TY - JOUR
T1 - Childhood motocross truncal injuries
T2 - High-velocity, focal force to the chest and abdomen
AU - Kennedy, Raelene D.
AU - Potter, D. Dean
AU - Osborn, John B.
AU - Zietlow, Scott
AU - Zarroug, Abdalla E.
AU - Moir, Christopher R.
AU - Ishitani, Michael B.
AU - McIntosh, Amy
PY - 2012
Y1 - 2012
N2 - Objectives: To review the need for operative intervention and critical care services for motocross truncal injuries in children. Design cohort: Retrospective review of patients identified via the hospital trauma registry. Setting: Our Level 1 Pediatric Trauma Center serves five motocross tracks. These patients require frequent medical care for injuries. Participants: All patients ≤17 years of age with truncal injuries sustained during motocross activities, between 2000 and 2011, were identified through the trauma registry. Primary and secondary outcome measures: Operative intervention, intensive care unit (ICU) admission, length of stay, morbidity and demographics were reviewed. Results: Motocross injured 162 children. Thirty (18.5%) were thoracic or abdominal injuries. Operative intervention was required in eight (27%) patients. Mean injury severity score (ISS) was 11.8. ICU admission was required in 50% and average hospital length of stay was 4.1 days. The most common injuries include pulmonary contusion, pneumothorax, spleen and liver lacerations. 13% of subjects suffered truncal injury from motocross on more than one occasion. Conclusions: Paediatric motocross-related truncal injuries are significant. Surgical intervention is required in 27% of patients. The lower ISS incurred from motocross combined with high surgical and ICU admission rates suggests focal high-impact injuries to the chest and abdomen. Despite significant injury, 13% of motocross patients suffer recurrent injuries. Parents and children need injury prevention education.
AB - Objectives: To review the need for operative intervention and critical care services for motocross truncal injuries in children. Design cohort: Retrospective review of patients identified via the hospital trauma registry. Setting: Our Level 1 Pediatric Trauma Center serves five motocross tracks. These patients require frequent medical care for injuries. Participants: All patients ≤17 years of age with truncal injuries sustained during motocross activities, between 2000 and 2011, were identified through the trauma registry. Primary and secondary outcome measures: Operative intervention, intensive care unit (ICU) admission, length of stay, morbidity and demographics were reviewed. Results: Motocross injured 162 children. Thirty (18.5%) were thoracic or abdominal injuries. Operative intervention was required in eight (27%) patients. Mean injury severity score (ISS) was 11.8. ICU admission was required in 50% and average hospital length of stay was 4.1 days. The most common injuries include pulmonary contusion, pneumothorax, spleen and liver lacerations. 13% of subjects suffered truncal injury from motocross on more than one occasion. Conclusions: Paediatric motocross-related truncal injuries are significant. Surgical intervention is required in 27% of patients. The lower ISS incurred from motocross combined with high surgical and ICU admission rates suggests focal high-impact injuries to the chest and abdomen. Despite significant injury, 13% of motocross patients suffer recurrent injuries. Parents and children need injury prevention education.
UR - http://www.scopus.com/inward/record.url?scp=84873117445&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84873117445&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2012-001848
DO - 10.1136/bmjopen-2012-001848
M3 - Article
C2 - 23166134
AN - SCOPUS:84873117445
SN - 2044-6055
VL - 2
JO - BMJ Open
JF - BMJ Open
IS - 6
M1 - e001848
ER -