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[8, 9] On the other hand, six children (3%) in the review remained disabled and 16 (7%) died. The majority were under 12 years of age.[8] In New Zealand, it is generally recommended that children under 12 years of age never ride an adult quad bike, although formal guidelines are missing; this highlights the need for tighter regulation. The Waikato region has a mixed urban and rural demographic profile that is similar to New Zealand as a whole.[1] The primary goal of the current study was to highlight the severity and nature of quad bike injuries. We also hope to identify risk factors for �C and groups https://en.wikipedia.org/wiki/Ketanserin vulnerable to �C serious injury. This information can then be used by the appropriate agencies to aid them in producing preventative and educational strategies. Patients admitted to Waikato Hospital (a provisional level I trauma centre) with quad bike-related injuries were identified retrospectively from prospectively collected http://www.selleckchem.com/products/liproxstatin-1.html data in the Waikato Hospital trauma registry over a 4-year period (from February 2007 to March 2011). Data on demographic profile, location and mechanism of injury and helmet use were analysed. Length of hospital stay (LOS), injury severity score (ISS) and type of injuries sustained were used as markers of the burden of injury. Although the Waikato region is much larger than Hamilton city, only admissions to the Waikato hospital trauma centre in Hamilton were included due to the lack of a complete trauma database within minor rural hospitals. Descriptive data and charts were used to demonstrate demographic data. Means (standard deviation) and medians (range) were calculated where appropriate. Non-parametric methods (Mann�CWhitney http://www.selleckchem.com/products/midostaurin-pkc412.html U-test) were used to analyse the data. In PubMed, we selected interesting articles using the search terms ��ATV��, ��quad bike�� and ��injury��. From the reference lists of the articles that were found, other interesting articles were selected and included in our literature review. Demographic details, length of hospital stay and ISS are set out in Table?1. The mean age was 38.8 years with an age range of 4�C82 years. Twelve per cent of patients were within the paediatric age range (