Maynard F M, Krasnick R
Department of Physical Medicine and Rehabilitation, University of Michigan Medical Center, Ann Arbor 48109-0042.
Ann Emerg Med. 1988 Jan;17(1):30-3. doi: 10.1016/s0196-0644(88)80499-2.
Twelve cases of spinal cord injury (SCI) resulting from recreational off-road vehicle (ORV) accidents seen during a three-year period at a spinal cord injury center were analyzed using structured interviews and record reviews. Seven accidents involved three-wheel all-terrain vehicles (ATVs), one involved a four-wheel ATV, and four involved two-wheel trailbikes. The analysis of accident victim characteristics showed that all age groups are at risk, and that most victims were young adult men vehicle drivers with experience and wearing helmets. Spinal injury levels were cervical, three; thoracic, three; and thoracolumbar, six. Categorized accident hazard patterns were loss of control, six; tipover, four; and hidden obstacle, two. Contributing causative factors to the accident occurrence were poor driver judgment, seven, and vehicle instability, eight. Speeding was the most frequent primary cause of ORV accidents. We discuss vehicle and driver performance characteristics as they relate to risk of accident occurrence. The frequency of ORV accidents as an etiology of traumatic SCI at our center was 8%, compared to 8% for diving accidents and 11% for motorcycle accidents. We recommend, in view of the high risk of severe injury, widespread public education about ORV accident prevention.
在一家脊髓损伤中心，对三年期间因休闲越野车辆（ORV）事故导致的12例脊髓损伤（SCI）病例进行了分析，采用了结构化访谈和记录审查。7起事故涉及三轮全地形车（ATV），1起涉及四轮ATV，4起涉及两轮越野摩托车。对事故受害者特征的分析表明，所有年龄组都有风险，且大多数受害者是有经验且佩戴头盔的年轻成年男性车辆驾驶员。脊髓损伤水平为颈椎损伤3例、胸椎损伤3例、胸腰段损伤6例。分类的事故危险模式为失控6起、翻车4起、隐藏障碍物2起。导致事故发生的促成因素是驾驶员判断失误7起、车辆不稳定8起。超速是ORV事故最常见的主要原因。我们讨论了与事故发生风险相关的车辆和驾驶员性能特征。在我们中心，ORV事故作为创伤性SCI病因的发生率为8%，相比之下，潜水事故为8%，摩托车事故为11%。鉴于重伤风险高，我们建议对ORV事故预防进行广泛的公众教育。
