Pediatric "off-road vehicle" trauma: Determinants of injury severity and type

Sandler, G; Soundappan, SS; Manglick, MP; Fahy, FE; Ross, F; Lam, L; Cass, D

Pediatric "off-road vehicle" trauma: Determinants of injury severity and type

Sandler, G Soundappan, SS Manglick, MP Fahy, FE Ross, F Lam, L

Cass, D

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Publication Type:: Journal Article
Citation:: Pediatric Emergency Care, 2012, 28 (12), pp. 1328 - 1333
Issue Date:: 2012-12-01

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Field	Value	Language
dc.contributor.author	Sandler, G	en_US
dc.contributor.author	Soundappan, SS	en_US
dc.contributor.author	Manglick, MP	en_US
dc.contributor.author	Fahy, FE	en_US
dc.contributor.author	Ross, F	en_US
dc.contributor.author	Lam, L https://orcid.org/0000-0001-6183-6854	en_US
dc.contributor.author	Cass, D	en_US
dc.date.issued	2012-12-01	en_US
dc.identifier.citation	Pediatric Emergency Care, 2012, 28 (12), pp. 1328 - 1333	en_US
dc.identifier.issn	0749-5161	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117084
dc.description.abstract	OBJECTIVES: This study aimed to describe the determinants of the severity and type of injuries sustained by children hurt in off-road vehicle (ORV) accidents. METHODS: This was a retrospective clinical study for which data were obtained from the trauma database at the Children's Hospital at Westmead covering the 10-year period between January 1, 1998, and December 31, 2007. Data points collected included age, sex, Injury Severity Score (ISS), body region injured, type of vehicle, accident setting, mechanism of injury, estimated speed, position of the rider, use of a helmet and/or protective clothing, and hospital length of stay. The study end points were determinants of injury severity and type. Statistical analysis of the collected data was done with the standard statistical software package, SPSS. RESULTS: A total of 288 children (242 male [84%] and 46 female [16%] patients) presented for ORV-related trauma. Helmets significantly diminished the chance of sustaining a head injury occasioning a skull fracture. Jumping was associated with increased ISS and a higher chance of sustaining an abdominal and/or thoracic injury. Older children were more likely to sustain pelvic and spinal injures, be injured while traveling at high speed, and be injured while going over a jump. Mean ISS was significantly lower if trauma was sustained while riding a mini motorcyle in any setting and any ORV at home. CONCLUSIONS: Further research (prospective, federal, and multi-institutional) is needed with a view to optimizing training schedules, rules, regulations, and licensing requirements for pediatric ORV riders. Copyright © 2012 by Lippincott Williams & Wilkins.	en_US
dc.relation.ispartof	Pediatric Emergency Care	en_US
dc.relation.isbasedon	10.1097/PEC.0b013e318276b0d2	en_US
dc.subject.classification	Emergency & Critical Care Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Wounds and Injuries	en_US
dc.subject.mesh	Length of Stay	en_US
dc.subject.mesh	Injury Severity Score	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Head Protective Devices	en_US
dc.subject.mesh	Protective Clothing	en_US
dc.subject.mesh	Accidents	en_US
dc.subject.mesh	Accident Prevention	en_US
dc.subject.mesh	Off-Road Motor Vehicles	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Health Services Needs and Demand	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Pediatric "off-road vehicle" trauma: Determinants of injury severity and type	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.citation.volume	28	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	12	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

OBJECTIVES: This study aimed to describe the determinants of the severity and type of injuries sustained by children hurt in off-road vehicle (ORV) accidents. METHODS: This was a retrospective clinical study for which data were obtained from the trauma database at the Children's Hospital at Westmead covering the 10-year period between January 1, 1998, and December 31, 2007. Data points collected included age, sex, Injury Severity Score (ISS), body region injured, type of vehicle, accident setting, mechanism of injury, estimated speed, position of the rider, use of a helmet and/or protective clothing, and hospital length of stay. The study end points were determinants of injury severity and type. Statistical analysis of the collected data was done with the standard statistical software package, SPSS. RESULTS: A total of 288 children (242 male [84%] and 46 female [16%] patients) presented for ORV-related trauma. Helmets significantly diminished the chance of sustaining a head injury occasioning a skull fracture. Jumping was associated with increased ISS and a higher chance of sustaining an abdominal and/or thoracic injury. Older children were more likely to sustain pelvic and spinal injures, be injured while traveling at high speed, and be injured while going over a jump. Mean ISS was significantly lower if trauma was sustained while riding a mini motorcyle in any setting and any ORV at home. CONCLUSIONS: Further research (prospective, federal, and multi-institutional) is needed with a view to optimizing training schedules, rules, regulations, and licensing requirements for pediatric ORV riders. Copyright © 2012 by Lippincott Williams & Wilkins.

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http://hdl.handle.net/10453/117084