Characterization of pediatric golf cart injuries to guide injury prevention efforts

Joseph R. Starnes, Purnima Unni, Cherie A. Fathy, Kelly A. Harms, Shelby R. Payne, Dai H. Chung

Research output: Contribution to journalArticle

Abstract

Background: Golf cart injuries represent an increasing source of morbidity and mortality in the United States. Characterization of the circumstances of these injuries can inform injury prevention efforts. Methods: This study retrospectively reviews a prospective trauma registry at a level-one pediatric trauma center for golf cart-related injuries in patients under 18 years of age admitted to the hospital between 2008 and 2016. Results: The 40 identified crashes were associated with 82 hospital days, 17 ICU days, and more than $1 million in hospital charges over the study period. The median hospital stay was 1.5 days, and the median hospital charge was $20,489. Severe injuries with an Injury Severity Score of >15 were identified in 25% of patients, and moderate injuries with scores between nine and 15 were identified in an additional 30%. The most common injures were head and neck (60%) and external injuries to the body surface (52.5%). Only a single child was wearing a seatbelt, and the vast majority was not using any safety equipment. Children as young as nine years old were driving golf carts, and child drivers were associated with the cart overturning (p = 0.007). Conclusions: Golf cart crashes were a source of substantial morbidity at a level-one trauma center. Increased safety measures, such as higher hip restraints, seatbelts, and front-wheel breaks could substantially increase the safety of golf carts. Increased regulation of driving age as well as driver education may also reduce these injuries.

Original languageEnglish (US)
Pages (from-to)1049-1052
Number of pages4
JournalAmerican Journal of Emergency Medicine
Volume36
Issue number6
DOIs
StatePublished - Jun 2018
Externally publishedYes

Fingerprint

Golf
Pediatrics
Wounds and Injuries
Hospital Charges
Trauma Centers
Equipment Safety
Morbidity
Safety
Injury Severity Score
Registries
Hip
Length of Stay
Neck
Head
Education

Keywords

  • Accident prevention
  • Epidemiology
  • Golf
  • Wounds and injuries

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Characterization of pediatric golf cart injuries to guide injury prevention efforts. / Starnes, Joseph R.; Unni, Purnima; Fathy, Cherie A.; Harms, Kelly A.; Payne, Shelby R.; Chung, Dai H.

In: American Journal of Emergency Medicine, Vol. 36, No. 6, 06.2018, p. 1049-1052.

Research output: Contribution to journalArticle

Starnes, Joseph R. ; Unni, Purnima ; Fathy, Cherie A. ; Harms, Kelly A. ; Payne, Shelby R. ; Chung, Dai H. / Characterization of pediatric golf cart injuries to guide injury prevention efforts. In: American Journal of Emergency Medicine. 2018 ; Vol. 36, No. 6. pp. 1049-1052.
@article{a4b81c744c694b31ac189415ddbac0ef,
title = "Characterization of pediatric golf cart injuries to guide injury prevention efforts",
abstract = "Background: Golf cart injuries represent an increasing source of morbidity and mortality in the United States. Characterization of the circumstances of these injuries can inform injury prevention efforts. Methods: This study retrospectively reviews a prospective trauma registry at a level-one pediatric trauma center for golf cart-related injuries in patients under 18 years of age admitted to the hospital between 2008 and 2016. Results: The 40 identified crashes were associated with 82 hospital days, 17 ICU days, and more than $1 million in hospital charges over the study period. The median hospital stay was 1.5 days, and the median hospital charge was $20,489. Severe injuries with an Injury Severity Score of >15 were identified in 25{\%} of patients, and moderate injuries with scores between nine and 15 were identified in an additional 30{\%}. The most common injures were head and neck (60{\%}) and external injuries to the body surface (52.5{\%}). Only a single child was wearing a seatbelt, and the vast majority was not using any safety equipment. Children as young as nine years old were driving golf carts, and child drivers were associated with the cart overturning (p = 0.007). Conclusions: Golf cart crashes were a source of substantial morbidity at a level-one trauma center. Increased safety measures, such as higher hip restraints, seatbelts, and front-wheel breaks could substantially increase the safety of golf carts. Increased regulation of driving age as well as driver education may also reduce these injuries.",
keywords = "Accident prevention, Epidemiology, Golf, Wounds and injuries",
author = "Starnes, {Joseph R.} and Purnima Unni and Fathy, {Cherie A.} and Harms, {Kelly A.} and Payne, {Shelby R.} and Chung, {Dai H.}",
year = "2018",
month = "6",
doi = "10.1016/j.ajem.2018.03.002",
language = "English (US)",
volume = "36",
pages = "1049--1052",
journal = "American Journal of Emergency Medicine",
issn = "0735-6757",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Characterization of pediatric golf cart injuries to guide injury prevention efforts

AU - Starnes, Joseph R.

AU - Unni, Purnima

AU - Fathy, Cherie A.

AU - Harms, Kelly A.

AU - Payne, Shelby R.

AU - Chung, Dai H.

PY - 2018/6

Y1 - 2018/6

N2 - Background: Golf cart injuries represent an increasing source of morbidity and mortality in the United States. Characterization of the circumstances of these injuries can inform injury prevention efforts. Methods: This study retrospectively reviews a prospective trauma registry at a level-one pediatric trauma center for golf cart-related injuries in patients under 18 years of age admitted to the hospital between 2008 and 2016. Results: The 40 identified crashes were associated with 82 hospital days, 17 ICU days, and more than $1 million in hospital charges over the study period. The median hospital stay was 1.5 days, and the median hospital charge was $20,489. Severe injuries with an Injury Severity Score of >15 were identified in 25% of patients, and moderate injuries with scores between nine and 15 were identified in an additional 30%. The most common injures were head and neck (60%) and external injuries to the body surface (52.5%). Only a single child was wearing a seatbelt, and the vast majority was not using any safety equipment. Children as young as nine years old were driving golf carts, and child drivers were associated with the cart overturning (p = 0.007). Conclusions: Golf cart crashes were a source of substantial morbidity at a level-one trauma center. Increased safety measures, such as higher hip restraints, seatbelts, and front-wheel breaks could substantially increase the safety of golf carts. Increased regulation of driving age as well as driver education may also reduce these injuries.

AB - Background: Golf cart injuries represent an increasing source of morbidity and mortality in the United States. Characterization of the circumstances of these injuries can inform injury prevention efforts. Methods: This study retrospectively reviews a prospective trauma registry at a level-one pediatric trauma center for golf cart-related injuries in patients under 18 years of age admitted to the hospital between 2008 and 2016. Results: The 40 identified crashes were associated with 82 hospital days, 17 ICU days, and more than $1 million in hospital charges over the study period. The median hospital stay was 1.5 days, and the median hospital charge was $20,489. Severe injuries with an Injury Severity Score of >15 were identified in 25% of patients, and moderate injuries with scores between nine and 15 were identified in an additional 30%. The most common injures were head and neck (60%) and external injuries to the body surface (52.5%). Only a single child was wearing a seatbelt, and the vast majority was not using any safety equipment. Children as young as nine years old were driving golf carts, and child drivers were associated with the cart overturning (p = 0.007). Conclusions: Golf cart crashes were a source of substantial morbidity at a level-one trauma center. Increased safety measures, such as higher hip restraints, seatbelts, and front-wheel breaks could substantially increase the safety of golf carts. Increased regulation of driving age as well as driver education may also reduce these injuries.

KW - Accident prevention

KW - Epidemiology

KW - Golf

KW - Wounds and injuries

UR - http://www.scopus.com/inward/record.url?scp=85043339858&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85043339858&partnerID=8YFLogxK

U2 - 10.1016/j.ajem.2018.03.002

DO - 10.1016/j.ajem.2018.03.002

M3 - Article

C2 - 29530356

AN - SCOPUS:85043339858

VL - 36

SP - 1049

EP - 1052

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

SN - 0735-6757

IS - 6

ER -