All-terrain vehicle use related fracture rates, patterns, and associations from 2002 to 2015 in the USA

Richards, Jarod A.; Loder, Randall T.

doi:10.1016/j.injury.2018.12.005

Cited by 15 publications

(17 citation statements)

References 36 publications

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“…Pollack and Pollack 11) conducted a retrospective review of another southern California community hospital, noting that spine fracture represented 6.6% of the total 836 fractures diagnosed in 1,259 patients who presented to the ED for ATV injury. Richards and Loder 12) utilized the national electronic injury surveillance system database and found that from 2002–2015, 25.9% of ED visits related to ATV-related injury was for any bone fracture, with spine fracture comprising 6.4%. 12) Shults et al 17) reported a similar fracture rate of 28% in a study that used a synonymous method, but limited the patient population to less than 16 years old.…”

Section: Discussionmentioning

confidence: 99%

“…Richards and Loder 12) utilized the national electronic injury surveillance system database and found that from 2002–2015, 25.9% of ED visits related to ATV-related injury was for any bone fracture, with spine fracture comprising 6.4%. 12) Shults et al 17) reported a similar fracture rate of 28% in a study that used a synonymous method, but limited the patient population to less than 16 years old. Kute et al 8) previously reported that the spine was involved in 4.4% of total fractures seen in ATV injury over an 11-year period, representing a 4-fold increase over this time.…”

Section: Discussionmentioning

confidence: 99%

“…10) First introduced to the United States markets in 1970, ATVs quickly gained popularity for recreational use, climbing from an estimate of 400,000 ATVs in use in 1985 to 4.2 million by 2000. 12) However, as ATV-related mortalities similarly trended upward, the associated risk was quickly recognized, leading the U.S. Consumer Product Safety Commission (CPSC) to sue ATV manufacturers in the 1980s. 12) This resulted in the “1988 Consent Decrees,” which temporarily decreased the mortality rate, however expired in 1998.…”

Section: Introductionmentioning

confidence: 99%

“… 12) However, as ATV-related mortalities similarly trended upward, the associated risk was quickly recognized, leading the U.S. Consumer Product Safety Commission (CPSC) to sue ATV manufacturers in the 1980s. 12) This resulted in the “1988 Consent Decrees,” which temporarily decreased the mortality rate, however expired in 1998. Following this expiration, the enforcement of ATV regulations was relegated to individual states.…”

Section: Introductionmentioning

confidence: 99%

“…Following this expiration, the enforcement of ATV regulations was relegated to individual states. 12) Current efforts have proven largely ineffective, with an estimated 81,800 hospital emergency department (ED) visits involving ATV-related injuries in the United States in 2018. 20) Of these injuries, the diagnoses ranged from strain/sprains (11%) and lacerations (10%) to fractures (30%) and internal organ injuries (9%).…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Spinal Injury Associated with All-Terrain Vehicle (ATV) Accidents: A 10-Year Retrospective Analysis of the Coachella Valley

Houston

Cathel

Pennington

et al. 2021

Korean J Neurotrauma

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Objective The use of all-terrain vehicles (ATVs) and associated injuries have significantly increased in the last decade. This study aimed to determine the frequency of ATV-associated spinal cord injuries (SCIs) in the Coachella Valley, California, and provide recommendations for data reproducibility in other areas with a similarly substantial level of ATV usage and injuries. Methods This retrospective analysis included data obtained through screening the trauma database of a level II trauma center for ATV-related injuries between January 1, 2010 and January 1, 2020. Results Our data suggest that more than one-third of patients admitted to the trauma center over a 10-year period suffered from spinal injury. Injuries to the spine were further categorized as including the spinal cord (radiographically or clinically) or only including the bony or ligamentous elements of the spine. Injury was more common in men and predominantly located in the thoracic spine. Injuries such as epidural hematoma, vertebral artery, and cord contusion were common, with many patients requiring neurosurgical intervention. Conclusion Highlighting the implicit dangers of ATV accidents on the spine could help identify outcomes and variables predictive of spinal injuries and spinal cord injuries necessary for patient management. Additionally, our study sets the framework by which legislating bodies could replicate the study for proper legislation and recommendations that may help prevent such injuries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Traumatic Spinal Injury Associated with All-Terrain Vehicle (ATV) Accidents: A 10-Year Retrospective Analysis of the Coachella Valley

Houston

Cathel

Pennington

et al. 2021

Korean J Neurotrauma

View full text Add to dashboard Cite

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All-terrain vehicle (ATV)-related injuries among different age groups: insights from a 9-year observational study

Abdelrahman

Khan

El‐Menyar

et al. 2022

Eur J Trauma Emerg Surg

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Purpose To describe the epidemiology, patterns, seasonality and outcome of all-terrain vehicle-related injuries (ATVRIs) among different age groups in Qatar. Methods A retrospective analysis of all patients hospitalized with ATVRI from 2010 to 2018 was conducted. Data were analyzed by age, gender, seasonality, and Injury severity Score (ISS). Chi-square, Student t and ANOVA tests were used for analysis. Multivariate regression analysis was performed to find out predictors of head injury and severe injury among ATV users. Results Out of 15,000 trauma admissions, 521 had ATVRI (4%) with a mean age of 23.3 ± 12.3. The male-to-female ratio was 4:1 and the pediatric population represented 40%. The compliance with helmet use was 3.6%. The most injured regions were chest (29.8%), upper extremities (28.8%) and the head (25.9%). The mean ISS was 10.6 ± 7.7. Fracture fixation was the most operative intervention. Among hospitalized patients, 7.7% were transferred to rehabilitation . ATVRIs occurred more frequently between October and April and a large proportion (57.8%) occurred during weekends. The overall ATV-related hospital mortality rate was 2.1%. Young and older ATV users were more likely to suffer spine injuries than the pediatric population (p = 0.001). The mean ISS was greater in the older groups (p = 0.03). There were no statistically significant differences regarding the use of protective devices, mortality, or length of hospital stay between the different age groups. On multivariate analysis, young age and ISS were predictors of head injury among ATV users after adjusting for gender and helmet use. Conclusion This is a nationwide study looking at all age groups who sustained ATVRI in Qatar. ATVRIs were observed in all age groups following leisure and recreational use. It follows a seasonal pattern with poor protective measures compliance. There is a need to reinforce helmet use and raise public awareness.

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Characterization of all-terrain vehicle-related thoracolumbar spine injury patterns in children using the AOSpine classification system

et al. 2020

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All-terrain vehicle use related fracture rates, patterns, and associations from 2002 to 2015 in the USA

Cited by 15 publications

References 36 publications

Traumatic Spinal Injury Associated with All-Terrain Vehicle (ATV) Accidents: A 10-Year Retrospective Analysis of the Coachella Valley

Traumatic Spinal Injury Associated with All-Terrain Vehicle (ATV) Accidents: A 10-Year Retrospective Analysis of the Coachella Valley

All-terrain vehicle (ATV)-related injuries among different age groups: insights from a 9-year observational study

Characterization of all-terrain vehicle-related thoracolumbar spine injury patterns in children using the AOSpine classification system

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