Pediatric Hospitalizations and In-Patient Mortality From All-Terrain Vehicles Crashes, 2006-2012
Sarah B Cairo1, Joshua K Burk2, David H Rothstein1
1Women and Children's Hospital of Buffalo, Buffalo, NY;2University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY
Background (issue): All-terrain vehicle (ATV) crashes are a significant source of pediatric injury. We sought to evaluate trends in national frequency of hospitalizations in the U.S. for children injured in during the past decade.
Methods: Retrospective review of the 2006, 2009, and 2012 Kids’ Inpatient Databases to identify hospitalizations of patients < 19 years old for ATV-related injuries. External-cause-of injury codes were used to identify hospitalized patients injured in ATV crashes. Odds ratios for ATV-related hospitalization and subsequent mortality were calculated by logistic regression incorporating multiple individual demographic and hospital variables.
Findings: Estimated ATV-related hospitalizations dropped from 3,809 in 2006 (4.9/100,000 persons < 19 years old) to 2,558 in 2012 (3.3/100,000) (Figure). Inpatient mortality was low, and varied slightly from year to year (range, 0.55% - 1.04%). Patients hospitalized for ATV-related injuries were 76.8-78.4% White and 72.1-77.2% male; 61.0-64.3% had private insurance, 35.3-39.3% were from rural areas, 37.4-38.3% were in the 10-14 year age group, and 40.4-43.6% of patients came from the Western U.S. Risk factors for hospitalization included White race, male gender, rural county domicile, private insurance, and living in a U.S. region outside of the Northeast. The estimated total cost of these hospitalizations for 2012 was $37,597,830.
Conclusions (implications for practice): Hospitalizations for ATV-related injuries in children have fallen in the past decade. Patient demographics are predictive of these hospitalizations and should prompt targeted interventions to further reduced injuries and associated hospital costs.
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