All-Terrain Vehicle Injuries: Are They Dangerous? A 6-Year Experience at a Level I Trauma Center After Legislative Regulations Expired

Fonseca, A. H.; Ochsner, M. G.; Bromberg, W. J.; Gantt, D.
November 2005
American Surgeon;Nov/2005, Vol. 71 Issue 11, p937
Academic Journal
All-terrain vehicles (ATVs) have increased in popularity and sales since 1971. This rise in popularity led to an increase in injuries resulting in voluntary industry rider safety regulations in 1988, which expired without renewal in 1998. Our purpose was twofold, to determine the incidence and severity of ATV injuries in our patient population and what, if any impact the safety regulations had. To further characterize the risk of ATV use, we compared them to a vehicle generally recognized as dangerous, the motorcycle (MC). Our trauma registry was reviewed from January 1998 through August 2004 for ATV or MC injured. Data collected included age, gender, mortality. Injury Severity Score (ISS), helmet use, and injury distribution. These were compared to our data from the decade of regulation. There were 352 MC and 221 ATV patients. ATV injured demonstrated a higher proportion of pediatric and female patients (P < 0.001 and P < 0.01, respectively), a decrease in helmet use < 8.6% vs 64.7%, P < 0,001), and increased closed head injuries (CHI) (54.2% vs 44.9%, P < 0.05) compared with MC injured. ISS and mortality were similar. The average number of patients from 1988 to 1998 was 6.9/yr compared to 31.6/yr (P < 0.001) during 1998-2004 with equal ISS. Our data show that there has been a dramatic and progressive increase in the number of ATV crashes since expiration of industry regulations. ATVs are as dangerous as MCs based on patient ISS and mortality. There are significantly more children and women injured on ATVs. The lower rate of helmet use in ATVs may account for the significantly greater incidence of CHI. These data mandate the need for injury prevention efforts for ATV riders, in particular children, through increased public awareness and new legislation.


Related Articles

  • Take these immediate steps for ATV-related trauma.  // ED Nursing;Dec2007, Vol. 11 Issue 2, p20 

    Pediatric injuries from all-terrain vehicle accidents have increased dramatically in recent years, and many ED nurses are seeing increased numbers of these cases. • Even if a child can walk and talk, a closed head injury with intracranial hemorrhage is possible. • Instruct injured...

  • All-terrain vehicle injury in children: strategies for prevention. Aitken, M. E.; Graham, C. J.; Killingsworth, J. B.; Mullins, S. H.; Parnell, D. N.; Dick, R. M. // Injury Prevention (1353-8047);Oct2004, Vol. 10 Issue 5, p303 

    OBJECTIVE: A variety of educational efforts, policies, and regulations have been adopted to reduce all-terrain vehicle (ATV) injury in children. Despite this, ATV use by children continues and serious injuries are common. The purpose of this study was to investigate the knowledge, practices, and...

  • All-terrain vehicle injuries in children: injury patterns and prognostic implications. Bhutta, Sadaf T.; Greenberg, S. Bruce; Fitch, Sarah J.; Parnell, Donna // Pediatric Radiology;Feb2004, Vol. 34 Issue 2, p130 

    Background: All-terrain vehicle (ATV) accidents are common in children. Our purpose was to identify imaging patterns associated with ATV injuries in children.Patients and Methods: The study group comprised 141 consecutive children admitted to a tertiary pediatric...

  • ATVs: Injuries are part of the terrain. Stanton, Terry // AAOS Now;Apr2011, Vol. 5 Issue 4, p7 

    The article discusses the alarming increase in injury and mortality from vehicular accidents in all-terrain vehicles (ATVs) in the U.S. It refers to the report of surgeon Jeffrey R. Sawyer on the unsettling statistics which indicates that majority of the casualties from 1982 to 2009 are children...

  • ATVs: motorized toys or vehicles for children? Yanchar, N. L.; Kennedy, R.; Russell, C. // Injury Prevention (1353-8047);Feb2006, Vol. 12 Issue 1, p30 

    Objectives: To compare the nature of injuries from all-terrain vehicles (ATVs) to those from bicycling, dirtbikes/motocross, and motor vehicle crashes. Design: Data on injuries from the mechanisms outlined above were obtained through CHIRPP (the Canadian Hospitals Injury Reporting and Prevention...

  • 'When Can I Ride Again?' Recidivism in Children with All-terrain Vehicle Injuries. Gentile, Lori F.; Orr, W. Shannon; Vick, Laura R.; Islam, Saleem // American Surgeon;Apr2014, Vol. 80 Issue 4, p415 

    The article discusses research on pediatric injuries sustained while operating all-terrain vehicles (ATVs). Topics discussed include the diagnosis and treatment of injuries secondary to ATV use, the average intensive care unit stay among patients and the common injuries experienced by the...

  • All-Terrain Vehicle Injuries in Children: Industry-Regulated Failure. Ross, R.T.; Stuart, Lynn K. // American Surgeon;Sep1999, Vol. 65 Issue 9, p870 

    Although the sale of all-terrain vehicles (ATVs) to children under 16 years of age was prohibited in 1988, they continue to represent half of the ATV-associated injuries. We conducted a retrospective review of ATV injuries admitted to our institution from 1988 to 1998. We identified 76 patients...

  • POLICE BLOTTER.  // Eastern Door;5/3/2013, Vol. 22 Issue 17, p5 

    The article presents traffic updates from Canada including an all-terrain vehicle accident being spotted near the Kanawaki Golf Club.

  • The eyes have it. Reber, Paula // RN;Nov2007, Vol. 70 Issue 11, p64 

    A personal narrative is presented which explores the author's experience of taking care for a 17-year-old victim of an all-terrain vehicle (ATV) accident, and the lessons she learned from the experience.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics