Unintentional injuries cause huge economic and social burden for the country. To further prevent unintentional injury by different age groups, it is crucial to identify the recent pattern of paediatric mortality. For a start, this study included a retrospective record review of 334 paediatric trauma patients (0-18 years) who were hospitalized due to unintentional injuries. The patient's medical records from the period 2007 to 2010 were obtained from the National Trauma Database (NTrD). The patients were categorized into <1, 1-4, 5-9, 10-14 and 15-18 years of age. Data entry and analysis were accomplished using IBM SPSS version 22. Most of the patients were Malay (78.4%), male (82.9%), died in hospital (33.2%) and total fatality by unintentional injuries for four years rose by nearly 59.5%. Death occurred with some monthly variance demonstrated with three mortality peaks in March, April and December. The proportion of unintentional injuries death was 33.0% (95% CI 0.28, 0.38). Malay male patients had higher risk of death compared to female patients. Effective program and preventive measures should be implemented to reduce mortality.