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[PMID]: 28742465 [Au] Autor: Jennissen CA; Sweat S; Wetjen K; Hoogerwerf P; Denning GM [Ad] Endereço: a Department of Emergency Medicine , Roy J. and Lucille A. Carver College of Medicine , Iowa City , Iowa , USA. [Ti] Título: Engaging Agribusinesses: Feasibility and Cost of an ATV Safety Poster Project. [So] Source: J Agromedicine;22(4):364-375, 2017. [Is] ISSN: 1545-0813 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVES: All-terrain vehicle (ATV)-related deaths and injuries continue to be a significant problem. Influential change agents such as agribusinesses could be important partners for improving safety behaviors among rural ATV users. Our objective was to determine how effectively an injury prevention project could engage agribusinesses through the postal service and to assess their willingness to display a safety poster. METHODS: One thousand two hundred forty-four agribusinesses received an ATV safety poster and a postcard survey by mail. A randomized sampling of these businesses was surveyed by telephone 4-7 weeks later. Telephone survey questions included whether they recalled receiving the poster, and if so, whether, where and how long the poster was displayed. RESULTS: One hundred six postcards were returned. Of the 192 eligible business persons contacted by telephone, 89% agreed to participate. Approximately one-third of telephone survey participants recalled receiving the poster. Among these, 81% with walk-in customers posted it, and 74% still had it displayed 1 month later. Of participants who did not recall receiving the poster, 83% stated they would have displayed the poster. The cost of displaying each poster in a business was 16.6 cents/day during the first month. Final costs/day would be much less because of continued display. CONCLUSION: A high percentage of agribusinesses displayed or would have displayed an ATV safety poster, and most displayed it beyond 1 month. Unfortunately, participant recruitment via postal delivery alone was challenging. Nevertheless, mass mailing of injury prevention materials to be displayed in the retail setting may be a low cost method for raising safety awareness. [Mh] Termos MeSH primário: Acidentes de Trânsito/prevenção & controle Veículos Off-Road/economia Segurança/economia Inquéritos e Questionários/economia [Mh] Termos MeSH secundário: Acidentes de Trânsito/economia Adulto Feminino Dispositivos de Proteção da Cabeça/utilização Seres Humanos Masculino Meia-Idade População Rural [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171214 [Lr] Data última revisão: 171214 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170726 [St] Status: MEDLINE [do] DOI: 10.1080/1059924X.2017.1358228

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[PMID]: 28893850 [Au] Autor: Flaherty MR; Raybould T; Kelleher CM; Seethala R; Lee J; Kaafarani HMA; Masiakos PT [Ad] Endereço: Department of Pediatric Critical Care Medicine, mrflaherty@partners.org. [Ti] Título: Age Legislation and Off-Road Vehicle Injuries in Children. [So] Source: Pediatrics;140(4), 2017 Oct. [Is] ISSN: 1098-4275 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND AND OBJECTIVES: In 2010, the Massachusetts Legislature passed a comprehensive law that restricted off-road vehicle (ORV) use by children <14 years old and regulated ORV use by children up to the age of 18 years. We aimed to examine the impact of the 2010 Massachusetts law on the rates of ORV-related injuries. METHODS: A retrospective analysis was performed of Massachusetts emergency department (ED) and inpatient discharges between 2002 and 2013 as found in the Center for Health Information and Analysis database by using external causes of injury codes specific to ORV-related injuries. Yearly population-based rates were compared before and after the implementation of the law (2002-2010 vs 2011-2013) by using Poisson regression analysis and segmented regression. RESULTS: There were 3638 ED discharges and 481 inpatient discharges for ORV-related injuries in children across the 12-year study period. After the implementation of the law, the rate of ED discharges declined by 33% in 0- to 9-year-olds, 50% in 10- to 13-year-olds, and 39% in 14 to 17-year-olds ( < .0001). There was no significant decline in ED discharges for 25- to 34-year-olds. Inpatient hospital discharges were also reduced by 41% in 0- to 17-year-olds after implementation ( < .001). CONCLUSIONS: As compared with adults (ages 25-34 years), the population-based ORV-related injury rate of residents <18 years old significantly declined after the passage of legislation that imposed age restrictions and other safeguards for youth riders. [Mh] Termos MeSH primário: Acidentes de Trânsito/prevenção & controle Acidentes de Trânsito/estatística & dados numéricos Veículos Off-Road/legislação & jurisprudência Ferimentos e Lesões/epidemiologia Ferimentos e Lesões/prevenção & controle [Mh] Termos MeSH secundário: Adolescente Adulto Fatores Etários Criança Pré-Escolar Feminino Seres Humanos Lactente Masculino Massachusetts/epidemiologia Análise de Regressão Estudos Retrospectivos Ferimentos e Lesões/etiologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171012 [Lr] Data última revisão: 171012 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170913 [St] Status: MEDLINE

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[PMID]: 28771414 [Au] Autor: Garay M; Hess J; Armstrong D; Hennrikus W [Ad] Endereço: College of Medicine, Pennsylvania State University, Hershey, Pennsylvania. [Ti] Título: Pediatric ATV Injuries in a Statewide Sample: 2004 to 2014. [So] Source: Pediatrics;140(2), 2017 Aug. [Is] ISSN: 1098-4275 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: To establish the incidence, mortality rate, and fracture location of pediatric patients injured while using an all-terrain vehicle (ATV) over an 11-year period. METHODS: A retrospective study using a state trauma database for patients ages 0 to 17 years who sustained injuries while using an ATV. Thirty-two pediatric and adult trauma centers within the state were evaluated from January 1, 2004, to December 31, 2014. RESULTS: The inclusion criteria were met by 1912 patients. The estimated mean annual incidence during the period of the study was 6.2 patients per 100 000 children in the pediatric population <18 years of age. There was a decrease of 13.4% in the mean incidence when comparing the first 5 years of the study with the last 6 years. The median age of patients was 14 years. The median hospital length of stay and injury severity score were 3 days and 9, respectively. There were 28 fatalities (1.5%). The mean mortality incidence was 0.09 deaths per 100 000 children and remained relatively constant. The majority of patients (55.4%) sustained at least 1 bone fracture at or below the cervical spine. The femur and tibia were more commonly fractured (21.6% and 17.7% of the patients, respectively). CONCLUSIONS: Despite current guidelines by the American Academy of Pediatrics, patients younger than 16 years of age remain victims of ATV injuries. Although there was a 13.4% reduction in the incidence of ATV-related injuries in recent years, continued preventive guidelines are still necessary to avert these injuries in children and adolescents. [Mh] Termos MeSH primário: Fraturas Ósseas/diagnóstico Fraturas Ósseas/mortalidade Veículos Off-Road Ferimentos e Lesões/diagnóstico Ferimentos e Lesões/mortalidade [Mh] Termos MeSH secundário: Adolescente Fatores Etários Vértebras Cervicais/lesões Criança Pré-Escolar Feminino Fraturas do Fêmur/diagnóstico Fraturas do Fêmur/mortalidade Seres Humanos Incidência Tempo de Internação/estatística & dados numéricos Masculino Pennsylvania Estudos Retrospectivos Fraturas da Coluna Vertebral/diagnóstico Fraturas da Coluna Vertebral/mortalidade Fraturas da Tíbia/diagnóstico Fraturas da Tíbia/mortalidade Centros de Traumatologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170828 [Lr] Data última revisão: 170828 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170804 [St] Status: MEDLINE

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[PMID]: 28499787 [Au] Autor: Silva LOJE; Fernanda Bellolio M; Smith EM; Daniels DJ; Lohse CM; Campbell RL [Ad] Endereço: Department of Emergency Medicine, Mayo Clinic, Rochester, MN, United States. [Ti] Título: Motocross-associated head and spine injuries in adult patients evaluated in an emergency department. [So] Source: Am J Emerg Med;35(10):1485-1489, 2017 Oct. [Is] ISSN: 1532-8171 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Motor vehicle-related injuries (including off-road) are the leading cause of traumatic brain injury (TBI) and acute traumatic spinal cord injury in the United States. OBJECTIVES: To describe motocross-related head and spine injuries of adult patients presenting to an academic emergency department (ED). METHODS: We performed an observational cohort study of adult ED patients evaluated for motocross-related injuries from 2010 through 2015. Electronic health records were reviewed and data extracted using a standardized review process. RESULTS: A total of 145 motocross-related ED visits (143 unique patients) were included. Overall, 95.2% of patients were men with a median age of 25years. Sixty-seven visits (46.2%) were associated with head or spine injuries. Forty-three visits (29.7%) were associated with head injuries, and 46 (31.7%) were associated with spine injuries. Among the 43 head injuries, 36 (83.7%) were concussions. Seven visits (16.3%) were associated with at least 1 head abnormality identified by computed tomography, including skull fracture (n=2), subdural hematoma (n=1), subarachnoid hemorrhage (n=4), intraparenchymal hemorrhage (n=3), and diffuse axonal injury (n=3). Among the 46 spine injuries, 32 (69.6%) were acute spinal fractures. Seven patients (4.9%) had clinically significant and persistent neurologic injuries. One patient (0.7%) died, and 3 patients had severe TBIs. CONCLUSION: Adult patients evaluated in the ED after motocross trauma had high rates of head and spine injuries with considerable morbidity and mortality. Almost half had head or spine injuries (or both), with permanent impairment for nearly 5% and death for 0.7%. [Mh] Termos MeSH primário: Traumatismos em Atletas/epidemiologia Traumatismos Craniocerebrais/epidemiologia Serviço Hospitalar de Emergência Veículos Off-Road Traumatismos da Coluna Vertebral/epidemiologia [Mh] Termos MeSH secundário: Acidentes de Trânsito Adulto Traumatismos em Atletas/diagnóstico Traumatismos em Atletas/terapia Estudos de Coortes Traumatismos Craniocerebrais/diagnóstico Traumatismos Craniocerebrais/terapia Feminino Hospitalização Seres Humanos Masculino Traumatismos da Coluna Vertebral/diagnóstico Traumatismos da Coluna Vertebral/terapia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; OBSERVATIONAL STUDY [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171006 [Lr] Data última revisão: 171006 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170514 [St] Status: MEDLINE

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[PMID]: 28424128 [Au] Autor: Ho CV; Dunne JR; Stroud WR; Fonseca AH; Davis FE; Bromberg WJ [Ti] Título: Analysis of All-Terrain Vehicle Trauma Data: Implications for Increased Regulation and Injury Prevention. [So] Source: Am Surg;83(4):348-353, 2017 Apr 01. [Is] ISSN: 1555-9823 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: To determine the incidence and severity of all-terrain vehicle crashes (ATVCs) compared with motorcycle crashes (MCCs) in all critically injured patients. Prospective data were retrospectively reviewed on 1840 patients involved in ATVCs and MCCs admitted to a rural level one trauma center over 16 years. ATVC patients (n = 655) were younger (25 vs 38, P < 0.0001), more likely female (20% vs 11%, P < 0.001), less severely injured (13.5 vs 16, P < 0.0001), had similar Glasgow Coma Score (13.3 vs 13.4, p = NS), less helmet use (6% vs 69%, P < 0.0001), more closed head injuries (59.7% vs 54.3%, P < 0.05), more facial injuries (16.9%vs 12.5%, P < 0.05), and lower mortality rate (2.8% vs 5.9%, P < 0.01) compared with MCC patients (n = 1172). Pediatric patients involved in ATVC were more common (29.8% vs 4.8%, P < 0.001), had decreased helmet use (12% vs 59%, P < 0.001) and decreased mortality (3.5% vs 14.3%, P < 0.01). Further injury prevention efforts regarding helmet use and increased regulations regarding ATVCs are needed to decrease the morbidity associated with these recreational vehicles. [Mh] Termos MeSH primário: Acidentes de Trânsito/mortalidade Motocicletas Veículos Off-Road [Mh] Termos MeSH secundário: Prevenção de Acidentes Adulto Fatores Etários Feminino Georgia/epidemiologia Dispositivos de Proteção da Cabeça/utilização Seres Humanos Incidência Masculino Estudos Retrospectivos Fatores de Risco Centros de Traumatologia Índices de Gravidade do Trauma [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170501 [Lr] Data última revisão: 170501 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170421 [St] Status: MEDLINE

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[PMID]: 28218336 [Au] Autor: Cordes C; Heutink J; Tucha OM; Brookhuis KA; Brouwer WH; Melis-Dankers BJ [Ad] Endereço: Clinical and developmental neuropsychology, University of Groningen, 9712TS Groningen, The Netherlands. c.cordes@rug.nl. [Ti] Título: Vision-related fitness to drive mobility scooters: A practical driving test. [So] Source: J Rehabil Med;49(3):270-276, 2017 Mar 06. [Is] ISSN: 1651-2081 [Cp] País de publicação: Sweden [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To investigate practical fitness to drive mobility scooters, comparing visually impaired participants with healthy controls. DESIGN: Between-subjects design. SUBJECTS: Forty-six visually impaired (13 with very low visual acuity, 10 with low visual acuity, 11 with peripheral field defects, 12 with multiple visual impairment) and 35 normal-sighted controls. METHODS: Participants completed a practical mobility scooter test-drive, which was recorded on video. Two independent occupational therapists specialized in orientation and mobility evaluated the videos systematically. RESULTS: Approximately 90% of the visually impaired participants passed the driving test. On average, participants with visual impairments performed worse than normal-sighted controls, but were judged sufficiently safe. In particular, difficulties were observed in participants with peripheral visual field defects and those with a combination of low visual acuity and visual field defects. CONCLUSION: People with visual impairment are, in practice, fit to drive mobility scooters; thus visual impairment on its own should not be viewed as a determinant of safety to drive mobility scooters. However, special attention should be paid to individuals with visual field defects with or without a combined low visual acuity. The use of an individual practical fitness-to-drive test is advised. [Mh] Termos MeSH primário: Condução de Veículo/psicologia Veículos Automotores Transtornos da Visão/psicologia Acuidade Visual Campos Visuais [Mh] Termos MeSH secundário: Idoso Estudos de Casos e Controles Fontes de Energia Elétrica Feminino Seres Humanos Masculino Meia-Idade Limitação da Mobilidade Veículos Off-Road Medição de Risco/métodos Equipamentos de Autoajuda/psicologia Transtornos da Visão/fisiopatologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1704 [Cu] Atualização por classe: 170417 [Lr] Data última revisão: 170417 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170221 [St] Status: MEDLINE [do] DOI: 10.2340/16501977-2194

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[PMID]: 28160816 [Au] Autor: Jennissen CA; Harland KK; Wetjen K; Hoogerwerf P; O'Donnell L; Denning GM [Ad] Endereço: Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, United States. Electronic address: charles-jennissen@uiowa.edu. [Ti] Título: All-terrain vehicle safety knowledge, riding behaviors and crash experience of Farm Progress Show attendees. [So] Source: J Safety Res;60:71-78, 2017 Feb. [Is] ISSN: 1879-1247 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: Although all-terrain vehicles (ATVs) are very popular in rural areas for both recreation and work purposes, the epidemiology of agricultural ATV use remains largely unknown. METHODS: Farm Progress Show attendees in 2012 (Boone, Iowa) and 2013 (Decatur, Illinois) were surveyed about ATVs, including riding behaviors, crash history, and safety knowledge. Descriptive and comparative analyses were performed (N=635 surveys). RESULTS: Over half of those surveyed lived on a farm and more than 90% had ridden on an ATV. Sixty-one percent rode at least once a week and 39% reported riding almost daily. Males and respondents who lived on farms were significantly more likely to be ATV riders. Regarding unsafe behaviors, >80% of ATV users had ridden with a passenger, 66% had ridden on a public road, and nearly one-half never or almost never wore a helmet. Nearly 40% reported having been in a crash. Multivariable logistic regression analysis of adult respondent's data showed males and younger adults were both more likely to report having crashed. In addition, those reporting riding on public roads (but not having ridden with passengers) were nearly five times more likely and respondents who reported both riding on public roads and having ridden with passengers were approximately eight times more likely to have been in a crash as compared to those not reporting these unsafe behaviors. Safety knowledge did not necessarily correspond with safer behaviors; 80% who knew there should be no passengers on an ATV still had ridden with extra riders. CONCLUSION: ATV use is prevalent in rural populations and most riders report engaging in unsafe riding behaviors. PRACTICAL APPLICATIONS: These findings may be used to inform ATV safety education and training programs targeted toward agricultural communities, with the goal of reducing occupational ATV-related deaths and injuries and their substantial economic costs. [Mh] Termos MeSH primário: Acidentes de Trabalho/estatística & dados numéricos Agricultura Conhecimentos, Atitudes e Prática em Saúde Veículos Off-Road Segurança [Mh] Termos MeSH secundário: Adolescente Adulto Idoso Criança Feminino Seres Humanos Illinois Iowa Masculino Meia-Idade População Rural Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170831 [Lr] Data última revisão: 170831 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170206 [St] Status: MEDLINE

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[PMID]: 28058484 [Au] Autor: Schapiro AH; Lall NU; Anton CG; Trout AT [Ad] Endereço: Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229, USA. andrew.schapiro@cchmc.org. [Ti] Título: Hoverboards: spectrum of injury and association with an uncommon fracture. [So] Source: Pediatr Radiol;47(4):437-441, 2017 Apr. [Is] ISSN: 1432-1998 [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: BACKGROUND: Self-balancing electric scooters, commonly known as hoverboards, are a new and popular consumer item with recognized fall hazards. The spectrum of injuries associated with hoverboard use has not been studied. OBJECTIVE: The purpose of this study is to determine the spectrum of radiologically apparent injuries associated with hoverboard use. MATERIALS AND METHODS: We retrospectively reviewed all imaging studies interpreted at our institution for hoverboard-related injuries during an 8-month period. We recorded patient demographics and injury characteristics. RESULTS: Thirty-two of the 47 pediatric patients imaged for hoverboard-related injury had radiologically detectable injuries, all fractures. Fifty percent of these 32 patients were female and 50% were male, with a mean age of 12.4 years. There were 42 fractures total, all involving the appendicular skeleton, with 74% in the upper extremities and 26% in the lower extremities. Thirty-eight percent of the fractures involved the physis. A distinct injury pattern was seen in three patients who sustained open distal phalanx juxta-epiphyseal fractures. CONCLUSION: Most of the fractures sustained during hoverboard use are commonly seen in everyday pediatric radiology practice, with an overall pattern paralleling that reported in association with skateboard use. However an otherwise uncommon fracture, the distal phalanx juxta-epiphyseal fracture, was identified in association with hoverboard use, and this finding has important treatment implications including need for irrigation and debridement, antibiotic therapy, and potential surgical fixation. [Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos Fraturas Ósseas/diagnóstico por imagem Veículos Off-Road Radiografia/métodos [Mh] Termos MeSH secundário: Adolescente Criança Pré-Escolar Feminino Fraturas Ósseas/etiologia Seres Humanos Masculino Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171012 [Lr] Data última revisão: 171012 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170107 [St] Status: MEDLINE [do] DOI: 10.1007/s00247-016-3766-9

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[PMID]: 27914583 [Au] Autor: Benham EC; Ross SW; Mavilia M; Fischer PE; Christmas AB; Sing RF [Ad] Endereço: Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Emily.benham@carolinas.org. [Ti] Título: Injuries from all-terrain vehicles: An opportunity for injury prevention. [So] Source: Am J Surg;214(2):211-216, 2017 Aug. [Is] ISSN: 1879-1883 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Patient demographics, behavior, and injury patterns were assessed to inform preventative efforts for reduced incidence of all-terrain vehicle (ATV) trauma. METHODS: ATV-related injuries treated at a Level I trauma center from 2008 to 2012 were retrospectively reviewed. Patient outcomes and incidence of traumatic brain injury (TBI) were compared by helmet use and alcohol intoxication. RESULTS: Helmet data were available for 304 patients of 404 patients included; of these, 75 (24.7%) wore a helmet. Incidence of TBI was lower in the helmeted (8.0%) versus the unhelmeted subgroup (26.6%) (P < 0.001). Helmeted patients had lower injury severity scores, lower intensive-care unit (ICU) admission rates, and shorter ICU and hospital length of stay (LOS) (P < 0.05). Intoxicated patients had higher rates of TBI and ICU admission as well as prolonged ICU LOS (P < 0.05). CONCLUSIONS: These data support the requirement for a greater emphasis on injury prevention among ATV users. [Mh] Termos MeSH primário: Dispositivos de Proteção da Cabeça/utilização Veículos Off-Road/estatística & dados numéricos Ferimentos e Lesões/epidemiologia Ferimentos e Lesões/prevenção & controle [Mh] Termos MeSH secundário: Adulto Lesões Encefálicas Traumáticas/epidemiologia Lesões Encefálicas Traumáticas/prevenção & controle Feminino Seres Humanos Incidência Masculino Estudos Retrospectivos Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170914 [Lr] Data última revisão: 170914 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 161205 [St] Status: MEDLINE

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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 [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 [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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