Children's non-fatal road traffic injury in Krasnodar in 2015-2019

Background: For many years, road traffic injuries have occupied a leading position in the structure of mechanical grass in most of the leading countries of the world. Children are particularly vulnerable to road accidents due to their psychoemotional and anatomical and physiological characteristics. Aims: To study the epidemiological aspects and features of injuries with a forensic medical assessment of injuries in children in various types of road accidents in the city of Krasnodar. Material and methods: Archival medical documentation of the Department of forensic medical examination of victims, accused, and other persons of the State Budgetary Institution “Bureau of SME” of the Ministry of Health of the Krasnodar Territory in relation to 1,134 children under the age of 18 years who were injured in an accident on the territory of Krasnodar in 2015–2019; analytical, statistical, and retrospective research methods were used. Results: Children were most often injured in the summer, especially in the month of August, on the second day of the week and at night; >50% of the injured children were pedestrians; combined nature of the injury was in 38.9% of cases, and most common injuries were localized in the head (45.8%) and lower extremities (38%); the most frequent soft tissue damage in all young road users were bruises; injuries in the cabin were more common soft tissue injuries of the head; skull fractures prevailed in drivers; severe forms of traumatic brain injuries were most common in pedestrians; fractures of the limbs were detected only in older age groups, most often in pedestrians; drivers and pedestrians were more likely to have damaged shin bones, whereas passengers have it in the femur and forearm; serious health damage was detected in almost every seventh child (13.8%), most often in children under three years old and 14–17 years old; and light damage in every fifth (22.1%) child and twice as often as moderate health damage (11.8%). Conclusion: The level of child road traffic injuries in the city of Krasnodar in recent years has not decreased and the negative trend of accidents related to an increased incidence of trauma in children, resulting in serious injury.