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Published on: August 25, 2022
Pediatric golf cart trauma: Not par for the course
Brett M Tracy1, Krista Miller1, Ashley Thompson1
1Department of Surgery, Memorial University Medical Center, Savannah, Georgia.
Insights
Pediatric golf cart injuries, including skull fractures and traumatic brain injuries (TBIs), are a growing concern in Georgia. Local legislation may influence injury rates in children involved in these incidents.
Area of Science:
- Pediatric Trauma
- Public Health Policy
- Orthopedic Surgery
Background:
- Golf cart trauma presents a significant pediatric morbidity issue in southeast Georgia.
- This trend may be linked to recent state legislation allowing local governance of golf cart operation.
Purpose of the Study:
- To investigate the characteristics and outcomes of pediatric golf cart trauma in southeast Georgia.
- To explore the potential correlation between local legislation and injury patterns.
Main Methods:
- A retrospective review of 46 pediatric golf cart trauma cases from 2010 to 2016.
- Data collected included patient demographics, injury severity (Glasgow Coma Scale, Injury Severity Score), event circumstances, and outcomes (injury type, length of stay).
Main Results:
- Skull fractures occurred in 48% of children, and traumatic brain injuries (TBIs) in 35%.
- TBIs and abdominal injuries significantly increased hospital length of stay.
- Younger children were more prone to skull fractures, while older children sustained more orthopedic injuries.
Conclusions:
- Skull fractures and TBIs are prevalent injuries in pediatric golf cart trauma.
- Variations in municipal legislation across Georgia may contribute to the increasing incidence of these injuries.
Introduction:
Golf cart trauma in southeast Georgia represents a significant source of morbidity in the pediatric population. We believe these events are related to the introduction of new state legislation that allows local authorities to govern golf cart operation.
Methods:
We performed a retrospective review from 2010 to 2016 of children involved in golf cart traumas (n = 46). We recorded age, gender, Glasgow Coma Scale score (GCS), Injury Severity Score (ISS), location of event, and patient position during event. Outcomes included injury type and length of stay (LOS).
Results:
The most common position in a golf cart was a passenger (52.2%). Events varied regionally and correlated with stringency of local legislation. Skull fractures afflicted 48% (n = 22) of children and traumatic brain injuries (TBIs) were noted in 35% (n = 17) of patients. TBIs (LOS = 4.6 days, p = 0.006) and abdominal injuries (LOS = 8.5 days, p = 0.017) lengthened mean hospital stay. Increasing ISS was associated with an increased probability of sustaining a TBI (OR 1.295, p = 0.004). Younger children were more likely to sustain a skull fracture (OR 1.170, p = 0.034) while older children incurred more orthopedic injuries (OR 1.217, p = 0.045).
Conclusion:
Skull fractures and TBIs are common following pediatric golf cart trauma. Georgia's varying municipality legislation likely contributes to the growing frequency of this trend.
Level Of Evidence:
Retrospective study, IV.
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