Skip to main content Accessibility help
×
Home

All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review

  • Holly Black (a1), Desmond Whalen (a1), Sabrina Alani (a1), Peter Rogers (a2) and Cathy MacLean (a3)...

Abstract

Background

Injury and death involving all-terrain vehicles (ATV) has been reported in a number of Canadian provinces. The objective of this study is to describe the frequency, nature, severity, population affected, immediate health costs, efficacy of related legislation, and helmet use in ATV related injuries and deaths in Newfoundland and Labrador (NL).

Methods

A retrospective review of injured or deceased ATV riders of all ages entered in the Newfoundland and Labrador Trauma Registry from 2003 to 2013 was conducted. Variables studied included demographics, injury type and severity, use of helmets, admission/discharge dates, and referring/receiving institution. Data was also obtained from the Newfoundland and Labrador Center for Health Information (NLCHI) and included all in-hospital deaths and hospitalizations due to ATVs between 1995 and 2013.

Results

There were a total of 298 patients registered in the trauma registry, resulting in 2759 admission days, nine deaths, and a total estimated immediate healthcare system cost in excess of $1.6 million. More males (N=253, 84.9%) than females (N=45, 15.1%) were injured in ATV related incidents, t(20)=7.12, p<.0001. Head and thorax injuries were the most serious. 38.6% of patients were confirmed to be wearing helmets. Mean injury severity scores are as follows: head injury (M=11, SD=9.51), thorax (M=10, SD=8.3), abdominal/pelvis (M=9, SD=7.62), upper extremity (M=9, SD=8.53), other injuries (M=9, SD=10.56) lower extremity (M=8, SD=8.34), and spine (M=8, SD=6.52).

Conclusions

This study describes ATV related injuries and deaths in NL. Information from this study may guide physician practice, public education, and future legislation.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review
      Available formats
      ×

Copyright

Corresponding author

Correspondence to: Desmond Whalen, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL; Email: desmondw@mun.ca

References

Hide All
1. All-terrain vehicle. Merriam-Webster.com; 2015. Available at: http://www.merriam-webster.com/dictionary/all-terrain%20vehicle (accessed April 19, 2015).
2. Rodgers, GB, Adler, P. Risk factors for all-terrain vehicle injuries: a national case-control study. Am J Epidemiol 2001;153(11):1112-1118.
3. Krauss, EM, Dyer, DM, Laupland, KB, Buckley, R. Ten years of all-terrain vehicle injury, mortality, and healthcare costs. J Trauma 2010;69(6):1338-1343.
4. Lord, S, Tator, CH, Wells, S. Examining Ontario deaths due to all-terrain vehicles, and targets for prevention. Can J Neurol Sci 2010;37(3):343-349.
5. Pelletier, JS, McKee, J, Ozegovic, D, Widder, S. Retrospective review of all-terrain vehicle accidents in Alberta. Can J Surg 2012;55(4):249-253.
6. Sibley, AK, Tallon, JM. Major injury associated with all-terrain vehicle use in Nova Scotia: a 5-year review. CJEM 2002;4(4):263-267.
7. Su, W, Hui, T, Shaw, K. All-terrain vehicle injury patterns: are current regulations effective? J Pediatr Surg 2006;41(5):931-934.
8. ATV Safety. Government of Newfoundland and Labrador-Service NL. Available at: http://www.servicenl.gov.nl.ca/drivers/atvsafety/ (accessed April 19, 2015).
9. Martin, R, Lo, Dak, Wai, A. Comparative national public health legislation. In: Oxford Textbook of Public Health, 5th ed. (eds. Detels R, Beaglehole R, Lansang M, Gulliford M). Oxford: Oxford University Press; 2011: 351-367.
10. Winfield, RD, Mozingo, DW, Armstrong, JH, et al. All-terrain vehicle safety in Florida: is legislation really the answer? Am Surg 2010;76(2):149-153.
11. Brandenburg, MA, Brown, SJ, Archer, P, Brandt, EN Jr. All-terrain vehicle crash factors and associated injuries in patients presenting to a regional trauma center. J Trauma 2007;63(5):994-999.
12. Fonseca, AH, Ochsner, MG, Bromberg, WJ, Gantt, D. All-terrain vehicle injuries: are they dangerous? A 6-year experience at a level I trauma center after legislative regulations expired. Am Surg 2005;71(11):937-940; discussion 940-1.
13. McBride, AS, Cline, DM, Neiberg, RH, Westmoreland, KD. Pediatric all-terrain vehicle injuries: does legislation make a dent? Pediatr Emerg Care 2011;27(2):97-101.
14. Blecker, N, Rhee, P, Judkins, DG, et al. Pediatric all-terrain vehicle trauma: the epidemic continues unabated. Pediatr Emerg Care 2012;28(5):443-447.
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;26(7):e83-e87.
16. Lynch, JM, Gardner, MJ, Worsey, J. The continuing problem of all-terrain vehicle injuries in children. J Pediatr Surg 1998;33(2):329-332.
17. Ross, RT, Stuart, LK, Davis, FE. All-terrain vehicle injuries in children: industry-regulated failure. Am Surg 1999 Sep;65(9):870-873.
18. Williams, RS, Graham, J, Helmkamp, JC, et al. A trial of an All‐Terrain vehicle safety education video in a Community‐Based hunter education program. J Rural Health 2011;27(3):255-262.
19. Wood, A, Duijff, JW, Christey, GR. Quad bike injuries in Waikato, New Zealand: an institutional review from 2007-2011. ANZ J Surg 2013;83(4):206-210.
20. 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(4):861-866; discussion 866-7.
21. Helmkamp, JC, Aitken, ME, Graham, J, Campbell, CR. State-specific ATV-related fatality rates: an update in the new millennium. Public Health Rep 2012;127(4):364-374.
22. Merrigan, TL, Wall, PL, Smith, HL, Janus, TJ, Sidwell, RA. The burden of unhelmeted and uninsured ATV drivers and passengers. Traffic Inj Prev 2011;12(3):251-255.
23. Anfuso, A, Weinberger, PM, McKinnon, BJ. Pediatric all-terrain vehicle related temporal bone fractures. Int J Pediatr Otorhinolaryngol 2012;76(2):202-205.
24. Bansal, V, Fortlage, D, Lee, J, et al. A 21-year history of all-terrain vehicle injuries: has anything changed? Am J Surg 2008;195(6):789-792.
25. Kosar, S, Seelen, HA, Hemmen, B, Evers, SM, Brink, PR. Cost-effectiveness of an integrated ‘fast track’ rehabilitation service for multi-trauma patients involving dedicated early rehabilitation intervention programs: design of a prospective, multi-centre, non-randomised clinical trial. J Trauma Manag Outcomes 2009;3(1):1.
26. Unni, P, Morrow, SE, L Shultz, B. Analysis of pediatric all-terrain vehicle trauma data in Middle Tennessee: implications for injury prevention. J Trauma Acute Care Surg 2012;73(4 Suppl 3):S277-S280.
27. Denning, G, Jennissen, C, Harland, K, Ellis, D, Buresh, C. All-terrain vehicles (ATVs) on the road: a serious traffic safety and public health concern. Traffic Inj Prev 2013;14(1):78-85.
28. Keenan, HT, Bratton, SL. All-terrain vehicle legislation for children: a comparison of a state with and a state without a helmet law. Pediatrics 2004;113(4):e330-e334.
29. Shulruf, B, Balemi, A. Risk and preventive factors for fatalities in all-terrain vehicle accidents in New Zealand. Accid Anal Prev 2010;42(2):612-618.
30. Parkin, PC, Khambalia, A, Kmet, L, Macarthur, C. Influence of socioeconomic status on the effectiveness of bicycle helmet legislation for children: a prospective observational study. Pediatrics 2003;112(3 Pt 1):e192-e196.

Keywords

All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review

  • Holly Black (a1), Desmond Whalen (a1), Sabrina Alani (a1), Peter Rogers (a2) and Cathy MacLean (a3)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed