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ATVs: motorized toys or vehicles for children?
N L Yanchar1, R Kennedy, C Russell
1Division of Pediatric General Surgery, IWK Health Centre, Halifax, Canada. yanchar@iwk.nshealth.ca
Insights
All-terrain vehicle (ATV) injuries are more severe than bicycling injuries, with patterns similar to motor vehicle crashes (MVCs). ATVs pose significant risks, necessitating stricter safety policies for public and legislative awareness.
Area of Science:
- Pediatric Trauma Research
- Injury Prevention Science
- Public Health Policy
Background:
- All-terrain vehicles (ATVs) are often viewed as recreational equipment for children.
- However, the injury patterns and severity associated with ATVs require careful examination.
- Comparison with other common injury mechanisms is crucial for understanding risks.
Purpose of the Study:
- To compare the nature, severity, and healthcare resource utilization of injuries sustained from all-terrain vehicles (ATVs).
- To contrast ATV-related injuries with those from bicycling, dirtbikes/motocross, and motor vehicle crashes (MVCs).
Main Methods:
- Utilized data from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) and hospital records.
- Analyzed cases presenting to a Canadian tertiary pediatric emergency department over a 10-year period.
- Compared demographics, injury mechanisms, injury characteristics, emergency department disposition, and hospital length of stay.
Main Results:
- ATV injuries occurred in older age groups and less frequently resulted from loss of control compared to bicycling.
- Severe injuries (deep soft tissue trauma, fracture/dislocation) were significantly more common with ATVs than bicycling.
- ATV injuries showed similarities to MVC and dirtbike injuries in body region affected and injury nature, requiring more intensive care and hospital resources.
Conclusions:
- ATV injury patterns, severity, and healthcare costs are more akin to motorized vehicle incidents than bicycling.
- Current recreational perceptions of ATVs for children do not align with their significant injury risks.
- Development and public acknowledgment of strict safety policies are imperative for ATVs.
Objectives:
To compare the nature of injuries from all-terrain vehicles (ATVs) to those from bicycling, dirtbikes/motocross, and motor vehicle crashes.
Design:
Data on injuries from the mechanisms outlined above were obtained through CHIRPP (the Canadian Hospitals Injury Reporting and Prevention Program) and hospital records.
Setting:
A Canadian tertiary pediatric center.
Subjects:
Cases presenting to the emergency department over a 10 year period.
Main Outcome Measures:
Comparison between demographics, mechanisms and natures of injuries sustained, disposition from the emergency department, and lengths of hospital stay.
Results:
Contrary to bicycling, ATV related injuries occurred among older ages and appeared to result less often from loss of control. Severe injuries resulting in deep soft tissue trauma and fracture/dislocations were 1.7 and 1.5 times, respectively, more frequent among ATV trauma than bicycling (p<0.01). In addition, ATV related injuries were located more frequently in the trunkal, hip, lower extremity, and spinal regions. Conversely, ATV related trauma bore significant similarities regarding body part and nature of the injury to both motor vehicle crash (MVC) and dirtbike related injuries. Akin to dirtbike and MVC related trauma, ATV related injuries more frequently required admission to the ward or intensive care unit compared to bicycling injuries (30.8% v 9.6%, p<0.0001), and used a proportionally larger amount of hospital resources with respect to overall in-hospital and intensive care unit days.
Conclusions:
Although ATVs may be considered recreational for children, their associated injury patterns, severity, and costs to the healthcare system more closely resemble those from motorized vehicles and are more significant than bicycling. Strict policy to reflect this must be developed and acknowledged by the public, industry, and legislative bodies.
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