All-terrain vehicle trauma in the elderly: An analysis of a national database

Adeline M. Deladisma, William Parker, Regina Medeiros, Michael L. Hawkins

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The elderly are a growing proportion of all-terrain (ATV) drivers. The purpose of this study was to determine if the outcomes of geriatric ATV trauma victims are different from those of their younger counterparts and if age is an independent predictor of mortality. ATV trauma cases in the United States reported to the National Trauma Data Bank between 1989 and 2003 comprised the study population. A logistic regression model was constructed with mortality as the outcome and age as the primary covariate of interest. A total of 6308 ATV-related traumas were reported to the National Trauma Data Bank during the study period. Geriatric victims presented with significantly higher systolic blood pressure (138.6 ± 34.4 vs 131.4 ± 24.8, P < 0.001) and had a significantly longer length of stay (8.3 ± 11.4 vs 4.8 ± 8.8, P < 0.001) and greater number of intensive care unit days (3.1 ± 7.1 vs 1.3 ± 4.0, P < 0.001). In a multivariate model, age older than 60 years was associated with increased risk of mortality (OR, 6.96; 95% CI, 3.75-12.92). Age older than 60 years is an independent predictor of mortality among ATV trauma cases. Improved training on the use of ATVs in this population and better safety features are warranted.

Original languageEnglish (US)
Pages (from-to)767-769
Number of pages3
JournalAmerican Surgeon
Volume74
Issue number8
StatePublished - Aug 1 2008

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Off-Road Motor Vehicles
Databases
Wounds and Injuries
Mortality
Geriatrics
Logistic Models
Population
Intensive Care Units
Length of Stay
Blood Pressure
Hypertension
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Deladisma, A. M., Parker, W., Medeiros, R., & Hawkins, M. L. (2008). All-terrain vehicle trauma in the elderly: An analysis of a national database. American Surgeon, 74(8), 767-769.

All-terrain vehicle trauma in the elderly : An analysis of a national database. / Deladisma, Adeline M.; Parker, William; Medeiros, Regina; Hawkins, Michael L.

In: American Surgeon, Vol. 74, No. 8, 01.08.2008, p. 767-769.

Research output: Contribution to journalArticle

Deladisma, AM, Parker, W, Medeiros, R & Hawkins, ML 2008, 'All-terrain vehicle trauma in the elderly: An analysis of a national database', American Surgeon, vol. 74, no. 8, pp. 767-769.
Deladisma AM, Parker W, Medeiros R, Hawkins ML. All-terrain vehicle trauma in the elderly: An analysis of a national database. American Surgeon. 2008 Aug 1;74(8):767-769.
Deladisma, Adeline M. ; Parker, William ; Medeiros, Regina ; Hawkins, Michael L. / All-terrain vehicle trauma in the elderly : An analysis of a national database. In: American Surgeon. 2008 ; Vol. 74, No. 8. pp. 767-769.
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