@article{ref1,
title="Injuries from all-terrain vehicles: an opportunity for injury prevention",
journal="American journal of surgery",
year="2016",
author="Benham, Emily C. and Ross, Samuel W. and Mavilia, Mariana and Fischer, Peter E. and Christmas, A. Britton and Sing, Ronald F.",
volume="214",
number="2",
pages="211-216",
abstract="BACKGROUND: Patient demographics, behavior, and injury patterns were assessed to inform preventative efforts for reduced incidence of all-terrain vehicle (ATV) trauma. <br><br>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. <br><br>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). <br><br>CONCLUSIONS: These data support the requirement for a greater emphasis on injury prevention among ATV users.<br><br>Copyright © 2016 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2016.11.017",
url="http://dx.doi.org/10.1016/j.amjsurg.2016.11.017"
}