Pediatric All-Terrain Vehicle Trauma

Blecker, Nathan; Rhee, Peter; Judkins, Daniel; Wynne, Julie; Friese, Randall S.; Kulvatunyou, Narong; Latifi, Rifat; OʼKeeffe, Terence

doi:10.1097/pec.0b013e3182531d20

Cited by 20 publications

(4 citation statements)

References 14 publications

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“…Although in our study, ATV injuries were less severe than ROHVs, this does not correlate with safety. ATV injuries in children have been proved to be significantly more severe than OHMs, 23 motorcycles, 13 bicycles, 17 or sports activities injuries. 12 Even though the American Academy of Pediatrics recommends that no patient younger than 16 years of age should use an OHM or an ATV, 7 our study shows that the mean age of the driver/passenger in OHVs, including ATVs, is 12 years of age.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…9 It is essential to define the risk factors associated with accident severity to reduce accident fatality and long-term morbidity, particularly because the severity of OHV crashes has increased over time 10,11 and can be similar to or even worse when compared with motor vehicle crashes. 12,13 Neurological injuries specifically constitute one of the most important causes of OHV morbidity, because more than 20% of the hospital admissions related to OHV crashes are the result of head injury. 3 Furthermore, children's neurological injuries, secondary to OHV accidents, are responsible for a significant proportion of the fatalities.…”

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confidence: 99%

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Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Fonseca¹,

Guerrero²,

Leiner³

et al. 2022

Southern Medical Journal

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Objectives: The purpose was to evaluate the characteristics of off-highway vehicle (OHV) crashes correlated with neurological injury and accident severity in the pediatric population in El Paso, Texas.Methods: A retrospective review of 213 patients who were victims of an OHV crash attended at a regional Level I trauma center from 2012 to 2020 was performed. OHVs were defined as vehicles designated for use outside public roads. Neurological outcomes included any traumatic brain injury (TBI) or a brain hemorrhage/hematoma. Severe injury was defined as a Glasgow Coma Scale less than 8, a length of stay longer than 7 days, a Pediatric Trauma Score lower than 8, and requiring pediatric intensive care unit admission. Bivariate and multivariate analyses by logistic regression models were conducted to determine the factors related to the neurological outcomes and accident severity.Results: Of 213 OHV crash patients, 104 (48.8%) had TBI and 22 (10.3%) had brain hemorrhages or hematomas. Risk analyses demonstrated that children younger than age 6 years and occupants of recreational OHVs have a significantly higher risk of severe injuries. Off-highway motorcycles and all-terrain vehicles were risk factors for TBI, whereas helmets were a protective factor.Conclusions: OHVs are associated with both TBIs and severe injuries. Stricter laws requiring helmets and forbidding children younger than 6 to ride are required, as modifying these factors could reduce the incidence of OHV crashes and their complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Fonseca¹,

Guerrero²,

Leiner³

et al. 2022

Southern Medical Journal

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“…Off-road vehicles enhance the quality of life for youth in rural regions yet require careful riding during every trip. Parents and their children should consider the benefits of wearing a helmet [ 118 ], emergency preparedness, and other safety strategies before each ride [ 119 – 120 ]. The results of this study could inform parental gifting habits, commercial marketing policies, and public awareness campaigns [ 121 – 122 ].…”

Section: Discussionmentioning

confidence: 99%

Off-Road Vehicle Crash Risk during the Six Months after a Birthday

2016

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BackgroundOff-road vehicles are popular and thrilling for youth outside urban settings, yet sometimes result in a serious crash that requires emergency medical care. The relation between birthdays and the subsequent risk of an off-road vehicle crash is unknown.MethodsWe conducted a population-based before-and-after longitudinal analysis of youth who received emergency medical care in Ontario, Canada, due to an off-road vehicle crash between April 1, 2002, and March 31, 2014. We identified youth injured in an off-road vehicle crash through population-based health-care databases of individuals treated for medical emergencies. We included youth aged 19 years or younger, distinguishing juniors (age ≤ 15 years) from juveniles (age ≥ 16 years).ResultsA total 32,777 youths accounted for 35,202 emergencies due to off-road vehicle crashes within six months of their nearest birthday. Comparing the six months following a birthday to the six months prior to a birthday, crashes increased by about 2.7 events per 1000 juniors (18.3 vs 21.0, p < 0.0001). The difference equaled a 15% increase in relative risk (95% confidence interval 12 to 18). The increase extended for months following a birthday, was not observed for traffic crashes due to on-road vehicles, and was partially explained by a lack of helmet wearing. As expected, off-road crash risks did not change significantly following a birthday among juveniles (19.2 vs 19.8, p = 0.61).ConclusionsOff-road vehicle crashes leading to emergency medical care increase following a birthday in youth below age 16 years. An awareness of this association might inform public health messages, gift-giving practices, age-related parental permissions, and prevention by primary care physicians.

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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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Pediatric All-Terrain Vehicle Trauma

Abstract: All-terrain vehicle-related crashes have increased during this study period and have become a significant source of injuries. Public education and awareness of the dangers associated with ATV use need to be targeted toward both parents and children likely to use ATVs.

Cited by 20 publications

References 14 publications

Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Off-Road Vehicle Crash Risk during the Six Months after a Birthday

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

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