Analysis of pediatric all-terrain vehicle trauma data in Middle Tennessee: Implications for injury prevention

This study uses data from a trauma registry of a Level I pediatric trauma center in Middle Tennessee to describe the nature and distribution of all-terrain vehicle (ATV) injuries. The data from this study was used to develop a community injury prevention effort, which is also described. A retrospective analysis of data (2007–2009) involving patients younger than 16 years with ATV-related injuries was conducted. The key variables examined were demographics, injury mechanism, injury severity, length of hospital stay, helmet use and county of residence. Geographic information system software was used to examine the distribution of injuries and graphically represent counties with highest injury rates in the youth population. A total of 163 patients were included in the analysis. Results showed that ATV injuries were significantly more prevalent among boys than girls (66% vs. 34%; p < 0.001). Approximately 64% of the ATV injuries were in patients between 10 years to 15 years old. Thirty percent of patients had severe injuries and 44% had moderately severe injuries. Children under 10 years old experienced more rollover injuries, while children 10-15 years old experienced more injuries from ejections. Helmet use was low (33%) among all age groups. Riders who did wear helmets presented with significantly fewer injuries to the head, neck, and face. The counties with the highest incident rates were all rural. A partnership involving a Tennessee children’s hospital, the ATV Safety Institute and the Tennessee 4-H worked together to develop an injury prevention outreach to provide safety information to young ATV riders in these communities.


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  • Accession Number: 01456703
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Dec 11 2012 11:56AM