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Sledding while towed behind motorized vehicles associates with more severe and lethal injuries☆

David N Hanna1, Zaid Haddadin1, Laura Stafman1

  • 1Section of Surgical Sciences, Department of Pediatric Surgery, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Doctor's Office Tower, 2220 Children's Way, Nashville, TN 37232, United States.

Journal of Pediatric Surgery
|April 9, 2022
PubMed

Insights

Children towed by motorized vehicles during sledding sustain severe injuries, requiring intensive treatment and higher hospital costs. These findings highlight the need for enhanced injury prevention messaging to reduce risks.

Area of Science:

  • Pediatric Trauma
  • Injury Prevention
  • Public Health

Background:

  • Sledding-related injuries are increasing, with a notable rise in incidents involving motorized vehicles.
  • Understanding the severity and outcomes of these specific injuries is crucial for targeted prevention efforts.

Purpose of the Study:

  • To characterize injury severity and clinical outcomes in pediatric patients injured while sledding.
  • To compare outcomes between children towed by motorized vehicles versus those sledding by gravity.

Main Methods:

  • Retrospective cohort study of pediatric patients with sledding-related injuries.
  • Comparison of injury severity (ISS), Glasgow Coma Scale (GCS), treatment, and hospital stay between motorized (MOTOR) and gravity (GRAVITY) sledding groups.
  • Multivariate analysis to identify independent risk factors for increased injury severity.

Main Results:

  • Patients in the MOTOR group exhibited significantly higher Injury Severity Scores (ISS) and lower Glasgow Coma Scale (GCS) scores.
  • Motorized sledding was independently associated with increased ISS (OR: 9.7).
  • The MOTOR group required more blood transfusions, intubation, had longer hospital stays, and incurred higher costs, with two associated deaths.

Conclusions:

  • Children injured in motorized sledding accidents experience more severe trauma and require more intensive medical care.
  • Findings support the development of community educational programs and injury prevention strategies focused on the dangers of motorized sledding.
  • Targeted interventions are needed to mitigate the risks associated with motorized sledding among children.
Abstract

Keywords:
ATVInjury preventionPediatric surgerySleddingTrauma

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