Emily C Benham1, Samuel W Ross2, Mariana Mavilia3, Peter E Fischer4, A Britton Christmas5, Ronald F Sing6. 1. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Emily.benham@carolinas.org. 2. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Samuel.ross@carolinas.org. 3. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Marimavilia@gmail.com. 4. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Fischepe23@me.com. 5. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Ashley.Christmas@carolinas.org. 6. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Ronald.Sing@CarolinasHealthCare.org.
Abstract
BACKGROUND: Patient demographics, behavior, and injury patterns were assessed to inform preventative efforts for reduced incidence of all-terrain vehicle (ATV) trauma. METHODS: ATV-related injuries treated at a Level I trauma center from 2008 to 2012 were retrospectively reviewed. Patient outcomes and incidence of traumatic brain injury (TBI) were compared by helmet use and alcohol intoxication. RESULTS: Helmet data were available for 304 patients of 404 patients included; of these, 75 (24.7%) wore a helmet. Incidence of TBI was lower in the helmeted (8.0%) versus the unhelmeted subgroup (26.6%) (P < 0.001). Helmeted patients had lower injury severity scores, lower intensive-care unit (ICU) admission rates, and shorter ICU and hospital length of stay (LOS) (P < 0.05). Intoxicated patients had higher rates of TBI and ICU admission as well as prolonged ICU LOS (P < 0.05). CONCLUSIONS: These data support the requirement for a greater emphasis on injury prevention among ATV users.
BACKGROUND:Patient demographics, behavior, and injury patterns were assessed to inform preventative efforts for reduced incidence of all-terrain vehicle (ATV) trauma. METHODS: ATV-related injuries treated at a Level I trauma center from 2008 to 2012 were retrospectively reviewed. Patient outcomes and incidence of traumatic brain injury (TBI) were compared by helmet use and alcohol intoxication. RESULTS: Helmet data were available for 304 patients of 404 patients included; of these, 75 (24.7%) wore a helmet. Incidence of TBI was lower in the helmeted (8.0%) versus the unhelmeted subgroup (26.6%) (P < 0.001). Helmeted patients had lower injury severity scores, lower intensive-care unit (ICU) admission rates, and shorter ICU and hospital length of stay (LOS) (P < 0.05). Intoxicated patients had higher rates of TBI and ICU admission as well as prolonged ICU LOS (P < 0.05). CONCLUSIONS: These data support the requirement for a greater emphasis on injury prevention among ATV users.
Authors: Paul Whiting; Christopher Rice; Alexander Siy; Benjamin Wiseley; Natasha Simske; Richard Berg; Madeline Lockhart; Abbey Debruin; David Polga; Christopher Doro; David Goodspeed; Gerald Lang Journal: Eur J Orthop Surg Traumatol Date: 2019-07-29
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