Pediatric Trauma Society

Back to 2017 Program and Abstracts


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.


Back to 2017 Program and Abstracts


Aqua Terrace Rooftop Bar
Outdoor Pool – Lounge Chairs
Waterfront Park and Battery
Authur Revenel Jr. Bridge