@article{ref1,
title="Pediatric all-terrain vehicle related temporal bone fractures",
journal="International journal of pediatric otorhinolaryngology",
year="2011",
author="Anfuso, Anthony and Weinberger, Paul M. and McKinnon, Brian J.",
volume="76",
number="2",
pages="202-205",
abstract="OBJECTIVES: To determine the prevalence of helmet use in children involved in all-terrain vehicles (ATV) accidents. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary Academic Medical Center. SUBJECTS AND METHODS: Retrospective review was performed using the trauma registry of an academic tertiary medical center identifying ATV injured patients under 13 years of age between 2003-2008. Data regarding age, gender, ethnicity, driver/passenger status, helmet status, length of hospital stay, Glascow Coma Scale, Injury Severity Score, Abbreviated Injury Score, and presence of temporal bone fracture were analyzed. RESULTS: Seventy-four ATV injured pediatric subjects were identified. Average age was 8.6 years, 62% male, 38 were drivers, 32 were passengers. Helmet use data were available on 47 (64%) subjects, of these 9 (19%) wore helmets, and 38 (81%) were not wearing helmets. There was no observed statistical difference between helmeted and unhelmeted riders when comparing age, gender, ethnicity, driver/passenger status, length of hospital stay, Glascow Coma Scale (GCS), Injury Severity Score, Abbreviated Injury Score, or presence of temporal bone fracture. CONCLUSIONS: This review found that documented helmet use in pediatric ATV injuries to be profoundly low (19%). Within our cohort no protective benefit from helmet use was identified, suggesting the inherent and potentially unalterable dangers of pediatric ATV recreation.<p /> <p>Language: en</p>",
language="en",
issn="0165-5876",
doi="10.1016/j.ijporl.2011.11.003",
url="http://dx.doi.org/10.1016/j.ijporl.2011.11.003"
}