title: 7-year retrospective review of quad bike injuries admitted to Starship Children's Hospital.
abstract: OBJECTIVE
  To ascertain morbidity and mortality of children who presented to Starship Children's Hospital with injuries from a quad bike incident from 2007 to 2014, and to review whether current guidelines are sufficient to prevent injury.
  
  
  METHODS
  A retrospective case note review of all children under the age of 16 years who presented to Starship Hospital with an injury sustained whilst riding a quad bike between January 2007 and July 2014.
  
  
  RESULTS
  Twenty-seven patients were identified through both the Starship Children's Hospital Trauma and Paediatric Intensive Care databases with injuries resulting from a quad bike incident. Fifteen patients (56%) had multisystem injuries. The average injury severity score (ISS) was 14 (range 1-75). ISS was higher in those of younger age (<5 years), lower body weight (<20kg), requiring PICU admission and those sustaining head injuries with no helmet. Seven (25.9%) patients required PICU admission, two patients died (7.4%) and three patients (12%) survived to discharge with disability.
  
  
  CONCLUSIONS
  This study supports current published guidelines which recommend limiting the use of quad bikes by children. Current guidelines do not, however, prevent injury in the paediatric population.
authors.affiliation: Paediatric Intensive Care Unit, Starship Hospital, Private Bag 92024, Auckland 1142, New Zealand. rpearce@adhb.govt.nz.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Pearce
authors.forename: Fiona
authors.initials: F
authors.lastname: Miles
mesh_terms: D000056:Accident Prevention / Q000379:methods*; D000293:Adolescent; D001642:Bicycling / Q000293:injuries / Q000592:standards; D002648:Child; D002675:Child, Preschool; D005260:Female; D017408:Guidelines as Topic; D006260:Head Protective Devices / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D009520:New Zealand / Q000453:epidemiology; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control