Journals / Acta Orthopaedica et Traumatologica Turcica / 2017 / Cilt: 51 - Sayı: 5

Pediatric all-terrain vehicle (ATV) injuries: An epidemic of cost and grief

Pages
416–419
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Interventions to increase helmet use and measures to improve stability are likely to reduce these costs and shorten hospital stays.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Evaluate cost of care of all-terrain vehicle (ATV) related injuries sustained by riders 16 years and younger in Pennsylvania.
📊
Key Findings & Data:Methods: Population-based retrospective cohort design reviewing costs of care of 78 patients ( 16 years), admitted (01/01/2007e12/31/2009) to our institution for injuries sustained during an ATV accident.
💡
Conclusion & Impact:Interventions to increase helmet use and measures to improve stability are likely to reduce these costs and shorten hospital stays.
🔬Design:Review & Systematic Survey
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Evaluate cost of care of all-terrain vehicle (ATV) related injuries sustained by riders 16 years and younger in Pennsylvania. Methods: Population-based retrospective cohort design reviewing costs of care of 78 patients ( 16 years), admitted (01/01/2007e12/31/2009) to our institution for injuries sustained during an ATV accident. Results: Cost of care varied from $322 to $310,435. Mean and median costs for all patients were $25,760 and $8,066, respectively. Average costs increased with increasing age. Patients wearing helmets or driving the ATV had lower mean costs, but these trends were not statistically significant. Crashes with stationary objects not involving rollover or ejection had significantly lower mean costs than other crash types (p = 0.01). Patients involved in rollover accidents were significantly more likely to require an overnight hospital stay (OR = 3.45, p = 0.02). Patients wearing helmets were marginally less likely to require an overnight admission (OR = 0.34, p = 0.07). Conclusion: ATV crashes involving unhelmeted riders and rollover accidents result in significant medical costs. Interventions to increase helmet use and measures to improve stability are likely to reduce these costs and shorten hospital stays.

🔖

Cite This Article

STROHECKER, K. A., GAFFNEY, C. J., GRAHAM, J., BOWEN, T. R., SMİTH, W. R., IRGİT, K. (2017). Pediatric all-terrain vehicle (ATV) injuries: An epidemic of cost and grief. Acta Orthopaedica et Traumatologica Turcica, Cilt: 51 - Sayı: 5, 416–419. https://ajindex.com/articles/353532

References (15)

  1. American Academy of Pediatrics Committee on Injury and Poison Prevention. All-terrain vehicle injury prevention: two-, three-, and four-wheeled unlicensed motor vehicles. Pediatrics. 2000;105:1352e1354
  2. Axelband J, Stromski C, McQuay Jr N, Heller M. Are all-terrain vehicle injuries becoming more severe? Accid Anal Prev. 2007;39:213e215
  3. Campbell BT, Kelliher KM, Borrup K, et al. All-terrain vehicle riding among youth: how do they fair? J Pediatr Surg. 2010;45:925e929
  4. Garland S. Annual Report of ATV Related Deaths and Injuries; 2010. Available from:
  5. Greenberg BS, Shah CC. All-terrain vehicle use by children: a form of child neglect? Pediatr Radiol. 2009;39:657e658
  6. Helmkamp JC. Adolescent all-terrain vehicle deaths in West Virginia, 1990e1998. W V Med J. 2000;96:361e363
  7. Shults RA, Wiles SD, Vajani M, Helmkamp JC. All-terrain vehicle-related nonfatal injuries among young riders: United States, 2001e2003. Pediatrics. 2005;116:e608ee612
  8. Brown RL, Koepplinger ME, Mehlman CT, Gittelman M, Garcia VF. All-terrain vehicle and bicycle crashes in children: epidemiology and comparison of injury severity. J Pediatr Surg. 2002;37:375e380
  9. Mangano FT, Menendez JA, Smyth MD, Leonard JR, Narayan P, Park TS. Pediatric neurosurgical injuries associated with all-terrain vehicle accidents: a 10-year experience at St. Louis Children's Hospital. J Neurosurg. 2006;105:2e5
  10. Sanfilippo JA, Winegar CD, Harrop JS, Albert TJ, Vaccaro AR. All-terrain vehicles and associated spinal injuries. Spine. 2008;33:1982e1985
  11. Sawyer JR, Bernard MS, Schroeder RJ, Kelly DM, Warner Jr WC. Trends in allterrain vehicle-related spinal injuries in children and adolescents. J Pediatr Orthop. 2011;31:623e627
  12. Bowman SM, Aitken ME, Helmkamp JC, Maham SA, Graham CJ. Impact of helmets on injuries to riders of all-terrain vehicles. Inj Prev. 2009;15:3e7
  13. Brandenburg MA, Brown SJ, Archer P, Brandt Jr EN. All-terrain vehicle crash factors and associated injuries in patients presenting to a regional trauma center. J Trauma. 2007;63:994e999
  14. Carr AM, Bailes JE, Helmkamp JC, Rosen CL, Miele VJ. Neurological injury and death in all-terrain vehicle crashes in West Virginia: a 10-year retrospective review. Neurosurgery. 2004;54:861e866
  15. Dietz MJ, Lavender C, Emery SE, Clovis N, Shuler FD, Zuberi J. All-terrain vehicle-related orthopaedic trauma in North Central West Virginia: an 8-year review of a Level I trauma center. J Orthop Trauma. 2012;