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Helmets Matter: Kentucky All-Terrain Vehicle Crashes Seen at a Tennessee Trauma Center.

Abstract All-terrain vehicle (ATV) safety laws, including helmet use, vary by state and are sporadically enforced. Kentucky state laws require safety helmets only for younger riders. We hypothesized that ATV riders injured in Kentucky and seen at a Tennessee trauma center would more likely be unhelmeted, have more severe head injuries, and have higher mortality rates than those injured in Virginia or Tennessee. A Trauma Registry review of 750 injured ATV riders from June 1, 2005, through June 1, 2015 examined state location of accident, helmet use, markers of injury severity, and outcomes. Multiple logistic regression analysis examined predictors of severe head injuries and death with P < 0.05 significant. Unhelmeted ATV rider status predicted more severe head injuries (relative risk 23.5, P < 0.001) and death (relative risk 4.6, P < 0.001). ATV riders injured in the state of Kentucky were twice as numerous. In addition, they were more likely than ATV riders injured in Tennessee or Virginia to be unhelmeted, to have severe head injuries, and to sustain fatal injuries (all P < 0.001). This single trauma center study lends support for maintaining and enforcing current universal helmet laws for ATV riders of all ages in states where they are in effect and highlights the need to upgrade helmet laws that apply only to some riders.
PMID
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Authors

Mayor MeshTerms

Off-Road Motor Vehicles

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 29580360
OWN - NLM
STAT- MEDLINE
DCOM- 20180404
LR  - 20180404
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 84
IP  - 2
DP  - 2018 Feb 1
TI  - Helmets Matter: Kentucky All-Terrain Vehicle Crashes Seen at a Tennessee Trauma
      Center.
PG  - 289-293
AB  - All-terrain vehicle (ATV) safety laws, including helmet use, vary by state and
      are sporadically enforced. Kentucky state laws require safety helmets only for
      younger riders. We hypothesized that ATV riders injured in Kentucky and seen at a
      Tennessee trauma center would more likely be unhelmeted, have more severe head
      injuries, and have higher mortality rates than those injured in Virginia or
      Tennessee. A Trauma Registry review of 750 injured ATV riders from June 1, 2005, 
      through June 1, 2015 examined state location of accident, helmet use, markers of 
      injury severity, and outcomes. Multiple logistic regression analysis examined
      predictors of severe head injuries and death with P &lt; 0.05 significant.
      Unhelmeted ATV rider status predicted more severe head injuries (relative risk
      23.5, P &lt; 0.001) and death (relative risk 4.6, P &lt; 0.001). ATV riders injured in 
      the state of Kentucky were twice as numerous. In addition, they were more likely 
      than ATV riders injured in Tennessee or Virginia to be unhelmeted, to have severe
      head injuries, and to sustain fatal injuries (all P &lt; 0.001). This single trauma 
      center study lends support for maintaining and enforcing current universal helmet
      laws for ATV riders of all ages in states where they are in effect and highlights
      the need to upgrade helmet laws that apply only to some riders.
FAU - Testerman, George M
AU  - Testerman GM
FAU - Prior, Daniel C
AU  - Prior DC
FAU - Wells, Tamie D
AU  - Wells TD
FAU - Rollins, Sarah E
AU  - Rollins SE
FAU - Oesch, Stephen L
AU  - Oesch SL
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Accidents/*mortality
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Craniocerebral Trauma/diagnosis/*etiology/mortality/prevention &amp; control
MH  - Female
MH  - Head Protective Devices/*utilization
MH  - Humans
MH  - Kentucky/epidemiology
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - *Off-Road Motor Vehicles
MH  - Registries
MH  - Retrospective Studies
MH  - Tennessee/epidemiology
MH  - Trauma Centers
MH  - Trauma Severity Indices
MH  - Virginia/epidemiology
MH  - Young Adult
EDAT- 2018/03/28 06:00
MHDA- 2018/04/05 06:00
CRDT- 2018/03/28 06:00
PHST- 2018/03/28 06:00 [entrez]
PHST- 2018/03/28 06:00 [pubmed]
PHST- 2018/04/05 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2018 Feb 1;84(2):289-293.