Maria E Linnaus1, Rebecca L Ragar2, Erin M Garvey3, Jason D Fraser4. 1. Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ, United States; Department of Surgery and Level-1 Pediatric Trauma Center, Phoenix Children's Hospital, Phoenix, AZ, United States. 2. Department of Surgery and Level-1 Pediatric Trauma Center, Phoenix Children's Hospital, Phoenix, AZ, United States. 3. Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ, United States. 4. Department of Surgery and Level-1 Pediatric Trauma Center, Phoenix Children's Hospital, Phoenix, AZ, United States; Department of Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, United States; Department of Surgery, Children's Mercy Hospital, Kansas City, MO, United States. Electronic address: jdfraser@cmh.edu.
Abstract
PURPOSE: To identify injuries and outcomes from Recreational/Off-Highway Vehicles (RV/OHV) accidents at a pediatric trauma center. METHODS: A 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. RESULTS: Five 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. CONCLUSION: Severe 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.
PURPOSE: To identify injuries and outcomes from Recreational/Off-Highway Vehicles (RV/OHV) accidents at a pediatric trauma center. METHODS: A 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. RESULTS: Five 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. CONCLUSION: Severe 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.
Authors: Kelly L Vittetoe; Jackson H Allen; Purnima Unni; Katlyn G McKay; Aaron M Yengo-Kahn; Owais Ghani; Pradeep Mummidi; Amber L Greeno; Christopher M Bonfield; Harold N Bo Lovvorn Journal: Trauma Surg Acute Care Open Date: 2022-03-16
Authors: Anastasia Miller; Jeanie D Gallegly; Gabriela Orsak; Sharon D Huff; Jo Ann Peters; Jason Murry; Harrison Ndetan; Karan P Singh Journal: J Inj Violence Res Date: 2019-12-10