Recreational All-Terrain Vehicle Injuries Among Children

This article reports on a study of recreational all-terrain vehicle (ATV) injuries among children (n = 238) over an 11-year period at a pediatric trauma center in central Kentucky. The study included patient demographics (age and sex), helmet use, county of residence, county of ATV accident, injury mechanism, injuries sustained, days of hospitalization, days in the intensive care unit, Glasgow Coma Scale (GCS) score, Injury Severity Score, Functional Independence Measure (FIM) score, and discharge disposition. Over the study period, ATV accident-related admissions increased nearly five-fold and overall fracture numbers quadrupled. Mean Injury Severity Score was 7.3 (plus or minus 5.6) and average hospitalization was 4.3 days (plus or minus 4.0 days). Most patients (84%) were not wearing a helmet, and 18.1% were admitted to the intensive care unit. Patients were predominantly boys (70%) and between the ages of 11 and 15 years (59.6%); 63% sustained at least 1 fracture. Most patients (93.7%) were discharged home; 6.3% were discharged to a rehabilitation facility or to another hospital. The authors conclude that hospital admissions and fractures concurrently increased over the study period, with the greatest increase occurring between 1998 and 1999, shortly after expiration of the 1988 Consent Decrees between the Consumer Product Safety Commission and the ATV industry. These Decrees focused on limiting ATV operation to children older than 15 years and to requirements to take and pass written and practical operator examinations.

  • Availability:
  • Authors:
    • Kute, Blakely
    • Nyland, John A
    • Roberts, Craig S
    • Hartwick-Barnes, Vicki
  • Publication Date: 2007-12


  • English

Media Info

  • Media Type: Print
  • Features: Figures; References; Tables;
  • Pagination: pp 851-855
  • Serial:

Subject/Index Terms

Filing Info

  • Accession Number: 01103547
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Jun 24 2008 6:25AM