Injuries from all-terrain vehicles: An opportunity for injury prevention

被引:18
作者
Benham, Emily C. [1 ]
Ross, Samuel W. [1 ]
Mavilia, Mariana [1 ]
Fischer, Peter E. [1 ]
Christmas, A. Britton [1 ]
Sing, Ronald F. [1 ]
机构
[1] Carolinas Med Ctr, Dept Surg, Div Acute Care Surg, Charlotte, NC 28203 USA
关键词
All-terrain vehicle; ATV; Helmet use; Injury prevention; Intoxication; Blunt trauma; UNITED-STATES; PUBLIC-HEALTH; ROAD; CRASHES; AGE; FATALITIES; SAFETY; IMPACT;
D O I
10.1016/j.amjsurg.2016.11.017
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Patient demographics, behavior, and injury patterns were assessed to inform preventative efforts for reduced incidence of all-terrain vehicle (ATV) trauma. Methods: ATV-related injuries treated at a Level I trauma center from 2008 to 2012 were retrospectively reviewed. Patient outcomes and incidence of traumatic brain injury (TBI) were compared by helmet use and alcohol intoxication. Results: Helmet data were available for 304 patients of 404 patients included; of these, 75 (24.7%) wore a helmet. Incidence of TBI was lower in the helmeted (8.0%) versus the unhelmeted subgroup (26.6%) (P < 0.001). Helmeted patients had lower injury severity scores, lower intensive-care unit (ICU) admission rates, and shorter ICU and hospital length of stay (LOS) (P < 0.05). Intoxicated patients had higher rates of TBI and ICU admission as well as prolonged ICU LOS (P < 0.05). Conclusions: These data support the requirement for a greater emphasis on injury prevention among ATV users. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:211 / 216
页数:6
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