J Korean Soc Emerg Med.  2016 Feb;27(1):82-91. 10.0000/jksem.2016.27.1.82.

Comparison of Injury Patterns between All-terrain Vehicles and Motorbike Riders in Jeju Island

• Lee JK
• Kang YJ
• Song SW
• Kim WJ
• Kang K
• Park HS
• Park CB
• Kang JH
• Boo JW
• Lee SG

• KMID: 2191641
• DOI: http://doi.org/10.0000/jksem.2016.27.1.82

Abstract

PURPOSE
As the usage rate of all-terrain vehicles (ATV) the number of injuries caused by ATVs is also surging. This has led to an increase in social attention to the safety of ATVs and the law for ATV safety standards was revised in 2009 and 2011. The purpose of this study was to evaluate the characteristics of ATV injury compared with motorbike injury after implementation of the ATV safety policy.
METHODS
A retrospective cross-sectional observation study was conducted using emergent department (ED)-based indepth injury surveillance system data from 2011 January to 2014 December. Demographics, injury-related characteristics, injury severity, and outcomes of patients related to ATV and motorbike injury visiting our ED were analyzed. Multivariate logistic regression was used for major adverse event (MAE), which was defined as any intensive care, emergent operation, or death between ATV and motorbike related injury adjusted for covariates.
RESULTS
During the study period, there were 101 ATV- and 584 motorbike-related injuries. Females had more ATV-related injuries (63.4% vs 32.9%, p<0.001) during leisure activities (93.1%) with higher helmet usage (73.3% vs 62.0%, p=0.01) and lower usage in terms of emergency medical service (23.8% vs 46.4%, p<0.001), automobile insurance (10.9% vs 54.1%, p<0.001) compared with motorbike-related injuries. MAE in ATV-related injuries was less likely in a univariate logistic model (unadjusted odd ratios [ORs] 0.489, 95% confidential intervals [Cis] 0.282 to 0.848), but the multivariate logistic model showed no significant difference (adjusted ORs 1.018, 95% CIs 0.376 to 1.414).
CONCLUSION
Results of this study showed no significant difference in occurrence of clinical major adverse events between motorbikes and ATVs-related injury on Jeju Island. However, considering the high injury prevalence in young age, female, and passengers during leisure activities, development of an education and injury prevention program will be needed for this vulnerable population.

Keyword

Off-road motor vehicles; Motorcycles; Wounds and injuries

MeSH Terms

Automobiles
Demography
Education
Emergency Medical Services
Female
Head Protective Devices
Humans
Insurance
Critical Care
Jurisprudence
Leisure Activities
Logistic Models
Motorcycles
Off-Road Motor Vehicles*
Prevalence
Retrospective Studies
Vulnerable Populations
Wounds and Injuries