Analysis of Pediatric Pedestrian Struck in a Densely Populated City Area

Document Type


Publication Date



Introduction: In 2021, there were 3098 pedestrian-related crashes in Pennsylvania (PA) with those ≤ 18 years comprising 23% of pedestrian injuries. As children form a notable minority of injured pedestrians, we aimed to analyze characteristics associated with young pedestrians struck in a densely populated urban area. Methods: Pedestrians 3-18 years struck in the city of Reading, PA from 2011 to 2021 were analyzed. Area and population density of the city were 9.84 square miles and 9,662/square mile respectively. Persons ≤ 18 years comprised 29% of the city population. Data was obtained from the PA Department of Transportation's Crash Infor- mation Tool. Univariable and bivariable statistics were used to analyze the association between age and crash characteristics. “Older” children were defined as those 13 -18 years. Results: 387 involved children were analyzed. Compared to older children (n=138), younger children (n=249) were more likely to be struck in non-intersection roadways (67% vs 34%, p=0.002). In intersection-related crashes (n=171), 44% were signalized, 98% involved three-way or four-way intersections and 15% were at stop -controlled intersections. 26 (7%) crashes occurred in a school zone. 304 (79%) occurred between 1 p.m. and 9 p.m., with younger children more likely to be struck between these hours (84% vs 68%, p=0.004). Younger children were more likely to be struck on Saturday and Sundays (31% vs 20%, p=0.02). Conclusion: Younger children were more likely to be struck in non-intersection areas, on afternoon and evening hours and on weekends. Understanding the epidemiology may offer opportunities for targeted injury prevention.

Publication Title

Journal of the American College of Surgeons




5 Supplement 1

First Page


Last Page



9th Owen H Wangensteen Scientific Forum of the American College of Surgeons Clinical Congress held 2023-10-22 to 2023-10-25 in Boston, MA, USA.

This document is currently not available here.

Open Access