Gill Peter J, McLaughlin Thomas, Rosenfield Daniel, Moore Hepburn Charlotte, Yanchar Natalie L, Beno Suzanne
Division of Paediatric Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario.
Department of Paediatrics, University of Toronto, Toronto, Ontario.
Paediatr Child Health. 2019 Feb;24(1):e13-e18. doi: 10.1093/pch/pxy059. Epub 2018 Jun 18.
All-Terrain Vehicles (ATVs) are a leading cause of serious injury in children and youth. Certain Canadian regions have implemented legislation to promote safety, including age restrictions, mandatory training and helmet use. Jurisdictions with more stringent ATV safety legislation have been shown to have reduced injury rates in the short term.
To estimate the burden of ATV-related serious injury and death in Canada and to identify Canadian physicians' knowledge of ATV-related legislation, safety and health promotion practices.
A one-time survey was distributed to practicing paediatricians and paediatric subspecialists participating in the Canadian Paediatric Surveillance Program (CPSP) in October 2016.
Of 2793 physicians contacted, 904 responded (32.4%). There were 181 reported cases of serious and/or fatal ATV-related injuries, including 6 deaths. Children aged 10 to 14 represented the most number of cases (n=82, 45.3%), followed by 15 to 19 (n=48, 26.5%) and 5 to 9 (n=40, 22.1%). Most cases occurred in July/August (48.3%) and May/June (25.2%), were in males (n=133, 78.2%), and occurred during recreational activity (n=139, 83.2%) or organized racing (n=6, 3.6%). In 99 cases (58.9%), the child was the driver of the ATV. Only two-thirds of respondents (67.5%) knew that ATVs should not carry passengers while under half (42.2%) never discussed ATV safety with their patients.
ATV-related injuries and deaths in Canadian children remain a serious public health problem. Education of health care practitioners, including paediatricians, is needed to promote safety. Despite efforts to reduce ATV-related injuries, there remains a significant number of serious injuries and/deaths related to their use.
全地形车（ATV）是儿童和青少年严重受伤的主要原因。加拿大的某些地区已实施立法以促进安全，包括年龄限制、强制培训和头盔使用。事实证明，拥有更严格的全地形车安全立法的司法管辖区在短期内降低了受伤率。
估计加拿大全地形车相关严重伤害和死亡的负担，并确定加拿大医生对全地形车相关立法、安全和健康促进措施的了解情况。
2016年10月，向参与加拿大儿科监测计划（CPSP）的执业儿科医生和儿科亚专科医生进行了一次性调查。
在联系的2793名医生中，904人做出了回应（32.4%）。报告了181例全地形车相关的严重和/或致命伤害病例，包括6例死亡。10至14岁的儿童病例数最多（n = 82，45.3%），其次是15至19岁（n = 48，26.5%）和5至9岁（n = 40，22.1%）。大多数病例发生在7月/8月（48.3%）和5月/6月（25.2%），患者为男性（n = 133，78.2%），且发生在娱乐活动期间（n = 139，83.2%）或有组织的比赛中（n = 6，3.6%）。在99例（58.9%）中，儿童是全地形车的驾驶者。只有三分之二的受访者（67.5%）知道全地形车在行驶时不应搭载乘客，而不到一半的受访者（42.2%）从未与他们的患者讨论过全地形车安全问题。
加拿大儿童中与全地形车相关的伤害和死亡仍然是一个严重的公共卫生问题。需要对包括儿科医生在内的医疗从业者进行教育以促进安全。尽管努力减少与全地形车相关的伤害，但仍有大量与使用全地形车相关的严重伤害和/或死亡事件。
