Evidence map›Paper›PMID 28302103›Full record

ArticleBMC pediatrics2017

Age and the risk of All-Terrain Vehicle-related injuries in children and adolescents: a cross sectional study.

Lianne McLean, Kelly Russell, Steven McFaull, Lynne Warda, Milton Tenenbein, Jonathan McGavock

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Risk factors associated with quadbike crashes: a systematic review.World journal of emergency surgery : WJES · 2022
    Pooled it
  2. Article
  3. Review
  4. All-terrain vehicle injuries in children and adolescents.Canadian family physician Medecin de famille canadien · 2025
    Article
  5. Article
  6. Article
  7. All-terrain vehicle (ATV)-related injuries among different age groups: insights from a 9-year observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Observational
  8. Article
  9. Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Lianne McLeanChildren's Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada.
Kelly RussellChildren's Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada.
Steven McFaullThe Public Health Agency of Canada, Ottawa, Ontario, Canada.
Lynne WardaChildren's Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada.
Milton TenenbeinChildren's Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada.
Jonathan McGavockChildren's Hospital of Winnipeg, The Department of Paediatrics and Child Health, Faculty of Medicine, The University of Manitoba, Winnipeg, MB, Canada. jmcgavock@chrim.ca.
Children's Hospital of Winnipeg · CAUniversity of Manitoba · CAChildren's Hospital Research Institute of Manitoba · CAPublic Health Agency of Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study was designed to determine if youth <16 years are at a greater risk of serious injuries related to all-terrain vehicle (ATV) use compared to older adolescents and adults.

methodsWe performed cross sectional study of children and adults presenting to pediatric and adult emergency departments between 1990 and 2009 in Canada. The primary exposure variable was age <16 years and the primary outcome measure was moderate to serious injury determined from physician report of type and severity of injury.

resultsAmong 5005 individuals with complete data, 58% were <16 years and 35% were admitted to hospital. The odds of a moderate to serious injury versus minor injury among ATV users <16 years of age was not different compared with those ≥16 years of age (OR: 0.94; 95% CI: 0.84, 1.06). After adjusting for era, helmet use, sex and driver status, youth <16 years were more likely to present with a head injury (aOR: 1.45; 95% CI: 1.19-1.77) or fractures (aOR: 1.60; 95% CI: 1.43-1.81), compared with those ≥16 years. Male participants (aOR: 1.21; 95% CI: 1.06-1.38) and drivers (aOR: 1.30, 95% CI: 1.12-1.51) were more likely to experience moderate or serious injuries than females and passengers. Helmet use was associated with significant protection from head injuries (aOR: 0.59; 95% CI: 0.44-0.78).

conclusionsYouth under 16 years are at an increased risk of head injuries and fractures. For youth and adults presenting to emergency departments with an ATV-related injury, moderate to serious injuries associated with ATV use are more common among drivers and males. Helmet use protected against head injuries, suggesting minimum age limits for ATV use and helmet use are warranted.

Indexed as

Off-Road Motor VehiclesAccidentsAdolescentAdultAgedAged, 80 and overAge FactorsCanadaChildChild, PreschoolCraniocerebral TraumaCross-Sectional StudiesEmergency Service, HospitalFemaleFractures, BoneHumansAll-terrain vehiclesChildrenHead injuriesPolicySerious injuries

Identifiers

PMID28302103
PMCPMC5356326
OpenAlexW2595339007

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.