Childhood motocross truncal injuries: High-velocity, focal force to the chest and abdomen

Raelene D. Kennedy, D. Dean Potter, John B. Osborn, Scott Zietlow, Abdalla E. Zarroug, Christopher R. Moir, Michael B. Ishitani, Amy McIntosh

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Article numbere001848
JournalBMJ Open
Volume2
Issue number6
DOIs
StatePublished - 2012

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Abdomen
Thorax
Wounds and Injuries
Intensive Care Units
Length of Stay
Thoracic Injuries
Injury Severity Score
Critical Care
Registries
Pediatrics
Abdominal Injuries
Contusions
Lacerations
Trauma Centers
Lung Injury
Pneumothorax
Spleen
Parents
Demography
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kennedy, R. D., Potter, D. D., Osborn, J. B., Zietlow, S., Zarroug, A. E., Moir, C. R., ... McIntosh, A. (2012). Childhood motocross truncal injuries: High-velocity, focal force to the chest and abdomen. BMJ Open, 2(6), [e001848]. https://doi.org/10.1136/bmjopen-2012-001848

Childhood motocross truncal injuries : High-velocity, focal force to the chest and abdomen. / Kennedy, Raelene D.; Potter, D. Dean; Osborn, John B.; Zietlow, Scott; Zarroug, Abdalla E.; Moir, Christopher R.; Ishitani, Michael B.; McIntosh, Amy.

In: BMJ Open, Vol. 2, No. 6, e001848, 2012.

Research output: Contribution to journalArticle

Kennedy, RD, Potter, DD, Osborn, JB, Zietlow, S, Zarroug, AE, Moir, CR, Ishitani, MB & McIntosh, A 2012, 'Childhood motocross truncal injuries: High-velocity, focal force to the chest and abdomen', BMJ Open, vol. 2, no. 6, e001848. https://doi.org/10.1136/bmjopen-2012-001848
Kennedy RD, Potter DD, Osborn JB, Zietlow S, Zarroug AE, Moir CR et al. Childhood motocross truncal injuries: High-velocity, focal force to the chest and abdomen. BMJ Open. 2012;2(6). e001848. https://doi.org/10.1136/bmjopen-2012-001848
Kennedy, Raelene D. ; Potter, D. Dean ; Osborn, John B. ; Zietlow, Scott ; Zarroug, Abdalla E. ; Moir, Christopher R. ; Ishitani, Michael B. ; McIntosh, Amy. / Childhood motocross truncal injuries : High-velocity, focal force to the chest and abdomen. In: BMJ Open. 2012 ; Vol. 2, No. 6.
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abstract = "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.",
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