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Published in: Emergency Radiology 4/2019

01-08-2019 | Scapular Fracture | Original Article

Characterization of all-terrain vehicle–related chest injury patterns in children

Authors: Kelly N. Hagedorn, Jennifer H. Johnston, Naga R. Chinapuvvula, Nicholas M. Beckmann, Chunyan Cai, Sean K. Johnston

Published in: Emergency Radiology | Issue 4/2019

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Abstract

Purpose

To evaluate chest injury patterns in pediatric patients involved in all-terrain vehicle (ATV) accidents.

Methods

Retrospective review of patients 0–18 years old admitted to a level I trauma institute following an ATV-related incident from 2004 to 2013 was performed. Chest injury type, accident mechanism, driver/passenger status, and demographic and clinical data were compared between patients with and without chest injury.

Results

Chest injury was present in 102 (22%) of total 455 patients. The most common chest injuries were pulmonary contusion (61%), pneumothorax (45%), and rib fracture (34%). There were no cardiac, esophageal, or tracheobronchial injuries. Pulmonary lacerations, hemothoraces, and scapular fractures were predominantly not detected on radiography and recognized on CT only (86–92%). Patients with chest injury had longer median hospital stays (3 days vs 2 days, p = 0.0054). There was no significant difference in admission to intensive care after controlling for injury severity scores in patients with chest injury compared to those without (17 vs 9). Eight patients with chest injury died (8%) compared to 2 patients without chest injury (0.6%) (p = 0.0002).

Conclusions

Chest injuries are common in children following ATV accidents and may be a marker of more severe trauma. Increased public awareness of these potentially devastating injuries and continuing safety efforts are needed.
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Metadata
Title
Characterization of all-terrain vehicle–related chest injury patterns in children
Authors
Kelly N. Hagedorn
Jennifer H. Johnston
Naga R. Chinapuvvula
Nicholas M. Beckmann
Chunyan Cai
Sean K. Johnston
Publication date
01-08-2019
Publisher
Springer International Publishing
Published in
Emergency Radiology / Issue 4/2019
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-019-01679-y

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