Bansal Vishal, Fortlage Dale, Lee Jeanne, Kuncir Eric, Potenza Bruce, Coimbra Raul
Department of Surgery, Division of Trauma, Burns and Critical Care, University of California San Diego, San Diego, CA, USA.
Am J Surg. 2008 Jun;195(6):789-92. doi: 10.1016/j.amjsurg.2007.05.049.
All-terrain vehicle (ATV)-related injuries have increased. The purpose of this study was to determine if the increase in injuries correlates with the expiration of government mandates.
ATV-injured patients admitted to a level I trauma center were reviewed over the years 1985-1999 and 2000-2005. Several demographic variables and injuries sustained were analyzed.
There were a total of 433 injuries, which increased from 164 between 1985 and 1999, to 269 between 2000 and 2005. By comparing the time periods we observed a decrease in closed-head injury (53.6% vs 27.5%; P < .001), spinal cord injury (11.6% vs 5.2%; P < .05), and soft-tissue injury (62.8% vs 45.3%; P < .01), but an increase in long-bone fractures (18.9% vs 33.0%; P < .05). No differences were observed in other injuries.
The number of patients sustaining ATV-related injuries has increased and correlates with the expiration of government mandates. Even though ATVs remain dangerous, injury prevention strategies such as helmet laws may be having a positive impact.
全地形车（ATV）相关损伤有所增加。本研究的目的是确定损伤的增加是否与政府强制规定的到期有关。
回顾了1985 - 1999年和2000 - 2005年期间入住一级创伤中心的ATV损伤患者。分析了几个人口统计学变量和所受损伤情况。
共有433例损伤，从1985年至1999年的164例增加到2000年至2005年的269例。通过比较不同时间段，我们观察到闭合性头部损伤有所减少（53.6%对27.5%；P < 0.001），脊髓损伤有所减少（11.6%对5.2%；P < 0.05），软组织损伤有所减少（62.8%对45.3%；P < 0.01），但长骨骨折有所增加（18.9%对33.0%；P < 0.05）。其他损伤未观察到差异。
ATV相关损伤患者数量增加，且与政府强制规定的到期有关。尽管ATV仍然危险，但诸如头盔法等 injury prevention strategies（此处原文有误，应为injury prevention strategies，意为预防损伤策略）可能正在产生积极影响。
