seat Belts on School Buses. Albany, NY: New York State Education Department; 1997"},{"key":"2021120823222806800_R13","unstructured":"Boces MO, New York State Education Department. Seat Belts and School Buses. Albany, NY: New York State Education Department; 1994"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/118\/5\/1978\/1116524\/zpe01106001978.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/118\/5\/1978\/1116524\/zpe01106001978.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T03:41:26Z","timestamp":1639021286000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/118\/5\/1978\/69961\/School-Bus-Related-Injuries-Among-Children-and"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,11,1]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2006,11,1]]},"published-print":{"date-parts":[[2006,11,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2006-1314","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,11,1]]}}}