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Emergency department pediatric all-terrain vehicle injuries in West Central Illinois

Todd A Nelson¹, John W Hafner

¹University of Wisconsin School of Medicine, Manitowoc, WI, USA.

Pediatric Emergency Care

|November 11, 2005

Insights

Pediatric all-terrain vehicle (ATV) injuries treated in West Central Illinois emergency departments are increasing, mirroring national trends. Local data shows more head and chest injuries, highlighting a need for targeted prevention strategies.

Area of Science:

Pediatric Emergency Medicine
Injury Prevention
Consumer Product Safety

Background:

All-terrain vehicles (ATVs) are a common source of pediatric injuries.
Understanding regional injury patterns is crucial for effective public health interventions.
Tertiary care emergency departments serve as key data points for injury surveillance.

Purpose of the Study:

To evaluate the incidence and characteristics of pediatric all-terrain vehicle (ATV)-related injuries treated in a West Central Illinois tertiary care emergency department.
To compare local injury patterns with aggregate national data from the U.S. Consumer Product Safety Commission (CPSC).

Main Methods:

Retrospective descriptive study of pediatric (under 18 years) emergency department visits for ATV-related injuries from January 1994 to December 2001.
Data extracted from the U.S. Consumer Product Safety Commission (CPSC) database.
Comparison of local case data with national CPSC pediatric ATV injury data.

Main Results:

187 children treated for ATV injuries across 14 West Central Illinois counties.
Annual incidence of injuries showed an increasing trend after 1998 (P = 0.05).
Most injured patients were boys (78%) and aged 12 or younger (71%).
Common injuries included contusions (31.8%), fractures (25%), and lacerations (18.8%).
Local data revealed a higher proportion of head and chest injuries compared to national estimates.
Mean injury severity score was 3.1; no significant difference found based on helmet use, sex, or age (<12 years).

Conclusions:

The incidence of pediatric all-terrain vehicle (ATV)-related injuries is rising in West Central Illinois.
Local injury demographics and patterns align with national trends, with notable exceptions in head and chest trauma.
Findings underscore the need for region-specific and national ATV safety initiatives targeting pediatric populations.

Read full analysis

Abstract

Objectives:

This study was prepared to evaluate pediatric all-terrain vehicle-related injuries treated in a tertiary care emergency department in West Central Illinois.

Methods:

A retrospective descriptive study was performed of local emergency department cases entered into the US Consumer Product Safety Commission database. All visits involving an all-terrain vehicle-related injury in children younger than 18 years from January 1994 to December 2001 were explicitly reviewed and compared with aggregate national Consumer Product Safety Commission pediatric all-terrain vehicle data.

Results:

One hundred eighty-seven children (age range, 2-17 years) from 14 West Central Illinois counties were treated in the emergency department during the study period. Injury patterns followed a national trend of an increasing annual incidence after 1998 (P = 0.05). The majority of patients were boys (78%) and were 12 years or younger (71%). Contusions (31.8%), fractures (25%), and lacerations (18.8%) accounted for the majority of injuries. Although observed injuries correlated well with national injury estimates for injury position, age, and sex, more head and chest injuries were noted locally. Derived injury severity scores had a mean of 3.1 (range, 1-50), and no difference was noted in the injury severity score for helmet use, sex, or age younger than 12 years.

Conclusions:

Overall, the incidence of all-terrain vehicle-related injuries in West Central Illinois in the emergency department is increasing, and local injury patterns correlate well with those reported on a national level.

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