The epidemiology of paediatric off-road motorcycle trauma attended by emergency medical services in Victoria, Australia.

Adolescent Child Emergency Medical Services Female Humans Male Motorcycles Retrospective Studies Trauma Centers Victoria / epidemiology Wounds and Injuries
Ambulance Competitive Injury Motocross Motorcycle Paediatric Pre-hospital Recreational Trauma

Journal

Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 24 06 2019
revised: 02 03 2020
accepted: 13 03 2020
pubmed: 15 4 2020
medline: 20 5 2021
entrez: 15 4 2020
Statut: ppublish

Résumé

Paediatric participation in competitive and recreational off-road motorcycle sports is increasing in popularity worldwide, however injuries frequently occur and the sport is associated with significant morbidity. This study describes the profile of paediatric off-road motorcycle trauma attended by emergency medical services (EMS) in Victoria, Australia. A retrospective review included paediatric (<16 years) competitive and recreational off-road motorcycle patients attended by EMS between 2010 and 2017 in the State of Victoria, Australia. Patient characteristics and injuries sustained were described using descriptive statistics. Predictors of EMS transport were identified using multivariable logistic regression analyses. There were 1,479 paediatric motocross patients attended by EMS between 2010 and 2017. This represents 1.6% of the total state-wide EMS paediatric trauma (<16 years) workload, and equates to an average incidence of 22.2 per 100,000 population. The median age of patients was 13 years (IQR: 10-14) and 89.5% were male. The most common final diagnoses recorded by paramedics were 'fractures' (25.5%, n = 377) and 'unspecified pain' (19.5%, n = 289). Administration of analgesia (76.3%) was the most common EMS management, followed by spinal immobilisation (54.7%) and splinting (33.4%). The vast majority (91.5%) of patients were transported to hospital by EMS. Following admission, 38 (2.6%) patients were confirmed to have sustained major trauma, 78.9% of which had been transported direct from scene to a major trauma centre for definitive care. Median ISS for confirmed major trauma patients was 14 (IQR: 14-22). Four (0.4%) patients received pre-hospital CPR. All four sustained injuries from recreational off-road, motorcycle activities and all four cases died, two at the scene and two in-hospital. Off-road motorcycle activities are an important cause of death and injury in Victorian children, as highlighted and demonstrated by the four deaths and high EMS transport rates borne out in this study. Riders and parents need to be aware of these risks, and organised events must have adequate on-site medical care resources.

Sections du résumé

BACKGROUND BACKGROUND
Paediatric participation in competitive and recreational off-road motorcycle sports is increasing in popularity worldwide, however injuries frequently occur and the sport is associated with significant morbidity.
OBJECTIVE OBJECTIVE
This study describes the profile of paediatric off-road motorcycle trauma attended by emergency medical services (EMS) in Victoria, Australia.
METHODS METHODS
A retrospective review included paediatric (<16 years) competitive and recreational off-road motorcycle patients attended by EMS between 2010 and 2017 in the State of Victoria, Australia. Patient characteristics and injuries sustained were described using descriptive statistics. Predictors of EMS transport were identified using multivariable logistic regression analyses.
RESULTS RESULTS
There were 1,479 paediatric motocross patients attended by EMS between 2010 and 2017. This represents 1.6% of the total state-wide EMS paediatric trauma (<16 years) workload, and equates to an average incidence of 22.2 per 100,000 population. The median age of patients was 13 years (IQR: 10-14) and 89.5% were male. The most common final diagnoses recorded by paramedics were 'fractures' (25.5%, n = 377) and 'unspecified pain' (19.5%, n = 289). Administration of analgesia (76.3%) was the most common EMS management, followed by spinal immobilisation (54.7%) and splinting (33.4%). The vast majority (91.5%) of patients were transported to hospital by EMS. Following admission, 38 (2.6%) patients were confirmed to have sustained major trauma, 78.9% of which had been transported direct from scene to a major trauma centre for definitive care. Median ISS for confirmed major trauma patients was 14 (IQR: 14-22). Four (0.4%) patients received pre-hospital CPR. All four sustained injuries from recreational off-road, motorcycle activities and all four cases died, two at the scene and two in-hospital.
CONCLUSION CONCLUSIONS
Off-road motorcycle activities are an important cause of death and injury in Victorian children, as highlighted and demonstrated by the four deaths and high EMS transport rates borne out in this study. Riders and parents need to be aware of these risks, and organised events must have adequate on-site medical care resources.

Identifiants

DOI: 10.1016/j.injury.2020.03.036 PMID: 32284184
pubmed: 32284184
pii: S0020-1383(20)30263-1
doi: 10.1016/j.injury.2020.03.036
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2016-2024

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None to declare.

Auteurs

Alexandra Finch (A)

Centre for Research & Evaluation, Medical Directorate, Ambulance Victoria, Victoria, Australia; University of Birmingham, Birmingham, United Kingdom.

Shelley Cox (S)

Centre for Research & Evaluation, Medical Directorate, Ambulance Victoria, Victoria, Australia; Department of Epidemiology & Preventive Medicine, Monash University, Victoria, Australia. Electronic address: Shelley.Cox@ambulance.vic.gov.au.

Stephen Bernard (S)

Centre for Research & Evaluation, Medical Directorate, Ambulance Victoria, Victoria, Australia; Department of Epidemiology & Preventive Medicine, Monash University, Victoria, Australia; Intensive Care Unit, The Alfred Hospital, Victoria, Australia.

Warwick Teague (W)

Trauma Service, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia; Surgical Research Group, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia.

Karen Smith (K)

Centre for Research & Evaluation, Medical Directorate, Ambulance Victoria, Victoria, Australia; Department of Epidemiology & Preventive Medicine, Monash University, Victoria, Australia; Department of Community Emergency Health and Paramedic Practice, Monash University, Victoria, Australia; School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Western Australia, Australia.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › The epidemiology of paediatric off-road...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › The epidemiology of paediatric off-road...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services des urgences médicales › The epidemiology of paediatric off-road...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The epidemiology of paediatric off-road...
questionsmedicales.fr › Technologie, industrie et agriculture › Transports › Véhicules motorisés › Motocyclettes › The epidemiology of paediatric off-road...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › The epidemiology of paediatric off-road...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Administration d'établissement de santé › Administration hospitalière › Services hospitaliers › Service hospitalier d'urgences › Centres de traumatologie › The epidemiology of paediatric off-road...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Victoria › The epidemiology of paediatric off-road...
questionsmedicales.fr › Plaies et blessures › The epidemiology of paediatric off-road...