Off-Road Vehicle Crash Risk during the Six Months after a Birthday
Off-road vehicles are popular and thrilling for youth outside urban settings, yet sometimes result in a serious crash that requires emergency medical care. The relation between birthdays and the subsequent risk of an off-road vehicle crash is unknown. We conducted a population-based before-and-after...
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| description | Off-road vehicles are popular and thrilling for youth outside urban settings, yet sometimes result in a serious crash that requires emergency medical care. The relation between birthdays and the subsequent risk of an off-road vehicle crash is unknown.
We conducted a population-based before-and-after longitudinal analysis of youth who received emergency medical care in Ontario, Canada, due to an off-road vehicle crash between April 1, 2002, and March 31, 2014. We identified youth injured in an off-road vehicle crash through population-based health-care databases of individuals treated for medical emergencies. We included youth aged 19 years or younger, distinguishing juniors (age ≤ 15 years) from juveniles (age ≥ 16 years).
A total 32,777 youths accounted for 35,202 emergencies due to off-road vehicle crashes within six months of their nearest birthday. Comparing the six months following a birthday to the six months prior to a birthday, crashes increased by about 2.7 events per 1000 juniors (18.3 vs 21.0, p < 0.0001). The difference equaled a 15% increase in relative risk (95% confidence interval 12 to 18). The increase extended for months following a birthday, was not observed for traffic crashes due to on-road vehicles, and was partially explained by a lack of helmet wearing. As expected, off-road crash risks did not change significantly following a birthday among juveniles (19.2 vs 19.8, p = 0.61).
Off-road vehicle crashes leading to emergency medical care increase following a birthday in youth below age 16 years. An awareness of this association might inform public health messages, gift-giving practices, age-related parental permissions, and prevention by primary care physicians. |
| doi_str_mv | 10.1371/journal.pone.0149536 |
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We conducted a population-based before-and-after longitudinal analysis of youth who received emergency medical care in Ontario, Canada, due to an off-road vehicle crash between April 1, 2002, and March 31, 2014. We identified youth injured in an off-road vehicle crash through population-based health-care databases of individuals treated for medical emergencies. We included youth aged 19 years or younger, distinguishing juniors (age ≤ 15 years) from juveniles (age ≥ 16 years).
A total 32,777 youths accounted for 35,202 emergencies due to off-road vehicle crashes within six months of their nearest birthday. Comparing the six months following a birthday to the six months prior to a birthday, crashes increased by about 2.7 events per 1000 juniors (18.3 vs 21.0, p < 0.0001). The difference equaled a 15% increase in relative risk (95% confidence interval 12 to 18). The increase extended for months following a birthday, was not observed for traffic crashes due to on-road vehicles, and was partially explained by a lack of helmet wearing. As expected, off-road crash risks did not change significantly following a birthday among juveniles (19.2 vs 19.8, p = 0.61).
Off-road vehicle crashes leading to emergency medical care increase following a birthday in youth below age 16 years. An awareness of this association might inform public health messages, gift-giving practices, age-related parental permissions, and prevention by primary care physicians.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0149536</identifier><identifier>PMID: 27695070</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accidents, Traffic - statistics & numerical data ; Adolescent ; Age ; Age Factors ; Alcohol ; All terrain vehicles ; Anniversaries and Special Events ; Biology and Life Sciences ; Child ; Children & youth ; Confidence intervals ; Crashes ; Education ; Emergency medical care ; Emergency medical services ; Emergency Service, Hospital - utilization ; Emergency vehicles ; Female ; Health care ; Helmets ; Humans ; Male ; Medical personnel ; Medicine and Health Sciences ; Off road vehicles ; Off-Road Motor Vehicles - statistics & numerical data ; Ontario - epidemiology ; Pediatrics ; People and places ; Physical Sciences ; Physicians ; Population ; Primary care ; Protective equipment ; Public health ; Risk ; Risk Factors ; Socioeconomic Factors ; Surgeons ; Traffic accidents ; Trauma ; Urban environments ; Young Adult</subject><ispartof>PloS one, 2016-10, Vol.11 (10), p.e0149536-e0149536</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Woodfine et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Woodfine et al 2016 Woodfine et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-6f383d022b512678b19ed410732377d5d2a5ee98ff1bf8d4d507bfbb98f8a8153</citedby><cites>FETCH-LOGICAL-c725t-6f383d022b512678b19ed410732377d5d2a5ee98ff1bf8d4d507bfbb98f8a8153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047483/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047483/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27695070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woodfine, Jason D</creatorcontrib><creatorcontrib>Thiruchelvam, Deva</creatorcontrib><creatorcontrib>Redelmeier, Donald A</creatorcontrib><title>Off-Road Vehicle Crash Risk during the Six Months after a Birthday</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Off-road vehicles are popular and thrilling for youth outside urban settings, yet sometimes result in a serious crash that requires emergency medical care. The relation between birthdays and the subsequent risk of an off-road vehicle crash is unknown.
We conducted a population-based before-and-after longitudinal analysis of youth who received emergency medical care in Ontario, Canada, due to an off-road vehicle crash between April 1, 2002, and March 31, 2014. We identified youth injured in an off-road vehicle crash through population-based health-care databases of individuals treated for medical emergencies. We included youth aged 19 years or younger, distinguishing juniors (age ≤ 15 years) from juveniles (age ≥ 16 years).
A total 32,777 youths accounted for 35,202 emergencies due to off-road vehicle crashes within six months of their nearest birthday. Comparing the six months following a birthday to the six months prior to a birthday, crashes increased by about 2.7 events per 1000 juniors (18.3 vs 21.0, p < 0.0001). The difference equaled a 15% increase in relative risk (95% confidence interval 12 to 18). The increase extended for months following a birthday, was not observed for traffic crashes due to on-road vehicles, and was partially explained by a lack of helmet wearing. As expected, off-road crash risks did not change significantly following a birthday among juveniles (19.2 vs 19.8, p = 0.61).
Off-road vehicle crashes leading to emergency medical care increase following a birthday in youth below age 16 years. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woodfine, Jason D</au><au>Thiruchelvam, Deva</au><au>Redelmeier, Donald A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Off-Road Vehicle Crash Risk during the Six Months after a Birthday</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-10-03</date><risdate>2016</risdate><volume>11</volume><issue>10</issue><spage>e0149536</spage><epage>e0149536</epage><pages>e0149536-e0149536</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Off-road vehicles are popular and thrilling for youth outside urban settings, yet sometimes result in a serious crash that requires emergency medical care. The relation between birthdays and the subsequent risk of an off-road vehicle crash is unknown.
We conducted a population-based before-and-after longitudinal analysis of youth who received emergency medical care in Ontario, Canada, due to an off-road vehicle crash between April 1, 2002, and March 31, 2014. We identified youth injured in an off-road vehicle crash through population-based health-care databases of individuals treated for medical emergencies. We included youth aged 19 years or younger, distinguishing juniors (age ≤ 15 years) from juveniles (age ≥ 16 years).
A total 32,777 youths accounted for 35,202 emergencies due to off-road vehicle crashes within six months of their nearest birthday. Comparing the six months following a birthday to the six months prior to a birthday, crashes increased by about 2.7 events per 1000 juniors (18.3 vs 21.0, p < 0.0001). The difference equaled a 15% increase in relative risk (95% confidence interval 12 to 18). The increase extended for months following a birthday, was not observed for traffic crashes due to on-road vehicles, and was partially explained by a lack of helmet wearing. As expected, off-road crash risks did not change significantly following a birthday among juveniles (19.2 vs 19.8, p = 0.61).
Off-road vehicle crashes leading to emergency medical care increase following a birthday in youth below age 16 years. An awareness of this association might inform public health messages, gift-giving practices, age-related parental permissions, and prevention by primary care physicians.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27695070</pmid><doi>10.1371/journal.pone.0149536</doi><tpages>e0149536</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Accidents, Traffic - statistics & numerical data Adolescent Age Age Factors Alcohol All terrain vehicles Anniversaries and Special Events Biology and Life Sciences Child Children & youth Confidence intervals Crashes Education Emergency medical care Emergency medical services Emergency Service, Hospital - utilization Emergency vehicles Female Health care Helmets Humans Male Medical personnel Medicine and Health Sciences Off road vehicles Off-Road Motor Vehicles - statistics & numerical data Ontario - epidemiology Pediatrics People and places Physical Sciences Physicians Population Primary care Protective equipment Public health Risk Risk Factors Socioeconomic Factors Surgeons Traffic accidents Trauma Urban environments Young Adult |
| title | Off-Road Vehicle Crash Risk during the Six Months after a Birthday |
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