Nichols John Charles, Sorrentino Annalise, Hayslip Margaret, King William, Jones Angela, Monroe Kathy
University of Alabama School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA.
Division of Pediatric Emergency Medicine University of Alabama Birmingham, Department of Pediatrics, University of Alabama School of Medicine, 1600 7th Ave So, Suite 110 CPP, Children's of Alabama, Birmingham, AL, 35233, USA.
Inj Epidemiol. 2022 Dec 21;9(Suppl 1):44. doi: 10.1186/s40621-022-00395-5.
Injuries are the number one cause of death in children and cause significant morbidity. Common scenarios for injury include wheeled recreational devices (WRDs) that allow children to be mobile and independent (example ATV-all terrain vehicles, dirt bikes, bicycles, skateboards, and scooters). We present a case series review of these external causes of injury. This study aims to evaluate epidemiologic trends in WRD injuries and patterns in usage of protective gear.
A total of 263 patients were identified as meeting criteria for inclusion with the following causes of injuries-103 bicycle, 73 ATV, 27 dirt bike, 14 skateboard, 13 motorcycle, 7 go carts, 3 hover board, 3 roller skates, 1 dune buggy, 1 motor scooter, 1 rip stick, and 1 tractor toy. Ages of patients ranged from 2 to 18 years of age with the greatest range being noted for bicycles (2-17 years) and motorcycles (3-18 years). The mean age was higher for motorcycle and skateboard (12.9 and 11.6, respectively) and lowest for scooter and bicycle (8.3 and 9.2, respectively). The majority of [overall study (97%) and for each mode of transportation] patients were Caucasian, which is in contrast to our overall ED population, which is only 42% Caucasian. The majority of patients were male [190 (72%)]. Over half of the overall patients, 159 of the 263 (60%), were not wearing a helmet (with only 10 charts having no documentation of helmet use). In regard to ATV riders specifically, 58% were not wearing helmets at the time of injury, with an additional 5 patients who reported their helmet came off. The lowest percentage of riders reporting appropriate helmet use was skateboarders with only 21% wearing helmets, and the highest percentage was dirt bike riders with 74% reporting helmet use.
Common scenarios for injury include WRDs that allow children to be mobile and independent. Most of these injuries were found in Caucasian males between the ages of 9-12 with low rates of helmet use. This study adds to the literature with a description of the breadth of products children use and are injured while using.
伤害是儿童死亡的首要原因，并会导致严重的发病率。常见的伤害场景包括使儿童能够活动和独立的轮式娱乐设备（WRD）（例如全地形车、越野摩托车、自行车、滑板和踏板车）。我们呈现了一系列关于这些外部伤害原因的病例回顾。本研究旨在评估WRD伤害的流行病学趋势以及防护装备的使用模式。
共确定263名患者符合纳入标准，其受伤原因如下：103例自行车伤、73例全地形车伤、27例越野摩托车伤、14例滑板伤、13例摩托车伤、7例卡丁车伤、3例悬浮滑板伤、3例轮滑伤、1例沙滩车伤、1例小型摩托车伤、1例蛇板伤和1例拖拉机玩具伤。患者年龄在2至18岁之间，其中自行车伤患者年龄范围最大（2至17岁），摩托车伤患者次之（3至18岁）。摩托车伤和滑板伤患者的平均年龄较高（分别为12.9岁和11.6岁），踏板车伤和自行车伤患者的平均年龄最低（分别为8.3岁和9.2岁）。大多数患者（总体研究中的97%以及每种交通方式中的患者）为白种人，这与我们急诊室的总体人群情况不同，急诊室总体人群中白种人仅占42%。大多数患者为男性[190例（72%）]。超过半数的患者，即263例中的159例（60%），未佩戴头盔（只有10份病历未记录头盔使用情况）。具体就全地形车骑手而言，58%的人在受伤时未佩戴头盔，另有5名患者报告其头盔脱落。报告正确使用头盔比例最低的是滑板骑手，只有21%的人佩戴头盔，比例最高的是越野摩托车骑手，74%的人报告使用了头盔。
常见的伤害场景包括使儿童能够活动和独立的WRD。这些伤害大多发生在9至12岁的白种男性中，头盔使用率较低。本研究通过描述儿童使用并在使用过程中受伤的产品范围，丰富了相关文献。
