The continuing problem of all-terrain vehicle injuries in children. Discussion.
Annual Meeting of the American Pediatric Surgical Association. Naples, FL, USA, 1997/05/18.
After the introduction of the all-terrain vehicle (ATV) in the United States in 1971, deaths and injuries in both adults and children rose dramatically.
In 1988, the Consumer's Product Safety Commission (CPSC) and all manufacturers of ATVs signed legally binding « Consent Decrees, » designed to decrease the number of ATV-related deaths and injuries, especially in children.
This report reviews retrospectively the mechanism of injury as well as the injuries in 51 children caused by ATV crashes during a 5-year period after the signing of the decrees.
Data included age ; sex ; type of ATV (three or four wheel) ; position of the patient on the vehicle (driver or passenger) ; helmet usage ; and mechanism of vehicular accident, including collision with a stationary or moving object, rollover, or fall from the vehicle.
Mechanism data indicate loss of control of vehicle or fall from the vehicle as the most common cause of injury.
Injury statistics included body regions and parts injured, injury severity score (ISS), and complications or disabilities resulting from injury.
Mean ISS was 13.6 ± 9.7 (range, 1 to 50).
Eighteen patients (35%) had ISSs greater than 15
Helmets were worn by only 30% of patients.
There were two deaths, and two patients suffered permanent paralysis.
Orthopedic injuries were the most common injury and were of adult type with 61% classified as open or comminuted. (...)
Mots-clés Pascal : Polytraumatisme, Mortalité, Pédiatrie, Véhicule tout terrain, Etats Unis, Amérique du Nord, Amérique, Rétrospective, Réglementation, Législation, Enfant, Homme, Adolescent, Traumatisme
Mots-clés Pascal anglais : Multiple injury, Mortality, Pediatrics, Crosscountry vehicle, United States, North America, America, Retrospective, Regulation, Legislation, Child, Human, Adolescent, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0260192
Code Inist : 002B30A04C. Création : 11/09/1998.