TY - JOUR PY - 2016// TI - Injuries from all-terrain vehicles: an opportunity for injury prevention JO - American journal of surgery A1 - Benham, Emily C. A1 - Ross, Samuel W. A1 - Mavilia, Mariana A1 - Fischer, Peter E. A1 - Christmas, A. Britton A1 - Sing, Ronald F. SP - 211 EP - 216 VL - 214 IS - 2 N2 - 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.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0002-9610 UR - http://dx.doi.org/10.1016/j.amjsurg.2016.11.017 ID - ref1 ER -