title: ATVs: motorized toys or vehicles for children?
abstract: OBJECTIVE
  To compare the nature of injuries from all-terrain vehicles (ATVs) to those from bicycling, dirtbikes/motocross, and motor vehicle crashes.
  
  
  METHODS
  Data on injuries from the mechanisms outlined above were obtained through CHIRPP (the Canadian Hospitals Injury Reporting and Prevention Program) and hospital records.
  
  
  METHODS
  A Canadian tertiary pediatric center.
  
  
  METHODS
  Cases presenting to the emergency department over a 10 year period.
  
  
  METHODS
  Comparison between demographics, mechanisms and natures of injuries sustained, disposition from the emergency department, and lengths of hospital stay.
  
  
  RESULTS
  Contrary to bicycling, ATV related injuries occurred among older ages and appeared to result less often from loss of control. Severe injuries resulting in deep soft tissue trauma and fracture/dislocations were 1.7 and 1.5 times, respectively, more frequent among ATV trauma than bicycling (p<0.01). In addition, ATV related injuries were located more frequently in the trunkal, hip, lower extremity, and spinal regions. Conversely, ATV related trauma bore significant similarities regarding body part and nature of the injury to both motor vehicle crash (MVC) and dirtbike related injuries. Akin to dirtbike and MVC related trauma, ATV related injuries more frequently required admission to the ward or intensive care unit compared to bicycling injuries (30.8% v 9.6%, p<0.0001), and used a proportionally larger amount of hospital resources with respect to overall in-hospital and intensive care unit days.
  
  
  CONCLUSIONS
  Although ATVs may be considered recreational for children, their associated injury patterns, severity, and costs to the healthcare system more closely resemble those from motorized vehicles and are more significant than bicycling. Strict policy to reflect this must be developed and acknowledged by the public, industry, and legislative bodies.
authors.affiliation: Division of Pediatric General Surgery, IWK Health Centre, Halifax, Canada. yanchar@iwk.nshealth.ca
authors.forename: N L
authors.initials: NL
authors.lastname: Yanchar
authors.forename: R
authors.initials: R
authors.lastname: Kennedy
authors.forename: C
authors.initials: C
authors.lastname: Russell
mesh_terms: D000059:Accidents / Q000706:statistics & numerical data*; D000293:Adolescent; D000367:Age Factors; D001642:Bicycling / Q000293:injuries; D002170:Canada / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007902:Length of Stay; D015541:Off-Road Motor Vehicles / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy