All-Terrain Vehicle Injury in Children and Youth: Examining Current Knowledge and Future Needs

Doud, Andrea N.; Moro, Regina R.; Wallace, Stephen; Smith, Michael D.; McCall, Marcia H.; Veach, Laura J.; Pranikoff, Thomas

doi:10.1016/j.jemermed.2016.12.035

Cited by 24 publications

(27 citation statements)

References 61 publications

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“…This study showed that 14% (26/186) of the patients had maxillofacial injuries due to ATV accidents and 77% of them were between the age of 9 and 13 years with the mean age of 9.6 years. Other studies have reported that the age of ATV riders ranged between 1 and 17 years old with a mean age of about 11.3 years with facial injuries in up to 35% of the patients 26 . The same studies reported that helmets were used by 0‐44.5% of the young ATV riders 26 .…”

Section: Discussionmentioning

confidence: 91%

Characteristics of pediatric maxillofacial fractures in Kuwait: A single‐center retrospective study

AlAli

Ibrahim

Algharib

et al. 2021

Dental Traumatology

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Background Pediatric maxillofacial fractures always present a challenge due to the unique nature of the facial skeleton anatomy and development. The aim of this study was to investigate the incidence, etiology, site of fracture, and management modalities of pediatric maxillofacial fractures in Kuwait. Methods A retrospective cross‐sectional study was conducted. The records of all pediatric patients who were diagnosed with maxillofacial fractures and admitted to one of the major hospitals in Kuwait between January 2007 and March 2020 were reviewed. Results A total of 186 patients aged between 0 and 13 years old were included. An average of 13 patients was seen each year between 2007 and 2020. The leading cause of the pediatric maxillofacial trauma was road traffic accidents (RTA) that accounted for 38.2% of the patients followed by 22% falls from height (FFH). Male patients were more affected than females, with a ratio of 2.3:1. More than half of the children had mid‐face fractures, of which 57% were in multiple sites. Conservative management was the main approach for 52.2% of the patients. Conclusions Pediatric maxillofacial fractures were mainly attributed to road traffic accidents in Kuwait. Mid‐face bone fractures were reported more than mandibular fractures and were mostly managed conservatively.

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Section: Discussionmentioning

confidence: 91%

Characteristics of pediatric maxillofacial fractures in Kuwait: A single‐center retrospective study

AlAli

Ibrahim

Algharib

et al. 2021

Dental Traumatology

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“…25,26 In addition to vehicular position (driver versus passenger), behaviors such as helmet usage which may impact morbidity and mortality are not routinely impacted by legislation. 27,28 While focus groups have identified parents as the most important promoter of safe riding among children, educational efforts, policies, and regulations are also inconsistently received by the population utilizing ATVs. 29 In regions where ATV use is high, high levels of safety knowledge have been identified though these do not correspond with safer behaviors, a concerning finding with ongoing efforts to promote safe behavior.…”

Section: Discussionmentioning

confidence: 99%

Pediatric hospitalizations and in-patient mortality from all-terrain vehicle crashes, 2006–2016

Cairo

Burk

Rothstein

2019

Trauma

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Purpose To evaluate trends in national frequency of hospitalizations and in-patient mortality in the United States for children injured in all-terrain vehicle crashes during the past decade. Methods Retrospective review of the 2006, 2009, 2012, and 2016 Kids' Inpatient Databases to identify hospitalizations of patients <19 years of age for all-terrain vehicle-related injuries. External-cause-of-injury codes were used to identify patients hospitalized for injuries sustained in all-terrain vehicle crashes. Odds ratios for in-patient mortality were calculated by logistic regression incorporating multiple individual demographic and hospital variables. Results Estimated all-terrain vehicle-related hospitalizations ranged from 3666 in 2006 (5.2/100,000 persons <19 years of age) to 2558 in 2012 (3.3/100,000). Crude in-patient mortality was low, and varied slightly from year to year (range, 0.55–1.04%). Patients hospitalized for all-terrain vehicle-related injuries were 76.8–78.4% White and 72.1–77.2% male. Totally 61.0–64.3% had private insurance, 35.3–39.3% were from rural areas, 37.4–38.3% were in the 10–14-year age group, and patients from the West region accounted for 40.4–43.6% of patients. There were no risk factors identified as being consistently associated with mortality in this cohort. Average total charges increased from $26,996 to $67,370 over the course of the study ( p < 0.001). Conclusions Hospitalizations for all-terrain vehicle-related injuries in children have fallen in the past decade although the reasons for this change are unknown. In-patient mortality rates have stayed relatively constant and while no factors were predictive of in-patient mortality, demographic data may provide an opportunity for targeted interventions to further reduce injuries and associated hospital costs.

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“…In the United States (US), all-terrain vehicle (ATV) use has gained popularity with the number of ATVs in use increasing from an estimated 5.6 million in 2001 to 10.6 million in 2010. 1 The US Consumer Product Safety Commission (CPSC) defines an ATV as an off-road motorized vehicle having 3 or 4 low-pressure tires, a straddle seat for the operator, and handlebars for steering control. 2 With increased ATV use, particularly as a recreational activity, there was an increase in ATV-related injuries during past decades, which has now been replaced with a more recent declining trend, including among children and youth.…”

Section: Introductionmentioning

confidence: 99%

“…Although children account for 14% to 18% of ATV riders, 37% to 57% of those who sustain an ATV-related injury are children. 1-3…”

Section: Introductionmentioning

confidence: 99%

“…Although children account for 14% to 18% of ATV riders, 37% to 57% of those who sustain an ATV-related injury are children. [1][2][3] Children younger than 16 years of age represented 22% of ATV-related fatalities from 1982 through 2017. 4 The economic burden of ATV-related pediatric deaths and injuries is substantial, with annual costs of almost $1 billion.…”

Section: Introductionmentioning

confidence: 99%

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Nonfatal All-Terrain Vehicle–Related Head and Neck Injuries to Children Treated in US Emergency Departments

Jatana

Kistamgari

et al. 2020

Clin Pediatr (Phila)

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This study investigates children <18 years old with nonfatal all-terrain vehicle (ATV)–related head and neck injuries treated in United States emergency departments by analyzing data from the National Electronic Injury Surveillance System from 1990 to 2014. An estimated 279 391 children received emergency treatment during the 25-year study period. The number of injuries remained relatively constant from 1990 to 1997, increased by 142.9% from 1997 to 2007, and then decreased by 37.4% from 2007 to 2014. The most common diagnoses were concussion/closed head injury (32.6%) and fracture (32.6%); 15.4% of children were admitted. The most common injury mechanisms include ejection (30.0%), crash (18.8%), and rollover (15.8%). Patients who were injured on a street/highway were 1.49 times (95% confidence interval = 1.11-1.99) more likely to be admitted than patients injured at other locations. Although the number of nonfatal ATV–related head and neck injuries decreased during the latter part of the study period, they remain common and can have serious medical outcomes.

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All-Terrain Vehicle Injury in Children and Youth: Examining Current Knowledge and Future Needs

Cited by 24 publications

References 61 publications

Characteristics of pediatric maxillofacial fractures in Kuwait: A single‐center retrospective study

Characteristics of pediatric maxillofacial fractures in Kuwait: A single‐center retrospective study

Pediatric hospitalizations and in-patient mortality from all-terrain vehicle crashes, 2006–2016

Nonfatal All-Terrain Vehicle–Related Head and Neck Injuries to Children Treated in US Emergency Departments

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