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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >A population-based assessment of pediatric all-terrain vehicle injuries.
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A population-based assessment of pediatric all-terrain vehicle injuries.

机译：基于人口的儿科全地形车伤害评估。

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OBJECTIVE: To describe the types of injuries sustained by children who ride all-terrain vehicles (ATVs), to estimate the hospital charges associated with these injuries, and to determine adherence to existing rules and regulations governing ATV use. METHODS: Analysis of statewide hospital admissions (1992-1996) and emergency department (ED) visits (1996) in Utah. All patients who were younger than 16 years and had an external cause of injury code for ATV use were included. RESULTS: In 1996, 268 ED visits by children involved an ATV. Boys were twice as commonly injured as girls (male:female ratio: 2.1:1), and skin and orthopedic injuries were most frequent. The median ED charge was Dollars 368, and ED charges for these patients totaled Dollars 138 000. From 1992 to 1996, 130 children were hospitalized as a result of injuries sustained during ATV use, with median charges of Dollars 4240 per admission. Male to female ratio was 2.7:1, and the average age was 11.2 +/- 3.6 years. Mean injury severity score was 8.0 +/- 6.0, and median length of stay was 2 days (range: 0-43 days). Orthopedic injuries were most frequent, but 25% (n = 32) of children sustained head or spinal cord injury. Most children (94%) were discharged from the hospital, but 8 children died as a result of their injuries. Utah regulations prohibit children who are younger than 8 years from driving an ATV and advise against carrying passengers on ATVs. However, 25% (n = 15) of all injured children who were younger than 8 were driving the ATV when injured, and 15% (n = 60) of injured children were passengers on ATVs. Four of the 8 fatally injured children were younger than 8, and all were driving the ATV at the time of the crash. Finally, the estimated injury rate per 100 registered ATVs is significantly higher for children than for adults (3.41 vs 1.71). CONCLUSIONS: ATV use results in significant injuries to children. Efforts to educate parents regarding the risks of ATV use, proper supervision, and use of safety equipment are warranted. Manufacturers of ATVs should continue to improve the safety profile of these inherently unstable vehicles.
机译：目的：描述乘坐全地形车（ATV）的儿童遭受的伤害类型，估算与这些伤害有关的医院费用，并确定遵守有关使用ATV的现行法规的规定。方法：分析犹他州的全州医院入院（1992-1996年）和急诊科（ED）就诊（1996年）。纳入了所有未满16岁且因使用ATV造成外伤代码的外部原因的患者。结果：1996年，有268例儿童的急诊就诊涉及ATV。男孩的受伤率是女孩的两倍（男孩：女性比例：2.1：1），皮肤和骨科受伤最为常见。急诊室收费的中位数为368美元，这些患者的急诊室费用总计为13.8万美元。从1992年到1996年，由于使用全地形车期间受伤，有130名儿童住院，每次入院的中位数收费为4240美元。男女比例为2.7：1，平均年龄为11.2 +/- 3.6岁。平均损伤严重程度评分为8.0 +/- 6.0，中位住院时间为2天（范围：0-43天）。骨伤最常见，但25％（n = 32）的儿童遭受头部或脊髓损伤。大多数儿童（94％）已出院，但有8名儿童因受伤而死亡。犹他州的法规禁止8岁以下的儿童驾驶ATV，并建议不要将乘客载于ATV上。但是，所有8岁以下的受伤儿童中有25％（n = 15）在受伤时驾驶ATV，而在ATV上有15％（n = 60）受伤的儿童是乘客。 8名受重伤的儿童中有4名不到8岁，坠机时所有人都在驾驶ATV。最后，儿童每100个注册的ATV的估计伤害率明显高于成人（3.41比1.71）。结论：使用ATV会对儿童造成重大伤害。有必要对父母进行有关使用ATV的风险，适当的监督和使用安全设备的教育。 ATV的制造商应继续改善这些固有不稳定车辆的安全性。

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