Pediatric all-terrain vehicle (ATV) injuries: An epidemic of cost and grief

Strohecker, Kent; Gaffney, Christian J.; Graham, Jove; Irgıt, Kaan; Smith, Wade R.; Bowen, Thomas R.

doi:10.1016/j.aott.2017.06.003

Cited by 11 publications

(11 citation statements)

References 37 publications

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“…The ATV’s design is such that significant co-ordination, strength, judgement and experience are required to achieve safe operation 11. The crash mechanisms characterising ATV events primarily include falls, rollovers and collisions with rollovers crushing the user under the vehicle causing asphyxiation 12.…”

Section: Introductionmentioning

confidence: 99%

Injuries among all-terrain vehicle users: a population-based study

et al. 2020

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BackgroundThe use of off-road vehicles such as all-terrain vehicles (ATVs) and recreational off-highway vehicles has increased in recent years. A higher percentage of patients hospitalised following ATV crashes suffered severe injuries, compared with those hospitalised following other MVCs.ObjectiveTo identify incidence of ATV-related injury and characterise groups with higher prevalence.MethodsA retrospective study of the Israel National Trauma Registry data between years 2008 and 2016. ATV crash victims were compared with other types of MVC casualties according to demographics, injuries and hospital resource utilisation. Identifying groups with greater prevalence for severe injuries caused by ATV crashes was conducted using logistic regressions.ResultsAn increase of 49% in the number of casualties hospitalised following an ATV crash was observed between 2013 and 2016. Non-Jews, males and users 15–29 years old were hospitalised at a higher rate compared with their proportion in the population. ATV crash casualties were more severely injured compared with other MVC casualties (22% vs 14%), had longer hospital length of stay (8+ days) (25% vs 18%), more admissions to intensive care units (16% vs 10%) and underwent more surgery (39% vs 26%, respectively). Males, non-Jews and casualties who did not wear a helmet were about two times more likely to suffer from severe head injury (95% CI 1.20 to 3.60, 1.41 to 2.75 and 1.27 to 4.73, respectively).ConclusionsAn increase in ATV-related casualties was observed. A customised safety intervention programme is needed that targets demographic groups identified with higher injury incidence. Awareness of legislated and common sense ATV safety practices, specifically helmet use, should be raised.

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Section: Introductionmentioning

confidence: 99%

Injuries among all-terrain vehicle users: a population-based study

et al. 2020

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“…Historical studies such as Percy and Duffy 18 reporting ATV related injuries and Warda and colleagues 1 reporting safety behaviors have called for preventive and safety measures such as consistent use of safety gear, mandatory rider training, as well as consumer and dealer education. Congruently, recent literature also concluded that safety precautions can reduce injury related costs 5 and recommended preventative guidelines 6 or initiatives 10 to reduce ATV related injuries. ATV dealers and track owners may be open to displaying ATV safety information similarly to agribusinesses.…”

Section: Discussionmentioning

confidence: 99%

“…Use of ATVs has been associated with significant injury, mortality, and healthcare cost. 5 Reported ATV related injuries include: bone fractures at or below the cervical spine, specifically femur and tibia 6 , upper extremities, thoracic, peripheral nerve, and soft tissue injuries 4 and traumatic brain injuries. 4 , 7 A recent national review of ATV fatalities reported a rate of .32 per 100,000 8 ; while Garay and colleagues 6 observed a 1.5% mortality rate among all pediatric ATV injuries in Pennsylvania.…”

Section: Introductionmentioning

confidence: 99%

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A Survey of Safety Recommendations for All-Terrain Vehicle Dealers and Track Owners in Kansas

Martin

Morton

Rau

et al. 2019

kjm

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IntroductionAll-terrain vehicles (ATVs) are associated with injury, mortality, and healthcare costs. ATV related injuries are less severe when consistent safety practices are followed, however, ATV safety regulations are varied among states. This study sought to survey Kansas ATV dealers and track owners to determine safety promotion practices.MethodsA cross-sectional telephone survey was conducted of Kansas ATV dealers and tracks. Survey questions included promotion and sale of safety equipment, provision of ATV safety information, and respondent characteristics.ResultsOf those contacted, 32% of dealers and 31% of tracks responded to the survey. Most ATV dealers sell safety gear (70% – 100%) and all recommend safety gear to buyers and riders. All ATV tracks reported requiring helmets (100%) but were varied regarding other forms of safety gear. The majority of ATV dealers (77%) recommended safety courses, but only 31% of dealers and 40% of tracks offered courses. Eighty percent of ATV tracks and 52% of dealers felt they had a professional responsibility to educate riders/owners on safety.ConclusionSafety promotion by ATV dealers in Kansas consistently was recommended, but often limited to the sales of safety gear (helmets and gloves) or the provision of manufacturer provided safety materials. Further, ATV dealers reported rarely offering skills tests or safety courses to buyers. In Kansas, safety promotion at the point of sale or track level could be improved to increase public awareness of ATV safety practices.

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“…Additionally, cost analysis data reported by Strohecker et al suggest that the use of helmets, advocated by the AAP, only slightly shortened hospital length of stay. 6 A large number of children fail to follow safety precautions when operating ATVs. 7…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Outcomes From All-Terrain Vehicle Injuries Compared With Motor Vehicle Collisions in Children

Ramgopal

Cramer

Gaines

et al. 2019

Clin Pediatr (Phila)

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We compared risk factors and outcomes of children injured from all-terrain vehicle (ATV) injuries to those injured from motor vehicle collisions (MVC). We reviewed records of patients ≤18 years of age admitted to a trauma center with ATV- or MVC-related injuries between January 1, 2000, and December 31, 2015. Demographics were compared using logistic regression. Rates of injuries were compared using χ2 tests. Of 6293 patients, 1140 (18%) ATV and 5153 (82%) MVC events were identified. In multivariable analysis (adjusted odds ratio [aOR], 95% confidence interval [CI]), patients with ATV-related injuries occurred more at older age (≥12 years; aOR = 4.29, 95% CI = 3.20-5.77), in rural counties (aOR = 3.72, 95% CI = 2.62-5.28), in regions with lower median household income (aOR = 1.37, 95% CI = 1.03-1.83), and in the spring (aOR = 2.44, 95% CI = 1.87-3.18), and summer (aOR = 2.50, 95% CI = 1.93-3.25) compared with winter. ATV-related injuries occurred less frequently among females (aOR = 0.76, 95% CI = 0.65-0.89). Upper extremity injuries were associated with ATV-related injuries ( P ≤ .001). Findings may facilitate identification of at-risk groups for targeted interventions.

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Pediatric all-terrain vehicle (ATV) injuries: An epidemic of cost and grief

Cited by 11 publications

References 37 publications

Injuries among all-terrain vehicle users: a population-based study

Injuries among all-terrain vehicle users: a population-based study

A Survey of Safety Recommendations for All-Terrain Vehicle Dealers and Track Owners in Kansas

Risk Factors and Outcomes From All-Terrain Vehicle Injuries Compared With Motor Vehicle Collisions in Children

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