Age-Related Patterns of Injury in Children Involved in All-Terrain Vehicle Accidents

作者：Ethan Kellum, Aaron T. Creek, Ross Dawkins, Matthew Bernard, Jeffrey R. Sawyer · 发表于：Journal of Pediatric Orthopaedics · 年份：2008 · DOI：10.1097/bpo.0b013e31818e198f · 被引用次数：36 · 研究领域：Agriculture and Farm Safety、Occupational Health and Performance、Trauma and Emergency Care Studies

BACKGROUND: All-terrain vehicle (ATV) accidents are considerable sources of morbidity and mortality for children and adolescents. This study was done to investigate the types and severity of injuries and the role of age and body mass index on the types of fractures sustained in children younger than 16 years. METHODS: A retrospective chart review was done on 96 consecutive children who sustained injuries in ATV-related accidents during a 30-month period. Sixty-four patients were boys and 32 were girls. The mean age of the children was 11.0 years. To determine differences in fracture type, Glasgow Coma Scale, Pediatric Trauma Score, and length of hospitalization, the 96 patients were divided into 2 groups: group A, 54 children (56%) 12 years or younger, and group B, 42 children (44%) 13 years or older. RESULTS: Sixty-one children (64%) required hospital admission. No statistically significant difference between the 2 groups was noted. Fifty-four (56%) children required surgical treatment. One fatality occurred. No statistically significant differences between the 2 groups were noted regarding the Glasgow Coma Scale and the Pediatric Trauma Score. Orthopaedic injuries were the most common, occurring in 58 (60%) children, followed by head injury in 34 (35%) and intraabdominal/intrathoracic injuries in 23 (24%). Nineteen (20%) children had more than 1 system involved, and 1 had 3 systems involved. Sixty-eight fractures occurred in 58 children (38 in group A and 30 in group B) inc...