Increasing incidence of All-Terrain Vehicle trauma admissions in the pediatric and adult populations: An evaluation of injury types and severity
Increasing incidence of All-Terrain Vehicle trauma admissions in the pediatric and adult populations: An evaluation of injury types and severity
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DOI：
10.1016/j.ijotn.2017.10.001
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发表时间：
2018-02-01
影响因子：
1.4
通讯作者：
Christie, D. Benjamin, III
中科院分区：
文献类型：
--
作者：
Nolan, Heather R.;Ashley, Dennis W.;Christie, D. Benjamin, III
目标：全地形车 (ATV) 越来越受欢迎，并且在生产水平上变得更大、更快。作为 I 级创伤中心，我们发现与 ATV 相关的入院人数过多。我们的目标是研究成人和儿童人群的伤害模式和严重程度。方法：对单个 I 级创伤中心七年期间所有因 ATV 相关的创伤入院进行回顾性分析。结果：道路事故更有可能导致较高的平均伤害严重程度评分 (ISS)（p < 0.05）。较高的 ISS 也发生在儿童、未戴头盔和受损骑手群体中 (p < 0.05)。儿童人群更容易遭受严重头部损伤（儿童为 62.5%，成人为 31.8%，p < 0.05），而成人胸部损伤更常见（成人为 43.4%，儿童为 16.7%，p < 0.05）。成人和儿童人群的死亡率相似。结论：ATV 相关伤害因事件特征和患者群体而异。在道路上使用会导致伤害严重程度显着增加。儿童群体遭受严重伤害的可能性明显更大，并且表现出的伤害模式与成人群体不同。了解人群和表现趋势可以帮助指导创伤护理人员护理和管理受伤的全地形车骑手。 (c) 2017 Elsevier Ltd. 保留所有权利。
Objectives: All Terrain Vehicles (ATVs) are increasing in popularity and becoming larger and faster at a production level. As a Level I Trauma Center, we perceived a disproportionately high volume of ATV-related admissions. Our goal was to study injury patterns and severity in adult and pediatric populations.Methods: All ATV-related trauma admissions at a single Level I trauma center were retrospectively analyzed over a seven-year period.Results: On-road incidents were more likely to result in a higher average Injury Severity Score (ISS) (p < 0.05). Higher ISS also occurred in children, un-helmeted, and impaired rider groups (p < 0.05). The pediatric population was more likely to have a major head injury (62.5% of children versus 31.8% of adults, p < 0.05) while thoracic injury was more common in adults (43.4% of adults versus 16.7% of children, p < 0.05). Death rates were similar in both adult and pediatric populations.Conclusion: ATV-related injuries vary depending on incident characteristics and patient populations. On-road use incurs a significant increase in injury severity. The pediatric population is significantly more likely to incur a severe injury and the presenting injury pattern differs from the adult population. Knowledge of population and presentation trends can help direct trauma care providers in the care and management of injured ATV riders. (c) 2017 Elsevier Ltd. All rights reserved.