Off-highway vehicle parks: Combining environment, knowledge, and enforcement for all-terrain vehicle injury prevention

Denning, Gerene M.; Jennissen, Charles A.; Harland, Karisa K.; Ellis, David; Buresh, Christopher

doi:10.1016/j.aap.2012.12.015

Cited by 20 publications

(21 citation statements)

References 31 publications

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“…The use of OMV for hunting and racing in rugged fields has continued to increase, posing public health concerns as these vehicles have considerable rollover tendencies and causing head trauma among riders who don’t use helmets [42–44]. The mean age of persons with OMV-related sport-TBI in our dataset is 22.7 years (95% CI, 22.2–23.8), compared with 24.1 years from 11,589 persons with OMV-related sport-TBI from U.S. trauma center data [44].…”

Section: Discussionmentioning

confidence: 99%

Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study

Selassie

Wilson

Pickelsimer

et al. 2013

Annals of Epidemiology

105

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Purpose Few studies of sport-related traumatic brain injury (TBI) are population-based or rely on directly observed data on cause, demographic characteristics, and severity. This study addresses the epidemiology of sport-related TBI in a large population. Methods Data on all South Carolina hospital and emergency department encounters for TBI, 1998–2011, were analyzed. Annual incidence rate of sport-related TBI was calculated, and rates were compared across demographic groups. Sport-related TBI severity was modeled as a function of demographic and TBI characteristics using logistic regression. Results A total of 16,642 individuals with sport-related TBI yielded an average annual incidence rate of 31.5/100,000 population with a steady increase from 19.7 in 1998 to 45.6 in 2011. The most common mechanisms of sport-related TBI were kicked in football (38.1%), followed by fall injuries in sports (20.3%). Incidence rate was greatest in adolescents ages 12–18 (120.6/100,000/persons). Severe sport-related TBI was strongly associated with off-road vehicular sport (odds ratio [OR], 4.73; 95% confidence interval [95% CI], 2.92–7.67); repeated head trauma (OR, 4.36; 95% CI, 3.69–5.15); equestrian sport (OR, 2.73; 95% CI, 1.64–4.51); and falls during sport activities (OR, 2.72; 95% CI, 1.67–4.46). Conclusions The high incidence of sport-related TBI in youth, potential for repetitive mild TBI, and its long-term consequences on learning warrants coordinated surveillance activities and population-based outcome studies.

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Section: Discussionmentioning

confidence: 99%

Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study

Selassie

Wilson

Pickelsimer

et al. 2013

Annals of Epidemiology

105

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“…Soon, manufacturers were producing ROVs designed primarily for recreational riding and narrow enough to negotiate the 50-inch width of many established trails. 234,000 ROVs were sold in the U.S. by 20 …”

Section: Growing Side-by-side Usementioning

confidence: 99%

“…From our work with ATVs [19,20], we recognized the difficulty in trying to differentiate off-road vehicles from one another using hospital data, as these vehicles were all designated by the same e-code (supplemental codes in the International Classification of Diseases used by health care providers to classify external causes of injury). As an alternative, we hypothesized that newspaper articles of SxS-related events could provide insights on this emerging problem.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Side-by-Side Vehicle Crashes and Related Injuries as Determined Using Newspaper Reports from Nine U.S. States

Jennissen

Harland

Denning

2016

Safety

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Abstract:Side-by-side (SxS) vehicles have become increasingly popular, but there are few reports on injury epidemiology. Newspaper reports of SxS and all-terrain vehicle (ATV) crashes were analyzed for nine U.S. states from 2009 to 2011, including comparisons between the two vehicle types. Seventy-nine SxS crashes involving 104 injured victims were identified; three-fourths were males. There was a relatively high percentage of injured passengers (37%), and a higher proportion of female victims were passengers as compared to males (p = 0.015). Children <16 years of age were 44% of those injured and had the highest proportion of both passenger and operator victims as compared to other age groups. Over half of the crashes occurred on roadways; nearly two-fifths occurred at night. As compared to adults, a lower percentage of crashes involving youth were at night (p = 0.0037) but the percentages on roadways were similar. Only one in five roadway SxS crashes involved a collision with a motorized vehicle. Rollovers were the most common mechanism (50%). Two-thirds of victims were ejected, and one-half were struck or pinned by the vehicle. Twenty-eight deaths (27%) were reported. Although most current SxSs have roll bars, lack of safety belt use has likely reduced their benefit. Children should be prohibited from operating SxSs.

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“…The older group was likely at increased risk due to frailty and underlying medical conditions, whereas for the younger group inexperience is likely a contributing factor. Children may also lack the physical and cognitive maturity to handle such large and powerful vehicles, particularly on uneven terrain or when riding conditions change [20][21][22][23][24][25]. In a further demonstration of the increased risk that youth face when riding ATVs, other studies have shown that children less than 16 years of age have a 4.5-12 times increased risk of death from ATV use, compared to adults [26,27].…”

Section: Crash and Injury Characteristicsmentioning

confidence: 99%

“…Other injury prevention initiatives that have been suggested include engaging primary care physicians to screen and counsel patients at check-ups [25], building off-highway vehicle parks where safe riding can be promoted [20], and mandating safe usage practices such as helmet use, driving training and licensing, age restrictions, and a ban on passengers. As will be discussed below, such mandates may not produce all of the results that are hoped for.…”

Section: Alcohol and Drugsmentioning

confidence: 99%

A Review on All Terrain Vehicle Safety

Fawcett

Tsang

Taheri

et al. 2016

Safety

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All-terrain vehicles (ATVs) have become increasing popular in many countries around the world, both for occupational use, as well as recreational use. With an increase in popularity, and the supply of heavier and more powerful machines on the market, major traumas and deaths from ATV use are growing concerns for public health and injury prevention professionals. This review of the literature on ATVs will focus on the mechanism and patterns of ATV-related injuries, the challenges of injury prevention, and the effects of legislation and regulations regarding ATV usage. The increasing burden of injuries and the substantial economic cost from ATV-related traumas and deaths calls for intensification of injury prevention efforts. Modification of risk factors, institution of regulations and legislation, and enforcement of those rules are important steps for prevention of ATV-related harm.

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Off-highway vehicle parks: Combining environment, knowledge, and enforcement for all-terrain vehicle injury prevention

Cited by 20 publications

References 31 publications

Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study

Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study

Characteristics of Side-by-Side Vehicle Crashes and Related Injuries as Determined Using Newspaper Reports from Nine U.S. States

A Review on All Terrain Vehicle Safety

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