All-Terrain Vehicle Trauma in the Elderly: An Analysis of a National Database

Deladisma, Adeline M.; Parker, William L.; Medeiros, Regina S.; Hawkins, Michael L.

doi:10.1177/000313480807400820

Cited by 18 publications

(10 citation statements)

References 9 publications

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“…Similar to our results, they found that the geriatric population had a significantly longer hospital length of stay and age over 60 years was an independent predictor of mortality [11]. They also found that the geriatric population had a longer ICU length of stay, which differed from our results [11]. A study done by Adams et al demonstrated that geriatric ATV riders involved in accidents trended towards longer hospital stays and higher mortality (12.5% v 3.45%) compared to the younger population, however this was not significant [12].…”

Section: Discussionsupporting

confidence: 91%

“…One study done by Deladisma et al compared outcomes of ATV accidents in geriatrics and their younger counterparts. Similar to our results, they found that the geriatric population had a significantly longer hospital length of stay and age over 60 years was an independent predictor of mortality [11]. They also found that the geriatric population had a longer ICU length of stay, which differed from our results [11].…”

Section: Discussionsupporting

confidence: 82%

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Examining Effects of Age on Outcomes after Nontraditional Motorized Vehicle Accidents

Jameson

Lawson

Wheeler

et al. 2020

Cureus

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This study examined patient outcomes from accidents involving nontraditional motorized vehicles. A total of 558 patients aged >17 years were observed retrospectively. The study groups were divided by age. The Adult Trauma Group (ATG) (N=452) consisted of patients aged 18-64 years and the Elderly Trauma Group (ETG) (N=106) consisted of patients aged ≥65 years. Allterrain vehicle (ATV) accidents were the most common (N=437, 78%) among both study groups and also the primary cause of death, with 17 deaths (4%). The most common discharge disposition was home or self-care (routine discharge) with 427 patients (77%). The mortality rate of the total population was 4.1% (23 total deaths). There was a statistically significant difference in length of hospital stay (p=0.03) and length of Intensive Care Unit (ICU) stay (p=0.03) between the two groups and patients ≥65 years were statistically more likely to be discharged to a care facility vs. home. Nontraditional motorized vehicles continue to grow in popularity in all ages and the effect of age on patient outcomes after injury is an important area to evaluate.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 82%

Examining Effects of Age on Outcomes after Nontraditional Motorized Vehicle Accidents

Jameson

Lawson

Wheeler

et al. 2020

Cureus

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“…Prior research indicate that injuries and deaths resulting from ATV incidents are a significant public health issue, substance abuse is commonly involved in incidents [4,8,[11][12][13][14][15], and older adults may be an increasingly vulnerable population [4,5,8]. Injuries and deaths have substantial financial ramificants including loss of productivity, medical care costs, and disability payments [3] and hospitalizations are associated with greater average costs than injuries treated on an outpatient basis [10].…”

Section: Discussionmentioning

confidence: 99%

“…However, recent studies suggest a growing trend in ATV use among the elderly [3,4] and greater mortality risk compared to their younger counterparts [4,5]. In West Virginia, a two-fold increase in fatality rates was found among older adults between 2005 and 2007 [4] and persons older than 60 had a *Address correspondence to this author at the Walden University, USA; Tel: (805) 776-3571; E-mail: shelby.bohl@waldenu.edu higher risk of mortality compared to persons younger than 60, indicating that older age was an independent predictor of mortality [5]. One reason for older riders being at increased risk may in part be due to physical characteristics (such as decreased reaction time and possible visual limitations), which uniquely increase their risk of accidents and injury [4,6,7].…”

Section: Introductionmentioning

confidence: 99%

All-Terrain Vehicle-Related Injuries and Hospitalization: An Examination of the Influence of Age and Alcohol or Drugs

Bohl¹,

Sharma²,

Jones³

2011

TOEPIJ

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All-terrain vehicle (ATV) related injuries are a significant source of morbidity, mortality, disability, and hospitalization, and serious injuries among the elderly are increasing. In addition, alcohol and drug use are prevalent among those injured in ATV-related incidents. However, studies indicate varying alcohol and drug use patterns among age groups and less attention has been paid to the experience of older adults and to the influence of substance abuse (alcohol or drug involvement). Therefore, the purpose of this study was to examine the relationship between age, substance abuse and hospitalization resulting from ATV incidents among injured adults over the age of 21 (legally old enough to consume alcohol). A secondary purpose of this study was to explore the relationships between age and substance abuse, substance abuse and injured body sites, and age and injured body sites. Using a cross-sectional, quantitative approach and archival data from the National Electronic Injury Surveillance System (NEISS) from 2007, 1884 incidents were evaluated and results of multiple logistic regression analysis indicated that age and substance abuse add independent information in predicting the odds of hospitalization. Using the chi-square test, similar substance abuse involvement among young, middle-aged and older adults was found and differences in the distribution of injured body sites existed between those with and without substance abuse and between the three age groups. The results of this study suggest the need for age-specific prevention, specialized safety training for older adults, and more aggressive enforcement of drinking and driving restrictions while operating ATVs in order to reduce deaths, disabilities, and considerable financial costs associated with ATV-related hospitalizations.

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“…In the past, age, injury region, co-morbidity and severe injuries measured by injury scoring tool, ISS are among the common potential causes of mortality reported for RTA geriatric trauma patients. 33,41,42,43,44,45,46,47,48,49 Odds of dying in geriatric patients increased with advancing age; increased ISS score; in the presence of head and neck injuries and in the presence of comorbidities, especially cardiovascular diseases. In this study, Malays were more commonly involved in RTA than other ethnic groups in Malaysia.…”

Section: Discussionmentioning

confidence: 99%

Comparison of injury patterns in road traffic accidents for elderly and very elderly trauma patients in Malaysia

Ang¹,

Chen²,

Jamalludin

et al. 2017

JCGG

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Objectives: To examine the difference in injury patterns between elderly (aged 60-74 years) and very elderly (aged 75 years and above) groups from road traffic accidents. Methods: A total of 362 geriatric patients (aged 60 years and above) with major trauma following road traffic accidents in Malaysia extracted from the National Trauma Database (NTrD) from 2007 to 2011 were included in this study. Results: Median age of the geriatric patients was found to be 67 years, with majority male patients (85%), of Malay ethnicity (48%) and sustained blunt injury (99.7%). Most of them had low injury severity, hemodynamically stable and more than half sustained injuries to head and neck region (54.7%). Very elderly group had significantly higher mortality rate than elderly group (P <0.001) with the increase in odds of mortality persisted even after adjustment for physiological status and injury severity (Odds Ratio, OR: 2.75, 95% Confidence Interval, CI: 1.51-5.05, P=0.001). Conclusions: Injury patterns from road traffic accidents and its associated fatalities involving older people had emerged to be public safety concerns in Malaysia. Findings suggested extra attention was recommended especially in the care of very elderly patients.

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All-Terrain Vehicle Trauma in the Elderly: An Analysis of a National Database

Cited by 18 publications

References 9 publications

Examining Effects of Age on Outcomes after Nontraditional Motorized Vehicle Accidents

Examining Effects of Age on Outcomes after Nontraditional Motorized Vehicle Accidents

All-Terrain Vehicle-Related Injuries and Hospitalization: An Examination of the Influence of Age and Alcohol or Drugs

Comparison of injury patterns in road traffic accidents for elderly and very elderly trauma patients in Malaysia

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