Making kids safer, one question at a time.  Welcome to the Car-Seat.Org community!   Motor Vehicle Crashes are the #1 cause of fatal injury for children and adults, age groups 1 to 34.   Selecting a safe car, minivan or SUV, plus correctly using child restraints and seatbelts may be the most important things you can do to protect your family.   Need help installing an infant, convertible or booster seat?   Looking for carseat reviews or compatibility advice? Need help buying the best and safest car seats for your baby, toddler or older kid?   No question is a bad one, so please click here to ask our experts a question and then join our friendly community of moms, dads, caregivers and advocates.   Thank you for visiting; buckle-up and drive safely!


 

Sponsored Ads


Results 1 to 15 of 15
  1. #1
    Admin - CPS Technician Emeritus UlrikeDG's Avatar
    Join Date
    Jul 2001
    Location
    Iowa
    Posts
    8,803

    Post Study: "Car safety seats for children: rear facing for best protection"

    Rear facing continues to provide the best protection beyond the first year.

    Abstract:
    Car safety seats for children: rear facing for best protection
    B Henary, C P Sherwood, J R Crandall, R W Kent, F E Vaca, K B Arbogast, M J Bull
    Injury Prevention 2007;13:398-402; doi:10.1136/ip.2006.015115

    ...Conclusions: RFCSs are more effective than FFCSs in protecting restrained children aged 023 months. The same findings apply when 1 year olds are analyzed separately. Use of an RFCS, in accordance with restraint recommendations for child size and weight, is an excellent choice for optimum protection up to a childs second birthday.
    Ulrike, mom to:
    Roman (3/98), Evalina (3/00), Nadia (3/03), and Kira (11/07)


    See an inappropriate post? Don't reply to it; report it!
    Thanks for your help in keeping this a safe, SPAM-free zone!

  2. # ADS
    Sponsored Ads
    Join Date
    April, 2001
    Location
    Car-Seat.Org
    Posts
    Many
     
     

  3. #2
    CPS Fanatic
    Join Date
    Jan 2007
    Posts
    4,958

    Re: Study: "Car safety seats for children: rear facing for best protection"

    interesting abstract, i'd like to be able to access the full paper.

    but there was an interesting comment that seems inconsistent with popular thought on this forum:

    When considering frontal crashes alone, children in FFCSs were more likely to be seriously injured (OR = 1.23), although this finding was not statistically significant (95% CI 0.95 to 1.59). In side crashes, however, children in FFCSs were much more likely to be injured (OR = 5.53, 95% CI 3.74 to 8.18).
    dogma on this forum has it that RFing is much safer primarily for frontal crashes, and also safer for side impact. but from the abstract of this paper, it appears that side impact is where RFing really shines. the differences in frontal impact injuries FF vs RF were not statistically significant, while side impact differences were.
    Two girls, 7 and 6. Trek Mountain, Specialized Hotrock, Soma Buena Vista, Bike Friday tandem, and multiple other bikes. Oh, and a Mazda5.

  4. #3
    CPS Technician Jewels's Avatar
    Join Date
    Oct 2006
    Location
    Canada
    Posts
    4,030

    Re: Study: "Car safety seats for children: rear facing for best protection"

    I was emailed this article just now.
    Last edited by Jewels; 12-04-2007 at 06:10 PM. Reason: remove link

  5. #4
    CPS Fanatic
    Join Date
    Jan 2007
    Posts
    4,958

    Re: Study: "Car safety seats for children: rear facing for best protection"

    well, it's copyrighted, so that's probably not kosher. (we need a halo "innocent" emoticon).
    Two girls, 7 and 6. Trek Mountain, Specialized Hotrock, Soma Buena Vista, Bike Friday tandem, and multiple other bikes. Oh, and a Mazda5.

  6. #5
    Admin - CPS Technician Emeritus UlrikeDG's Avatar
    Join Date
    Jul 2001
    Location
    Iowa
    Posts
    8,803

    Re: Study: "Car safety seats for children: rear facing for best protection"

    I was actually waiting for permission to post the PDF.
    Ulrike, mom to:
    Roman (3/98), Evalina (3/00), Nadia (3/03), and Kira (11/07)


    See an inappropriate post? Don't reply to it; report it!
    Thanks for your help in keeping this a safe, SPAM-free zone!

  7. #6
    CPS Technician CDNTech's Avatar
    Join Date
    Feb 2007
    Location
    Alberta
    Posts
    4,594

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Quote Originally Posted by southpawboston View Post
    dogma on this forum has it that RFing is much safer primarily for frontal crashes, and also safer for side impact. but from the abstract of this paper, it appears that side impact is where RFing really shines. the differences in frontal impact injuries FF vs RF were not statistically significant, while side impact differences were.
    I think you may have that slightly confused.

    The mantra is that RFing is safer for kids because of side impact crashes... which are the most deadly types of collisions. It is also slightly safer for frontal collisions.

    I also encourage the use of a RFing tether when possible due to side impact collisions as well.
    Jen, Former CDN CRS Tech
    DS1 /02, Seatbelt and starting to drive in a few months!
    DS2 /05, ParkwaySG

    DS3 /12, Peg PVC
    DD1 /15, Britax B-Safe

  8. #7
    Admin - CPS Technician Emeritus Jeanum's Avatar
    Join Date
    Mar 2006
    Location
    USA
    Posts
    14,421

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Oooh, thanks. This is the eagerly awaited RF study we've heard was in the works, published at last.
    Regards,
    Jean

    DD1 Age 14, 65" 5 steps
    DD2 Age 11, 61" 5 steps

    Click here if you wish to view the full size version of my avatar

  9. #8
    CPS Fanatic
    Join Date
    Jan 2007
    Posts
    4,958

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Quote Originally Posted by aidensmom02 View Post
    I think you may have that slightly confused.

    The mantra is that RFing is safer for kids because of side impact crashes... which are the most deadly types of collisions. It is also slightly safer for frontal collisions.
    really? but every time the question of RF vs FF comes up, people invariably cite over and over the image of an infant's neck excursion in a frontal impact, as opposed to that of a side impact. that's just the impression i get here.
    Two girls, 7 and 6. Trek Mountain, Specialized Hotrock, Soma Buena Vista, Bike Friday tandem, and multiple other bikes. Oh, and a Mazda5.

  10. #9
    Admin - CPS Technician Emeritus UlrikeDG's Avatar
    Join Date
    Jul 2001
    Location
    Iowa
    Posts
    8,803

    Re: Study: "Car safety seats for children: rear facing for best protection"

    I don't read every single thread, but my impression is the same as SPB's--that frontal impacts have generally been cited as the biggest safety advantage of RF. Regardless, I found this study quite interesting.
    Ulrike, mom to:
    Roman (3/98), Evalina (3/00), Nadia (3/03), and Kira (11/07)


    See an inappropriate post? Don't reply to it; report it!
    Thanks for your help in keeping this a safe, SPAM-free zone!

  11. #10
    CPS Technician
    Join Date
    Feb 2007
    Location
    SouthEast US
    Posts
    3,199

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Okay, I totally get that, and have been "preaching" it to anyone who will listen...but my ds is now 27 mos old (25 mos if you want to split hairs and still adjust for his prematurity). What about now?

    If rearfacing is that much safer for a child under 24 mos in a side impact, isn't it also that much safer for that same child at 28 mos or 32 mos? What about at 4 years? Is there a HUGE difference in safety for these older toddlers if they are rearfacing during a SI vs. forward facing in a top-tethered and harnessed seat?

    I've looked at the pictures of spine development and the ages of ossification, etc. It makes sense to me that they are still safer rearfacing, but b/c of our seat designs (the base is up against the seat back, unlike on the Euro seats I've seen), it's a bit harder to get them in there rearfacing as they get bigger. I'm not worried about broken legs, and I don't want to turn ds, but honestly it IS easier for me to get him in/out of the car if he is forward facing. It's a lot less physically painful for me b/c I don't have to fight with him to get him in his seat as much (mainly b/c he can't push off the back of the seat!) LOL

    So, how MUCH safer is it for them to continue rearfacing past 24 mos? Does anyone have actual numbers?

    Thanks!

    henrietta

  12. #11
    Admin - CPS Technician joolsplus3's Avatar
    Join Date
    Jul 2002
    Location
    Chesterfield, VA
    Posts
    21,292

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Quote Originally Posted by southpawboston View Post
    really? but every time the question of RF vs FF comes up, people invariably cite over and over the image of an infant's neck excursion in a frontal impact, as opposed to that of a side impact. that's just the impression i get here.
    Many people here have been saying '4 times safer' based on the article that came out about this study two years ago http://www.msnbc.msn.com/id/9916868

    Problem is, not enough of the quoters have read it thoroughly, or they can't remember that 'four times safer in a side impact', so they fail to mention that detail....

    ...and, it's so much easier to come across those dramatic 'rf vs ff in a frontal crash test' pictures....
    Julie
    CPST since 2003, pu"R"ple since 2008, three kids growing too fast since 1997, 1999 and 2006

    Don't let the perfect be the enemy of the good

  13. #12
    Admin - CPS Technician joolsplus3's Avatar
    Join Date
    Jul 2002
    Location
    Chesterfield, VA
    Posts
    21,292

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Quote Originally Posted by henrietta View Post
    Okay, I totally get that, and have been "preaching" it to anyone who will listen...but my ds is now 27 mos old (25 mos if you want to split hairs and still adjust for his prematurity). What about now?

    If rearfacing is that much safer for a child under 24 mos in a side impact, isn't it also that much safer for that same child at 28 mos or 32 mos? What about at 4 years? Is there a HUGE difference in safety for these older toddlers if they are rearfacing during a SI vs. forward facing in a top-tethered and harnessed seat?



    So, how MUCH safer is it for them to continue rearfacing past 24 mos? Does anyone have actual numbers?

    Thanks!

    henrietta
    No... that's why they did this study only up to age 2. There's just not enough kids rearfacing past that age to really get a real picture of how much safer it is. I bet it's going to be years before they get enough data in the US to publish another study including older children (maybe there're some Swedish studies out somewhere that show it already... I don't know )
    Julie
    CPST since 2003, pu"R"ple since 2008, three kids growing too fast since 1997, 1999 and 2006

    Don't let the perfect be the enemy of the good

  14. #13
    CPS Technician CDNTech's Avatar
    Join Date
    Feb 2007
    Location
    Alberta
    Posts
    4,594

    Re: Study: "Car safety seats for children: rear facing for best protection"

    Maybe it's the 4 times safer thing... I generally say 4 times safer but don't bother specifying frontal or side impact collision. I guess I could be more specific, but I generally only have so much time before kids are bugging me.

    I know I've never told someone they are safer because of frontal collisions, but maybe others do?
    Jen, Former CDN CRS Tech
    DS1 /02, Seatbelt and starting to drive in a few months!
    DS2 /05, ParkwaySG

    DS3 /12, Peg PVC
    DD1 /15, Britax B-Safe

  15. #14
    Forum Ambassador TechnoGranola's Avatar
    Join Date
    Nov 2007
    Location
    Canada
    Posts
    7,031

    Re: Study: "Car safety seats for children: rear facing for best protection"

    I know I often read about internal decapitation happening on frontal collisions as a reason to RF. I don't believe I've read anything in particular for side impact. So, it has also come across to me that it is frontal collisions where RF is most important.

    That being said, I don't really give a darn which it's safest for (front or side), the fact that it is safer is why we will extended rear face.

  16. #15
    Member
    Join Date
    May 2006
    Posts
    47

    Re: Study: "Car safety seats for children: rear facing for best protection"

    The full article is available on the Yahoo CPSPList

Similar Threads

  1. Is there a rear facing seat that goes beyond 36"
    By MichelleMay in forum CAR SEATS - General Child Safety Seat Questions, Help and Advice
    Replies: 9
    Last Post: 11-16-2007, 10:23 PM
  2. Replies: 20
    Last Post: 05-07-2007, 02:42 PM
  3. Rear-Facing Evenflo Triumph – how to access the "knobs"
    By Unregistered in forum CAR SEATS - General Child Safety Seat Questions, Help and Advice
    Replies: 8
    Last Post: 05-06-2007, 01:38 PM
  4. "Study: Infant car seat instructions too difficult"
    By UlrikeDG in forum CAR SEATS - General Child Safety Seat Questions, Help and Advice
    Replies: 0
    Last Post: 03-03-2003, 01:18 PM

Bookmarks

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •