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[PMID]: | 27670961 |
[Au] Autor: | Linnaus ME; Ragar RL; Garvey EM; Fraser JD |
[Ad] Endereço: | Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ, United States; Department of Surgery and Level-1 Pediatric Trauma Center, Phoenix Children's Hospital, Phoenix, AZ, United States. |
[Ti] Título: | Injuries and outcomes associated with recreational vehicle accidents in pediatric trauma. |
[So] Source: | J Pediatr Surg;52(2):327-333, 2017 Feb. | [Is] ISSN: | 1531-5037 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | PURPOSE: To identify injuries and outcomes from Recreational/Off-Highway Vehicles (RV/OHV) accidents at a pediatric trauma center. METHODS: A retrospective review of a prospective pediatric trauma registry was performed to identify patients sustaining injuries from an RV/OHV between January 2007 and July 2015. Vehicles included: all-terrain vehicles (ATV), dirt bikes, utility-terrain vehicles (UTV), golf carts, go-karts, and dune buggies. RESULTS: Five hundred twenty-eight patients were injured while on an RV/OHV: 269 ATV, 135 dirt bike, 42 UTV, 38 golf cart, 34 go-kart, and 10 dune buggy. The majority (n=381, 72%) had at least one injury with an Abbreviated Injury Scale ≥2; 39% (n=204) had orthopedic injuries and 22% (n=116) had central neurologic injuries. Over three-fourths (n=412, 78%) were admitted. For the 48% (n=253) of patients requiring surgery, 654 surgical procedures were performed. Median hospital charge was $27,565 (IQR: $15,553-$44,935). Excluding golf carts, helmet use was 49% (n=231); 16% (n=76) wore protective clothing. Only 22% (n=26) wore a restraining belt. CONCLUSION: Severe injuries occur in children who ride RV/OHV often warranting admission and surgical intervention. Improved understanding of RV/OHV injuries may guide caregivers in decision-making about pediatric RV/OHV use and encourage use of protective gear. LEVEL OF EVIDENCE: Level II, Prognosis Study. |
[Mh] Termos MeSH primário: |
Acidentes Veículos Off-Road Ferimentos e Lesões/etiologia
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[Mh] Termos MeSH secundário: |
Adolescente Arizona/epidemiologia Criança Pré-Escolar Feminino Dispositivos de Proteção da Cabeça/utilização Hospitalização/estatística & dados numéricos Hospitais Pediátricos Seres Humanos Lactente Masculino Roupa de Proteção/utilização Sistema de Registros Estudos Retrospectivos Centros de Traumatologia Resultado do Tratamento Ferimentos e Lesões/diagnóstico Ferimentos e Lesões/epidemiologia Ferimentos e Lesões/terapia
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Em] Mês de entrada: | 1702 |
[Cu] Atualização por classe: | 170202 |
[Lr] Data última revisão:
| 170202 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 160928 |
[St] Status: | MEDLINE |
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