All-terrain vehicle injuries in children: injury patterns and prognostic implications

Bhutta, Sadaf T.; Greenberg, S. Bruce; Fitch, S; Parnell, Donna

doi:10.1007/s00247-003-1085-4

Cited by 35 publications

(13 citation statements)

References 5 publications

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“…The CPSC reported that 50% of all ATV accidents involve a rollover event (16). Fourteen studies have reported musculoskeletal injuries from ATV accidents in the United States (8,(11)(12)(13)(14)(15)(16)29,(35)(36)(37)(38)(39)(40). Only six reports detailed the specific accident mechanism (12,14,19,(25)(26)(27).…”

Section: Equipment Instabilitymentioning

confidence: 94%

“…In a retrospective study of radiographic data from the University of Arkansas, Bhutta et al reported that 53% of patients who were involved in an ATV accident sustained some type of fracture (40). Although only a relatively small percentage of individuals who sustained an injury from an ATV accident required hospital admission, Rodgers and Adler reported that the injuries observed in this patient subset were often quite serious (36).…”

Section: Injuriesmentioning

confidence: 98%

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Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents

Balthrop

Nyland

Roberts

2009

The Journal of Emergency Medicine

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Section: Equipment Instabilitymentioning

confidence: 94%

Section: Injuriesmentioning

confidence: 98%

Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents

Balthrop

Nyland

Roberts

2009

The Journal of Emergency Medicine

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“…8 Brain injuries are among the leading cause of death and disability from ATV crashes. [23][24][25] They are more likely to occur on the roadway than off road, even when controlling for helmet use. 8,17 This pattern may be due to forces in roadway crashes great enough to exceed the protective capacity of helmets.…”

Section: Helmet Usementioning

confidence: 99%

A School-Based Study of Adolescent All-Terrain Vehicle Exposure, Safety Behaviors, and Crash Experience

Jennissen

Harland

Wetjen

et al. 2014

The Annals of Family Medicine

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PURPOSE More youth are killed every year in the United States in all-terrain vehicle (ATV) crashes than on bicycles, and since 2001, one-fifth of all ATV fatalities have involved victims aged 15 years or younger. Effectively preventing pediatric ATV-related deaths and injuries requires knowledge about youth riding practices. Our objective was to examine ATV use, crash prevalence, and riding behaviors among adolescent students in a rural state. METHODSWe administered a cross-sectional survey to 4,684 youths aged 11 to 16 years at 30 schools across Iowa from November 2010 to April 2013. Descriptive and comparative analyses were performed. RESULTSRegardless of rurality, at least 75% of students reported having been on an ATV, with 38% of those riding daily or weekly. Among ATV riders, 57% had been in a crash. Most riders engaged in risky behaviors, including riding with passengers (92%), on public roads (81%), or without a helmet (64%). Almost 60% reported engaging in all 3 behaviors; only 2% engaged in none. Multivariable modeling revealed male youth, students riding daily/weekly, and those reporting both riding on public roads and with passengers were 1.61 (95% CI, 1.36-1.91), 3.73 (95% CI, 3.10-4.50), and 3.24 (95% CI, 2.09-5.04) times more likely to report a crash, respectively.CONCLUSIONS Three-fourths of youths surveyed were exposed to ATVs. The majority of riders had engaged in unsafe behaviors and experienced a crash. Given this widespread use and the potentially considerable morbidity of pediatric ATV crashes, prevention efforts, including anticipatory guidance by primary care clinicians serving families at risk, should be a higher priority. 1 In fact, more children are killed in the United States each year from ATVs than from bicycle crashes. 2 Previous studies indicate that youth ATV operators have a 12 times greater risk of injury as compared with adults.3 This increased risk is likely due to a number of factors including physical and mental immaturity, lack of training and experience, riding adult-size machines, and a greater likelihood of being a passenger. [4][5][6][7][8][9][10] Despite the magnitude of the problem, there have been few published studies regarding ATV use, and these studies have mostly been limited to select rural and agricultural groups, 7,[11][12][13][14] or ATV-owning households. 15 To our knowledge, this is the first study to provide epidemiology of ATV use and safety-related behaviors among a large cross-sectional sample of adolescents. administrators. Because previous studies showed that youth aged 12 to 15 years were at highest risk, 8 we targeted classes with students in this age range. Schools participated from across the state, although most were from eastern Iowa. This report includes all 30 participating schools from November 2010 through April 2013. METHODS Study DesignBefore the safety program, an anonymous survey was electronically administered using TurningPoint technology (http://www.turningtechnologies.com/ polling-solutions/turningpoint). TurningPoint displ...

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“…15 Upper limb fractures are less common. 18 Although rarely reported, 9 vertebral fractures (as illustrated by Case 1 in the present series) cause significant morbidity and in the case of cervical fractures they are often incompatible with life. Thoracolumbar injury is most common 16 but cervical fractures have greater negative impact on survival.…”

Section: Musculoskeletal/orthopaedic Injurymentioning

confidence: 93%

Spectrum of all-terrain vehicle injuries in adults: A case series and review of the literature

Concannon

Hogan

Lowery

et al. 2012

International Journal of Surgery Case Reports

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All-terrain vehicle injuries in children: injury patterns and prognostic implications

Cited by 35 publications

References 5 publications

Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents

Risk Factors and Musculoskeletal Injuries Associated with All-Terrain Vehicle Accidents

A School-Based Study of Adolescent All-Terrain Vehicle Exposure, Safety Behaviors, and Crash Experience

Spectrum of all-terrain vehicle injuries in adults: A case series and review of the literature

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