In the pilot phase of the National Child Death Review (CDR) programme, the need for a review of deaths of children and young people in motor vehicles was identified. The CDR Programme is being re-established in Wales. The aim of the programme is to identify and describe patterns and causes of child death, including any trends, and to recommend actions to reduce the risk of avoidable contributory factors. One of the objectives of the programme is to undertake thematic reviews and make recommendations. This is the first thematic review of the re-established CDR Programme (Public Health Wales 2013a). Motor vehicle collisions resulting in the death of teenage occupants is a major preventable cause of death among children in Wales. The CDR Programme Annual Report (Public Health Wales 2013b) highlights 375 deaths of external cause among children and young people (age 0-17) registered between 2002 and 2011. Thirty per cent of these (113) were due to road traffic accidents among those (ages 12-17); 56% (63) of which occur as vehicle occupants. Cases for this review were defined as deaths of teenagers aged 13 to 17 years, who were drivers or passengers in motor vehicles, occurring between 1 January 2006 and 31 December 2010. Data were collected from a number of sources to ensure completeness. These sources were: * Child Death Review Database * Office for National Statistics mortality data * STATS19 police crash records * The Welsh Government mortality data * Police accident investigation reports * External, unofficial, sources including * Royal Society for the Prevention of Accidents (RoSPA) * Media and internet reports Reconciliation of data sources, data quality and hierarchy are discussed in section 4. A high level review of the literature was undertaken by Public Health Wales for the Thematic Review Expert Panel, following a prototype process for CDR Evidence Reviews. The objective of the review was to identify measures or interventions that have potential for preventing motor vehicle deaths in teenagers. It consisted of a contextual and scoping review followed by an effectiveness review. The effectiveness review had the following questions: * Primary review question: How effective are measures or interventions in preventing motor vehicle deaths in teenagers? * Secondary question: What aspects of interventions produce heterogeneity in results and how might this impact upon implementation in Wales? Full details of the method, together with the findings, are included in the literature review report. (Author/publisher)
Samenvatting