{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T20:39:16Z","timestamp":1772311156462,"version":"3.50.1"},"reference-count":21,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,11,1]]},"abstract":"<jats:p>Background. All-terrain vehicles (ATVs) have gained in popularity in recent years, and this rise in use has been accompanied by increases in the number of ATV-related injuries. Because children often lack the physical strength, cognitive abilities, and fine motor skills to operate ATVs properly, their risk for injury is greater. Furthermore, most children ride adult-sized ATVs.<\/jats:p>\n               <jats:p>Objectives. To estimate the numbers and rates of ATV-related nonfatal injuries to riders aged \u226415 years who were treated in hospital emergency departments (EDs) in the United States from 2001 through 2003.<\/jats:p>\n               <jats:p>Methods. Estimates of ATV-related injuries were obtained from the US Consumer Product Safety Commission's National Electronic Injury Surveillance System-All Injury Program. The database is a nationally representative, stratified probability sample of 66 US hospitals with \u22656 beds and a 24-hour ED. ATV-related nonfatal injuries to riders aged \u226415 years who were treated in hospital EDs were examined by age group, gender, primary body part injured, diagnosis, and hospital admission status.<\/jats:p>\n               <jats:p>Results. From 2001 through 2003, an estimated 108724 children aged \u226415 years were treated in hospital EDs for nonfatal injuries sustained while riding ATVs. The number of ATV-related injuries increased by 25% over the 3-year period. Males aged 11 to 15 years accounted for 52% of all ATV-related ED visits and hospitalizations among young riders. Children aged 0 to 5 years were more likely than the older children to have facial injuries, whereas the older children were more likely to sustain lower trunk and leg or foot injuries. Fractures were the most common diagnosis, accounting for 27% of ED visits and 45% of hospitalizations.<\/jats:p>\n               <jats:p>Conclusions. Current legal and regulatory standards have been ineffective in reducing injuries among young ATV riders. Renewed efforts by health care providers to counsel parents about the injury risk to children who ride ATVs and advocate for more stringent state-level minimum age requirements may help reduce the escalating rates of ATV-related injuries among young riders.<\/jats:p>","DOI":"10.1542\/peds.2005-0937","type":"journal-article","created":{"date-parts":[[2005,11,1]],"date-time":"2005-11-01T18:08:50Z","timestamp":1130868530000},"page":"e608-e612","source":"Crossref","is-referenced-by-count":44,"title":["All-Terrain Vehicle\u2013Related Nonfatal Injuries Among Young Riders: United States, 2001\u20132003"],"prefix":"10.1542","volume":"116","author":[{"given":"Ruth A.","family":"Shults","sequence":"first","affiliation":[{"name":"National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey D.","family":"Wiles","sequence":"additional","affiliation":[{"name":"Loma Linda University Children\u2019s Hospital, Loma Linda University Medical Center, Loma Linda, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhavi","family":"Vajani","sequence":"additional","affiliation":[{"name":"National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James C.","family":"Helmkamp","sequence":"additional","affiliation":[{"name":"Injury Control Research Center, West Virginia University, Morgantown, West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2005,11,1]]},"reference":[{"key":"2021120819474234500_R1","doi-asserted-by":"crossref","unstructured":"Helmkamp JC. Injuries and deaths and the use of all-terrain vehicles. N Engl J Med.\u20082000;343:1733\u20131734","DOI":"10.1056\/NEJM200012073432313"},{"key":"2021120819474234500_R2","unstructured":"Levenson MS. All-terrain vehicle 2001 injury and exposure studies. 2003. Available at: www.cpsc.gov\/LIBRARY\/FOIA\/FOIA03\/os\/atvex2001.pdf Accessed April 8, 2005"},{"key":"2021120819474234500_R3","unstructured":"US Consumer Product Safety Commission. 2003 annual report of ATV deaths and injuries. Washington, DC: Directorate for Epidemiology, Consumer Product Safety Commission; January 2005. Available at: www.cpsc.gov\/library\/foia\/foia05\/brief\/atv2003.pdf Accessed April 8, 2005"},{"key":"2021120819474234500_R4","unstructured":"Schroeder T, Ault K. NEISS-All Injury Program: Sample Design and Implementation. Washington, DC: US Consumer Product Safety Commission; 2000"},{"key":"2021120819474234500_R5","unstructured":"US Census Bureau. U.S. interim projections by age, sex, race, and Hispanic origin, detail file. Available at: www.census.govipc\/www\/usinterproj\/usproj2000-2050.xls Accessed April 8, 2005"},{"key":"2021120819474234500_R6","unstructured":"US Consumer Product Safety Commission. NEISS Coding Manual, All Injury: July 2002. Washington, DC: US Consumer Product Safety Commission; 2002"},{"key":"2021120819474234500_R7","doi-asserted-by":"crossref","unstructured":"Upperman JS, Shultz B, Gaines BA, et al. All-terrain vehicle rules and regulations: impact on pediatric mortality. J Pediatr Surg.\u20082003;38:1284\u20131286","DOI":"10.1016\/S0022-3468(03)00383-X"},{"key":"2021120819474234500_R8","doi-asserted-by":"crossref","unstructured":"Helmkamp JC. A comparison of state-specific all-terrain vehicle-related death rates, 1990\u20131999. Am J Pubic Health.\u20082001;91:1792\u20131795","DOI":"10.2105\/AJPH.91.11.1792"},{"key":"2021120819474234500_R9","unstructured":"US Consumer Product Safety Commission. All-terrain vehicle safety. Available at: www.cpsc.gov\/cpscpub\/pubs\/540.html Accessed April 8, 2005"},{"key":"2021120819474234500_R10","doi-asserted-by":"crossref","unstructured":"Brown RL, Koepplinger ME, Mehlman CT, Gittlemen M, Garcia VF. All-terrain vehicle and bicycle crashes in children: epidemiology and comparison on injury severity. J Pediatr Surg.\u20082002;37:375\u2013380","DOI":"10.1053\/jpsu.2002.30826"},{"key":"2021120819474234500_R11","doi-asserted-by":"crossref","unstructured":"Rodgers GB, Adler P. Risk factors for all-terrain vehicle injuries: a national case-control study. Am J Epidemiol.\u20082001;153:1112\u20131118","DOI":"10.1093\/aje\/153.11.1112"},{"key":"2021120819474234500_R12","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics, Committee on Accident and Poison Prevention. All-terrain vehicle injury prevention: two-, three-, and four-wheeled unlicensed motor vehicles. 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