Pediatric golf cart trauma: Not par for the course
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Read the article on jpedsurg.org ↗Article · May 2018 · 1 min read
In brief
In brief
Retrospective study of 46 pediatric golf cart injuries in Georgia reveals skull fractures in 48% and traumatic brain injuries in 35% of cases, with injury patterns varying by age and correlating with local legislation stringency. Younger children sustained more skull fractures while older children had more orthopedic injuries, highlighting the need for stricter safety regulations.
Written by the GCMD Library team from the article.
Introduction
Golf cart trauma in southeast Georgia represents a significant source of morbidity in the pediatric population. We believe these events are related to the introduction of new state legislation that allows local authorities to govern golf cart operation.
Methods
We performed a retrospective review from 2010 to 2016 of children involved in golf cart traumas (n = 46). We recorded age, gender, Glasgow Coma Scale score (GCS), Injury Severity Score (ISS), location of event, and patient position during event. Outcomes included injury type and length of stay (LOS).
Results
The most common position in a golf cart was a passenger (52.2%). Events varied regionally and correlated with stringency of local legislation. Skull fractures afflicted 48% (n = 22) of children and traumatic brain injuries (TBIs) were noted in 35% (n = 17) of patients. TBIs (LOS = 4.6 days, p = 0.006) and abdominal injuries (LOS = 8.5 days, p = 0.017) lengthened mean hospital stay. Increasing ISS was associated with an increased probability of sustaining a TBI (OR 1.295, p = 0.004). Younger children were more likely to sustain a skull fracture (OR 1.170, p = 0.034) while older children incurred more orthopedic injuries (OR 1.217, p = 0.045).
Conclusion
Skull fractures and TBIs are common following pediatric golf cart trauma. Georgia's varying municipality legislation likely contributes to the growing frequency of this trend.
Level of Evidence
Retrospective study, IV.