Pediatric ATV Injuries in a Statewide Sample: 2004 to 2014

Garay, Mariano; Hess, Joseph; Armstrong, Douglas G.; Hennrikus, William L.

doi:10.1542/peds.2017-0945

Cited by 33 publications

(42 citation statements)

References 25 publications

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“…The popularity of ATV usage is widespread including Australia, Ireland, New Zealand, Canada and Israel 2–7. From 2000, the incidence of ATV-related injuries in the USA increased consistently, peaking in 2007.…”

Section: Introductionmentioning

confidence: 99%

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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%

“…Head injuries are a major risk associated with the use of ATVs and specifically among users not wearing helmets 6. In one study, over 75% of patients injured by ATVs were not wearing helmets.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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“…Treatment and treatment index variables from the EMS Registry were used to determine the total number of treatments attempted by EMS and whether extrication, spinal immobilization (cervical collar, short board, and/or long board placed), intravenous access (including intra-osseous access), cardiac monitoring, intubation, or cardiopulmonary resuscitation was performed. Total number of treatments attempted was categorized as minimal (0-1) or multiple (2)(3)(4)(5)(6)(7)(8). Multiple attempts or occurrences of the same treatment were counted as one treatment because multiple attempts or occurrences were not reported for some study years.…”

Section: Study Variablesmentioning

confidence: 99%

“…1 total of column n values by category may not equal total N for study population (270) because of missing data. 2 Chi-square comparison of proportions by crash location except as noted. 3 Fisher's Exact Test.…”

Section: Characteristics By Crash Locationmentioning

confidence: 99%

“…All-terrain vehicle (ATV) crashes in the U.S. have accounted for over 11,000 fatalities over the past 20 years and about 100,000 emergency department (ED) visits annually, with over one-fifth of the fatalities involving children under 16 years of age [1]. The non-fatal injuries sustained are often serious, as demonstrated by a multicenter Pennsylvania study that found admitted pediatric ATV crash patients had a median hospital length of stay of three days with 29% being admitted to the intensive care unit [2].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of All-Terrain Vehicle Crash Location on Emergency Medical Services Time Intervals

Wubben¹,

Denning²,

Jennissen³

2019

Safety

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Over 100,000 all-terrain vehicle (ATV)-related injuries are evaluated in U.S. emergency departments each year. In this study, we analyzed the time intervals for emergency medical services (EMS) providers responding to ATV crashes in different location types. Data from the Iowa State Trauma Registry and a statewide ATV crash/injury database was matched with Iowa EMS Registry records from 2004-2014. Ground ambulance responses to 270 ATV crashes were identified, and response characteristics and time intervals were analyzed. Off-road crashes had a longer median patient access interval (p < 0.001) and total on scene interval (p = 0.002) than roadway crashes. Crashes in remote locations had a longer median patient access interval (p < 0.001) and total on scene interval (p < 0.001), but also a longer median on scene with patient interval (p = 0.004) than crashes in accessible locations. Fifteen percent of remote patient access times were >6 min as compared to 3% of accessible crashes (p = 0.0004). There were no differences in en route to scene or en route to hospital time. Comparisons by location type showed no differences in injury severity score or number of total procedures performed. We concluded that responding EMS providers had an increased length of time to get to the patient after arriving on scene for off-road and remote ATV crashes relative to roadway and accessible location crashes, respectively.

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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 ATV Injuries in a Statewide Sample: 2004 to 2014

Cited by 33 publications

References 25 publications

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

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

The Effect of All-Terrain Vehicle Crash Location on Emergency Medical Services Time Intervals

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

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