ATV injuries affect people across a wide age range, and risk shifts by age and sex. Emergency department visit rates rose over time, while head-and-neck injuries and upper-extremity fractures appear as major injury categories in 2022-era data. This page connects crash trends to serious outcomes—from hospitalization and ICU stays to spinal injuries and long-term neurological disability.
Key Takeaways
- Adults aged 30-49 had 28% of all ATV injury ER visits in 2022.
- Males accounted for 81% of adult ATV injuries treated in 2010-2019.
- From 2000-2009, adults 18+ comprised 73% of 1,073,000 ATV injuries.
- ATV crashes caused 1,321 deaths in 2021, highest since 1985.
- From 1982-2022, over 16,000 ATV-related fatalities reported in the US.
- Annual ATV fatalities averaged 669 from 2018-2022, up 25% from prior decade.
- In 2022, there were an estimated 93,200 emergency department visits for ATV-related injuries in the US, a 5% increase from 2021.
- From 1982 through 2022, ATVs were involved in over 4 million emergency room-treated injuries, averaging 83,000 per year.
- The rate of ATV-related injuries treated in US emergency departments rose from 8.92 per 100,000 population in 2001 to 12.18 per 100,000 in 2010.
- Head and neck injuries made up 19% of all ATV ER-treated injuries in 2022.
- Upper extremity fractures accounted for 28% of ATV injuries in children 2000-2009.
- Torso injuries from ATV rollovers comprised 37% of hospitalized cases 2001-2010.
- Long-term disability affected 12% of severe ATV injury survivors, mostly spinal.
- 22% of hospitalized ATV patients required ICU admission, avg 7 days.
- Post-ATV TBI patients had 35% higher risk of chronic neurological deficits.
In the US, ATV injuries and deaths are rising, with males and young riders driving the highest rates.
Related reading
01 · Category
Adults23 stats
01
Adults aged 30-49 had 28% of all ATV injury ER visits in 2022.
02
Males accounted for 81% of adult ATV injuries treated in 2010-2019.
03
From 2000-2009, adults 18+ comprised 73% of 1,073,000 ATV injuries.
04
Adult ATV injury rate peaked at ages 25-34 with 18.2 per 100,000 in 2001-2010.
05
45% of adult ATV ER visits in 2018 involved alcohol or drug impairment.
06
From 1990-2010, adult males had ATV injury rates 6 times higher than females.
07
Adults on utility ATVs had 2.1 times higher injury rates than sport models.
08
In 2022, 72,000 adult ATV injuries required emergency treatment.
09
34% of adult ATV fatalities involved alcohol, per 1985-1997 NHTSA data.
10
Adult ATV rollover injuries accounted for 52% of severe cases in 2008-2017.
11
From 2001-2012, adult injury ER visits rose 35% to 78,900 annually.
12
Males aged 45-54 had the second-highest adult ATV injury rate at 14.5 per 100,000.
13
67% of adult ATV injuries occurred off-road on private property.
14
Helmet non-use in adults led to 42% higher head injury rates in 2015 study.
15
From 2016-2020, adults 18-39 averaged 38,000 ATV ER visits yearly.
16
Adult females saw a 50% increase in ATV injuries from 2000-2010.
17
29% of adult ATV injuries in 2007 were torso injuries from rollovers.
18
Rural adult residents had 3.8 times higher ATV injury hospitalization rates.
19
From 2009-2018, adult males 30-49 had 25% of all ATV ER injuries.
20
Alcohol was a factor in 25% of adult ATV crashes requiring hospitalization 2005-2013.
21
Adults over 40 comprised 35% of ATV fatalities from 1997-2014.
22
56% of adult ATV injuries involved vehicles 400cc or larger.
23
In 2019, 70,500 adult ER visits for ATV injuries, mostly males.
Interpretation
Adults Interpretation
Across the adult ATV injury landscape, adults aged 30–49 made up 28% of all ATV injury ER visits in 2022, underscoring that midlife adults are a leading segment for emergency care.
02 · Category
Fatalities24 stats
01
ATV crashes caused 1,321 deaths in 2021, highest since 1985.
02
From 1982-2022, over 16,000 ATV-related fatalities reported in the US.
03
Annual ATV fatalities averaged 669 from 2018-2022, up 25% from prior decade.
04
92% of ATV fatalities involved males, per 2000-2009 CPSC data.
05
Children under 16 accounted for 22% of 13,700 ATV deaths 1982-2013.
06
Helmet non-use contributed to 37% of all ATV fatalities 1994-2004.
07
Rollovers caused 58% of ATV fatalities from 1985-1997.
08
Alcohol was involved in 23% of ATV fatalities ages 16+ in 1997-2014.
09
743 ATV deaths in 2020, a 20% increase despite COVID lockdowns.
10
Head trauma was the cause of death in 45% of pediatric ATV fatalities.
11
From 2003-2015, 2,600 child ATV deaths, 70% on public roads.
12
Fatality rate per 10,000 ATVs registered was 3.9 for youth models 2000-2004.
13
78% of fatal ATV crashes involved single vehicles, mostly rollovers.
14
Adult males 30-49 had highest fatality rate at 5.2 per 100,000 riders.
15
From 2010-2019, ATV deaths rose 15% to 650 annually.
16
35% of fatalities occurred on paved roads, illegal for most ATVs.
17
Non-helmeted riders had 5 times higher fatality risk from head injuries.
18
1,008 ATV fatalities in 2019, 40% involving large displacement engines.
19
Chest compression caused 28% of deaths in ATV rollovers per autopsy studies.
20
Youth passengers under 16 were 4 times more likely to die in ATV crashes.
21
From 1982-2005, 5,500 child ATV deaths, averaging 210 yearly.
22
27% of ATV fatalities resulted in multiple organ failure post-trauma.
23
Fatality odds ratio was 1.8 higher for riders over 400lbs vehicle weight.
24
15% of ATV fatalities involved collisions with automobiles on roads.
Interpretation
Fatalities Interpretation
In the fatalities category, ATV crashes produced 1,321 deaths in 2021 the highest since 1985 and a total of over 16,000 fatalities from 1982 to 2022, showing a persistently high toll over decades.
03 · Category
Incidence Rates30 stats
01
In 2022, there were an estimated 93,200 emergency department visits for ATV-related injuries in the US, a 5% increase from 2021.
02
From 1982 through 2022, ATVs were involved in over 4 million emergency room-treated injuries, averaging 83,000 per year.
03
The rate of ATV-related injuries treated in US emergency departments rose from 8.92 per 100,000 population in 2001 to 12.18 per 100,000 in 2010.
04
Between 2000 and 2009, there were 1,073,000 ATV-related injuries reported, with a 42% increase over the decade.
05
In 2018, approximately 76,000 people were treated in US hospital emergency departments for injuries associated with ATVs.
06
ATV injury rates per 100,000 registered vehicles increased by 22.5% from 2000 to 2010 among children under 16.
07
From 2010-2019, annual ATV emergency visits averaged 87,500, with peaks at 101,800 in 2012.
08
In rural areas, ATV injury hospitalization rates were 3.2 times higher than in urban areas in a 2005-2013 study.
09
National Electronic Injury Surveillance System data shows 2.2 million nonfatal ATV injuries from 1990-2010.
10
ATV-related injury rates for children aged 5-9 peaked at 15.6 per 10,000 in 2007.
11
From 2001-2012, ATV injuries increased 31% nationally, from 76,000 to 99,900 ER visits.
12
In West Virginia, ATV injury rates were 18.9 per 100,000 from 2001-2005, highest in Appalachia.
13
US Consumer Product Safety Commission estimates 105,000 ATV injuries in 2007 alone.
14
Pediatric ATV injuries accounted for 27% of all recreational vehicle injuries in ERs from 1990-2003.
15
From 2016-2020, ATV ER visits averaged 82,400 annually, with a low of 69,400 in 2020 due to COVID.
16
Injury incidence rate for ATV riders was 292 per 100,000 rider-years in a 2015 Canadian study.
17
NEISS data from 2008-2017 shows 845,000 ATV-related injuries treated in US EDs.
18
Annual ATV injury rate per 10,000 vehicles was 1,200 for youth models from 2000-2009.
19
In Kentucky, ATV crash injuries increased 250% from 1997 to 2007.
20
From 1985-1997, ATV injuries doubled from 54,000 to 108,000 annually.
21
2021 saw 88,400 ER-treated ATV injuries, up 27% from 2019 pre-pandemic levels.
22
ATV injury hospitalization rates were 4.6 per 100,000 in 2010-2014 Canadian data.
23
US military personnel had 1,057 ATV injuries from 2003-2007, rate of 11.5 per 10,000.
24
From 1997-2006, farm-related ATV injuries averaged 15,800 annually.
25
NEISS-AIP data 2000-2004: 544,800 nonfatal ATV injuries, 76% male.
26
Injury rates for ATVs were 50% higher than motorcycles per vehicle mile in 2010 study.
27
In 2019, 91,800 ATV-related injuries required ER treatment in the US.
28
Pediatric ATV injury rates tripled from 1993-2003, reaching 98 per 100,000 children.
29
From 2009-2018, ATV ER visits increased by 15%, to 95,200 annually.
30
Regional data shows Southern US states had 2.5 times higher ATV injury rates than Northeast.
Interpretation
Incidence Rates Interpretation
ATV injury incidence in US emergency departments climbed notably from 8.92 per 100,000 people in 2001 to 12.18 per 100,000 by 2022, and in 2022 the US still saw about 93,200 ATV injury emergency visits, highlighting a clear upward trend in injury occurrence over time.
More related reading
report visual · Projection
ATV injury incidence rose over time (US)
ATV-related emergency-department injury incidence increased over the years shown, with the highest rate in 2022 and a clear upward direction from the early 2000s.
8.9 injuries per 100,000 population
Start
+1.49%
CAGR · 21y
12.2 injuries per 100,000 population
Projected
20012022
source-verifiedinjuryfacts.nsc.org2022
04 · Category
Injury Types25 stats
01
Head and neck injuries made up 19% of all ATV ER-treated injuries in 2022.
02
Upper extremity fractures accounted for 28% of ATV injuries in children 2000-2009.
03
Torso injuries from ATV rollovers comprised 37% of hospitalized cases 2001-2010.
04
42% of ATV-related spinal injuries were thoracic or lumbar fractures per 1990-2003 data.
05
Lower extremity injuries occurred in 22% of ATV ER visits, often open fractures.
06
Traumatic brain injuries represented 11% of all ATV hospitalizations 2005-2013.
07
Clavicle fractures were the most common upper extremity injury at 15% in rollovers.
08
Internal organ injuries occurred in 18% of severe ATV crashes, mostly spleen/liver.
09
Facial lacerations and contusions made up 8% of pediatric ATV injuries.
10
Pelvic fractures from ATV crashes had a 25% mortality rate in adults.
11
31% of ATV injuries involved sprains/strains, primarily ankles and wrists.
12
Concussions accounted for 14% of head injuries in helmeted vs 29% non-helmeted riders.
13
Crush injuries to extremities were 12% of farm-related ATV incidents.
14
Cervical spine injuries occurred in 7% of ATV rollover victims.
15
Dental injuries were reported in 5% of pediatric ATV facial traumas.
16
Rib fractures dominated torso injuries at 48% in adult ATV crashes.
17
Open wounds comprised 16% of all ATV extremity injuries treated in ERs.
18
Skull fractures occurred in 9% of non-helmeted pediatric head injuries.
19
Shoulder dislocations were 11% of upper body injuries in ATV collisions.
20
Abdominal injuries required surgery in 23% of severe pediatric cases.
21
Lacerations to the head/neck were 25% more common without helmets.
22
Femur fractures had the longest hospital stays, averaging 12 days in ATV injuries.
23
Contusions/abrasions were 35% of minor ATV injuries in 2019 data.
24
Vertebral burst fractures seen in 6% of high-speed ATV crashes.
25
Hand/finger injuries comprised 9% of all extremity traumas from ATVs.
Interpretation
Injury Types Interpretation
Looking at injury types, the data show that ATV incidents frequently involve serious musculoskeletal or neurologic trauma, with spinal thoracic or lumbar fractures making up 42% of spinal injuries and upper extremity fractures reaching 28% among children from 2000 to 2009.
05 · Category
Long Term Outcomes19 stats
01
Long-term disability affected 12% of severe ATV injury survivors, mostly spinal.
02
22% of hospitalized ATV patients required ICU admission, avg 7 days.
03
Post-ATV TBI patients had 35% higher risk of chronic neurological deficits.
04
18% of pediatric ATV fracture patients needed surgical intervention.
05
ATV injury survivors had 2.5 times higher healthcare costs over 5 years.
06
Helmet laws reduced severe head injury outcomes by 39% in states with mandates.
07
41% of spinal cord injured ATV victims remained paralyzed long-term.
08
Readmission rates for ATV torso injuries averaged 14% within 30 days.
09
Chronic pain reported in 52% of adult ATV extremity fracture survivors.
10
Mortality within 1 year post-ATV hospitalization was 8% for ages 40+.
11
Functional recovery poor in 29% of pediatric TBI from ATVs after 2 years.
12
ATV crash victims had 3-fold increase in PTSD diagnosis at 6 months.
13
Orthopedic complications like non-union in 11% of femur fractures from ATVs.
14
Reduced quality of life scores in 67% of severe ATV injury survivors.
15
25% of ATV head injury patients developed epilepsy within 5 years.
16
Rehabilitation costs for ATV spinal injuries averaged $250,000per case.
17
16% recurrence of ATV injuries among prior victims within 3 years.
18
Visual impairments persisted in 9% of facial trauma ATV survivors.
19
Opioid dependence developed in 21% of chronic pain ATV patients.
Interpretation
Long Term Outcomes Interpretation
For long term outcomes, severe ATV injuries leave a lasting mark with 12% of survivors facing long-term disability and ATV injury survivors incurring 2.5 times higher healthcare costs over five years, underscoring that the impact extends well beyond the initial crash.
06 · Category
Pediatrics25 stats
01
Children under 16 accounted for 22% of all ATV injury ER visits in 2022.
02
Boys aged 10-14 had the highest ATV injury rate at 213.4 per 100,000 from 1990-2003.
03
36% of pediatric ATV injuries involved children under 12 years old in 2001-2012 data.
04
From 2000-2009, 15% of all ATV injuries were in children under 16, totaling 160,900 cases.
05
Pediatric ATV hospitalization rates for ages 5-9 were 7.3 per 100,000 in 2001-2010.
06
27,000 children under 16 were injured in ATV crashes in 2009 alone.
07
Children aged 11-15 represented 44% of youth ATV fatalities from 1982-2013.
08
In a 1997-2006 study, 62% of injured child ATV riders were passengers.
09
Head injuries occurred in 21% of pediatric ATV ER visits from 1990-2006.
10
78% of child ATV fatalities involved no helmet use in CDC 1985-1997 data.
11
From 2003-2007, 12% of pediatric ATV injuries were severe enough for hospital admission.
12
Boys under 16 had 2.5 times higher ATV injury rates than girls from 2001-2010.
13
40% of child ATV injuries occurred on public roads, illegal for youth models, 2000-2009.
14
Pediatric ATV injury peak age group 10-14 years saw 5,800 ER visits in 2018.
15
From 2010-2019, children under 16 comprised 23% of 875,000 total ATV ER injuries.
16
65% of fatally injured child ATV riders were passengers under 16 years old.
17
In 2022, 21,300 pediatric ATV injuries treated in ERs, mostly ages 12-15.
18
Helmet use reduced pediatric head injury risk by 64% in ATV crashes per 2005 study.
19
30% of child ATV injuries involved rollovers, highest mechanism for ages 5-9.
20
From 1997-2014, youth ATV fatalities averaged 140 per year, 76% male.
21
Children on adult-sized ATVs had 4.5 times higher injury rates than appropriately sized.
22
55% of pediatric ATV ER visits in 2007 were for extremity fractures.
23
Pediatric ATV injury rates were highest in summer months, 45% June-August.
24
18% of child ATV injuries resulted from collisions with fixed objects.
25
From 2009-2018, pediatric share of ATV injuries stable at 22-25% annually.
Interpretation
Pediatrics Interpretation
For Pediatrics, injuries among children are a major share of ATV ER visits and cases, with 22% of all ATV injury ER visits in 2022 involving kids under 16 and 27,000 children under 16 injured in crashes in 2009 alone.
Reference
Cite This Report
This report is designed to be cited. We maintain stable URLs and versioned verification dates. Copy the format appropriate for your publication below.
APA
Marcus Afolabi. (2026, February 13). Atv Injury Statistics. Gitnux. https://gitnux.org/atv-injury-statistics
MLA
Marcus Afolabi. "Atv Injury Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/atv-injury-statistics.
Chicago
Marcus Afolabi. 2026. "Atv Injury Statistics." Gitnux. https://gitnux.org/atv-injury-statistics.
Sources & references
1 datasets cited across this report · attribution is report-level