Injuries and outcomes associated with recreational vehicle accidents in pediatric trauma

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• 作者：Maria E. Linnaus^a ; ^b ; Rebecca L. Ragar^b ; Erin M. Garvey^a ; Jason D. Fraser^b ; ^c ; ^d ; ^{jdfraser@cmh.edu}
• 关键词：RV ; recreational vehicle ; OHV ; off-highway vehicle ; ATV ; all-terrain vehicle ; ED ; emergency department ; UTV ; utility-terrain vehicle ; AIS ; Abbreviated Injury Scale ; ICD-9 ; International Classification of Diseases ; 9th Revision ; NEISS ; National Electronic Injury Surveillance System ; ICU ; intensive care unit ; AAP ; American Academy of Pediatrics ; AAOS ; American Academy of Orthopedic Surgeons ; APSA ; American Pediatric Surgical Association ; ROHVA ; Recreational Off-Highway Vehicle Association
• 刊名：Journal of Pediatric Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：52
• 期：2
• 页码：327-333
• 全文大小：891 K
• 卷排序：52

文摘

To identify injuries and outcomes from Recreational/Off-Highway Vehicles (RV/OHV) accidents at a pediatric trauma center.MethodsA retrospective review of a prospective pediatric trauma registry was performed to identify patients sustaining injuries from an RV/OHV between January 2007 and July 2015. Vehicles included: all-terrain vehicles (ATV), dirt bikes, utility-terrain vehicles (UTV), golf carts, go-karts, and dune buggies.ResultsFive hundred twenty-eight patients were injured while on an RV/OHV: 269 ATV, 135 dirt bike, 42 UTV, 38 golf cart, 34 go-kart, and 10 dune buggy. The majority (n = 381, 72%) had at least one injury with an Abbreviated Injury Scale ≥ 2; 39% (n = 204) had orthopedic injuries and 22% (n = 116) had central neurologic injuries. Over three-fourths (n = 412, 78%) were admitted. For the 48% (n = 253) of patients requiring surgery, 654 surgical procedures were performed. Median hospital charge was $27,565 (IQR: $15,553–$44,935). Excluding golf carts, helmet use was 49% (n = 231); 16% (n = 76) wore protective clothing. Only 22% (n = 26) wore a restraining belt.ConclusionSevere injuries occur in children who ride RV/OHV often warranting admission and surgical intervention. Improved understanding of RV/OHV injuries may guide caregivers in decision-making about pediatric RV/OHV use and encourage use of protective gear.Level of Evidence: Level II, Prognosis Study.