A comparison of injuries sustained from recreational compared to organized motorized vehicle use in children

Justin B. Mahida, Lindsey Asti, Kishan Patel, Katherine J. Deans, Peter C. Minneci, Jonathan I. Groner, Mehul V. Raval*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Purpose To examine the injury severity and patterns of injury for pediatric motorized recreational vehicle (MRV) drivers injured during organized events (OE) compared to recreational use (RU). Methods All pediatric MRV injuries between 2006 and 2012 in our institutional trauma registry were studied for mechanism of injury, initial evaluation, and treatment. Injuries with an Abbreviated Injury Scale ≥ 2 were categorized by body region and diagnosis. Results Out of 589 collisions, 92 (16%) occurred during an OE. Compared to RU drivers, OE drivers were more likely to wear helmets (92% vs. 40%, p < 0.001) and other protective equipment (79% vs. 6%, p < 0.001). There was no difference in rates of hospital admission, rates of surgical intervention, injury severity scores, rates of intensive care unit admission, or lengths of stay. There were no differences in injuries by body region or injury type, except that dislocations were more common in OE drivers (2% vs. 0%, p = 0.038). Conclusion Despite higher rates of helmet and protective gear use, pediatric MRV drivers participating in OEs sustain similarly severe injuries as drivers using MRVs recreationally. No differences were observed in body regions involved or outcomes. Public perception that OE use of MRV for children is safe should be addressed.

Original languageEnglish (US)
Pages (from-to)1188-1191
Number of pages4
JournalJournal of pediatric surgery
Issue number7
StatePublished - 2015


  • All-terrain vehicles
  • Helmet use
  • Injury prevention
  • Motocross
  • Pediatrics
  • Trauma registry

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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