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Characterization of all-terrain vehicle-related chest injury patterns in children

Kelly N Hagedorn1,2, Jennifer H Johnston3, Naga R Chinapuvvula1

  • 1McGovern Medical School, Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.

Emergency Radiology
|February 22, 2019
PubMed

Insights

Children involved in all-terrain vehicle (ATV) accidents frequently sustain chest injuries, indicating more severe trauma. Public awareness and safety measures are crucial to prevent these devastating pediatric injuries.

Area of Science:

  • Pediatric Trauma
  • Injury Epidemiology
  • All-Terrain Vehicle Safety

Background:

  • All-terrain vehicles (ATVs) pose significant risks to pediatric riders.
  • Understanding the patterns of chest trauma in children is essential for effective management and prevention.

Purpose of the Study:

  • To evaluate the patterns of chest injuries in pediatric patients involved in all-terrain vehicle (ATV) accidents.
  • To identify risk factors and outcomes associated with ATV-related chest trauma in children.

Main Methods:

  • Retrospective review of pediatric patients (0-18 years) admitted to a level I trauma institute after ATV incidents (2004-2013).
  • Comparison of chest injury types, accident mechanisms, and clinical data between patients with and without chest injuries.
  • Analysis of diagnostic imaging findings, including radiography and computed tomography (CT).

Main Results:

  • Chest injury occurred in 22% of 455 pediatric ATV patients.
  • Pulmonary contusion, pneumothorax, and rib fractures were the most common injuries.
  • CT scans were crucial for detecting injuries like pulmonary lacerations and hemothoraces, often missed by radiography.
  • Patients with chest injuries had longer hospital stays and a significantly higher mortality rate (8% vs. 0.6%).

Conclusions:

  • Chest injuries are a common and serious consequence of pediatric ATV accidents.
  • These injuries may serve as an indicator of overall trauma severity in pediatric patients.
  • Enhanced public awareness and ongoing safety initiatives are necessary to mitigate the risks associated with pediatric ATV use.
Abstract

Keywords:
ATVAll-terrain vehicleChest traumaOff-road motor vehiclesPediatric

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