Analysis of All-Terrain Vehicle Trauma Data: Implications for Increased Regulation and Injury Prevention

作者：Ho Cathy V; Dunne James R; Stroud Wesley R; Fonseca Alvaro H; Davis Frank E; Bromberg William J

来源：American Surgeon, 2017, 83(4): 348-353.

DOI：10.1177/000313481708300420

<jats:p> To determine the incidence and severity of all-terrain vehicle crashes (ATVCs) compared with motorcycle crashes (MCCs) in all critically injured patients. Prospective data were retrospectively reviewed on 1840 patients involved in ATVCs and MCCs admitted to a rural level one trauma center over 16 years. ATVC patients (n = 655) were younger (25 vs 38, P &lt; 0.0001), more likely female (20% vs 11%, P &lt; 0.001), less severely injured (13.5 vs 16, P &lt; 0.0001), had similar Glasgow Coma Score (13.3 vs 13.4, p = NS), less helmet use (6% vs 69%, P &lt; 0.0001), more closed head injuries (59.7% vs 54.3%, P &lt; 0.05), more facial injuries (16.9% vs 12.5%, P &lt; 0.05), and lower mortality rate (2.8% vs 5.9%, P &lt; 0.01) compared with MCC patients (n = 1172). Pediatric patients involved in ATVC were more common (29.8% vs 4.8%, P &lt; 0.001), had decreased helmet use (12% vs 59%, P &lt; 0.001) and decreased mortality (3.5% vs 14.3%, P &lt; 0.01). Further injury prevention efforts regarding helmet use and increased regulations regarding ATVCs are needed to decrease the morbidity associated with these recreational vehicles. </jats:p>

• 出版日期2017-4
• 单位Memorial University; Mercer University School Of Medicine; Mercer University School of Medicine