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Injuries among all-terrain vehicle users: a population-based study
  1. Maya Siman-Tov1,2,
  2. Inbar Marom-Trabelsi1,
  3. Irina Radomislensky1,
  4. Moran Bodas1,2,
  5. Kobi Peleg1,2
  6. Israeli Trauma Group
    1. 1 Israel National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Ramat-Gan, Israel
    2. 2 Department of Emergency Management and Disaster Medicine, Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel
    1. Correspondence to Professor Kobi Peleg, Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, 52621 Ramat-Gan, Israel; kobip{at}


    Background The use of off-road vehicles such as all-terrain vehicles (ATVs) and recreational off-highway vehicles has increased in recent years. A higher percentage of patients hospitalised following ATV crashes suffered severe injuries, compared with those hospitalised following other MVCs.

    Objective To identify incidence of ATV-related injury and characterise groups with higher prevalence.

    Methods A retrospective study of the Israel National Trauma Registry data between years 2008 and 2016. ATV crash victims were compared with other types of MVC casualties according to demographics, injuries and hospital resource utilisation. Identifying groups with greater prevalence for severe injuries caused by ATV crashes was conducted using logistic regressions.

    Results An increase of 49% in the number of casualties hospitalised following an ATV crash was observed between 2013 and 2016. Non-Jews, males and users 15–29 years old were hospitalised at a higher rate compared with their proportion in the population. ATV crash casualties were more severely injured compared with other MVC casualties (22% vs 14%), had longer hospital length of stay (8+ days) (25% vs 18%), more admissions to intensive care units (16% vs 10%) and underwent more surgery (39% vs 26%, respectively). Males, non-Jews and casualties who did not wear a helmet were about two times more likely to suffer from severe head injury (95% CI 1.20 to 3.60, 1.41 to 2.75 and 1.27 to 4.73, respectively).

    Conclusions An increase in ATV-related casualties was observed. A customised safety intervention programme is needed that targets demographic groups identified with higher injury incidence. Awareness of legislated and common sense ATV safety practices, specifically helmet use, should be raised.

    • motor vehicle - non traffic
    • cohort study
    • risk factor research
    • burden of disease
    • youth

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    • Collaborators Israeli Trauma Group includes Bahouth H, Becker A, Jeroukhimov I, Karawani I, Kessel B, Klein Y, Lin G, Merin O, Bala M, Mnouskin Y, Rivkind A, Shaked G, Sivak G, Soffer D, Stein M and Weiss M.

    • Funding This study was funded by Israel Ministry of Transportation.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Ethics approval This study was reviewed and approved by the Sheba Medical Center’s Institutional Review Board (approval no. 3872-17, 20 Mar 2017).

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement No data are available.