A 21-year history of all-terrain vehicle injuries: has anything changed?

被引：29

作者：

Bansal, Vishal ^{[1
]}

Fortlage, Dale ^{[1
]}

Lee, Jeanne ^{[1
]}

Kuncir, Eric ^{[1
]}

Potenza, Bruce ^{[1
]}

Coimbra, Raul ^{[1
]}

机构：

[1] Univ Calif San Diego, Dept Surg, Div Trauma Burns & Crit Care, San Diego, CA 92103 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2008年 / 195卷 / 06期

关键词：

all-terrain vehicles (ATVs); trauma; helmet use; injury prevention;

D O I：

10.1016/j.amjsurg.2007.05.049

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: All-terrain vehicle (ATV)-related injuries have increased. The purpose of this study was to determine if the increase in injuries correlates with the expiration of government mandates. METHODS: ATV-injured patients admitted to a level I trauma center were reviewed over the years 1985-1999 and 2000-2005. Several demographic variables and injuries sustained were analyzed. RESULTS: There were a total of 433 injuries, which increased from 164 between 1985 and 1999, to 269 between 2000 and 2005. By comparing the time periods we observed a decrease in closed-head injury (53.6% vs 27.5%; P <.001), spinal cord injury (11.6% vs 5.2%; P <.05), and soft-tissue injury (62.8% vs 45.3%; P <.01), but an increase in long-bone fractures (18.9% vs 33.0%; P <.05). No differences were observed in other injuries. CONCLUSIONS: The number of patients sustaining ATV-related injuries has increased and correlates with the expiration of government mandates. Even though ATVs remain dangerous, injury prevention strategies such as helmet laws may be having a positive impact. (C) 2008 Elsevier Inc. All rights reserved.

引用

页码：789 / 792

页数：4

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