Age and the risk of All-Terrain Vehicle-related injuries in children and adolescents: a cross sectional study

BMC Pediatrics

Research Article

Milton Tenenbein¹  Lynne Warda²  Jonathan McGavock²  Kelly Russell²  Lianne McLean³  Steven McFaull⁴ 

[1] Children’s Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada;Children’s Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada;The Children’s Hospital Research Institute of Manitoba, Winnipeg, MB, Canada;Children’s Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada;The Children’s Hospital Research Institute of Manitoba, Winnipeg, MB, Canada;Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, 511 JBRC. Children’s Hospital Research Institute of Manitoba, 715 McDermot Ave., MB R3E 3P4, Winnipeg, Canada;The Public Health Agency of Canada, Ottawa, Ontario, Canada;

关键词: All-terrain vehicles;    Serious injuries;    Head injuries;    Policy;    Children;   

DOI  :  10.1186/s12887-017-0807-y

 received in 2015-10-30, accepted in 2017-02-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe study was designed to determine if youth <16 years are at a greater risk of serious injuries related to all-terrain vehicle (ATV) use compared to older adolescents and adults.MethodsWe performed cross sectional study of children and adults presenting to pediatric and adult emergency departments between 1990 and 2009 in Canada. The primary exposure variable was age <16 years and the primary outcome measure was moderate to serious injury determined from physician report of type and severity of injury.ResultsAmong 5005 individuals with complete data, 58% were <16 years and 35% were admitted to hospital. The odds of a moderate to serious injury versus minor injury among ATV users <16 years of age was not different compared with those ≥16 years of age (OR: 0.94; 95% CI: 0.84, 1.06). After adjusting for era, helmet use, sex and driver status, youth <16 years were more likely to present with a head injury (aOR: 1.45; 95% CI: 1.19–1.77) or fractures (aOR: 1.60; 95% CI: 1.43–1.81), compared with those ≥16 years. Male participants (aOR: 1.21; 95% CI: 1.06–1.38) and drivers (aOR: 1.30, 95% CI: 1.12–1.51) were more likely to experience moderate or serious injuries than females and passengers. Helmet use was associated with significant protection from head injuries (aOR: 0.59; 95% CI: 0.44–0.78).ConclusionsYouth under 16 years are at an increased risk of head injuries and fractures. For youth and adults presenting to emergency departments with an ATV-related injury, moderate to serious injuries associated with ATV use are more common among drivers and males. Helmet use protected against head injuries, suggesting minimum age limits for ATV use and helmet use are warranted.

【 授权许可】

CC BY   
© The Author(s). 2017