Examination of Trauma Registry Data to Guide ATV Injury Prevention Efforts in Middle Tennessee

Background: The growing popularity of All-Terrain Vehicles (ATV) has resulted in a dramatic increase in ATV-related injuries. ATV injuries tend to be severe and likely to result in hospitalization. Children under the age of 16 years represented about 22% of all documented ATV fatalities and 25% of all ATV injuries (1982-2009). An investigation of hospitalizations due to ATV injuries can provide insights to guide appropriate regional injury prevention efforts.

Methods: A retrospective analysis of data (October 2006 - June 2009) from the trauma registry of a level one pediatric trauma center in Middle Tennessee was conducted. Patients below 16 years of age with ATV-related injuries were included in the analysis (n = 151). From the data, counties with higher injury rates among youth populations were identified with GIS software to prioritize locations for ATV safety training programs.

Results: More than half (52%) the ATV injuries were in the 10-14 years age group. Number of cases with severe injuries in this age group was greater than other age groups (36% vs. 31%). 68% of 10 -14 year olds also had not used helmets. The distribution of injuries is predominantly in non-metro/rural counties.

Conclusions: Given the popularity of ATVs and lack of enforceable legislation, it is important to provide ATV safety education through credible organizations that have strong roots in rural communities (e.g., 4-H agencies).Injury prevention efforts should be directed primarily to 10-14 year olds. Usage of safety gear and safe operation of ATVs should be emphasized.