Consumer Product Aspiration and Ingestion in Children: Analysis of Emergency Room Reports to the National Electronic Injury Surveillance System

Inadvertent aspiration or ingestion of products in children is a reportable problem. The National Electronic Injury Surveillance System (NEISS) monitors 119 hospitals for product (nonfood) hazards through a network of emergency room physicians. Coins (52%) remain the most frequently ingested object (1988–1989). Pins, including nails and bolts, are second in rank. Spheres (eg, balls) are the most common cause of death. Most deaths (97%) occur in the home. Younger children (13.4 versus 22.7 months) are more at risk for death. This analysis suggests that shape, as well as availability, is important in children's injuries and deaths'. Accurate reporting to NEISS of all aspirated objects remains essential so that product safety and the public's health can be improved. Food product injuries, however, are not reported to NEISS.

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Unsafe Playgrounds

PEDIATRICS ◽

10.1542/peds.64.6.962 ◽

1979 ◽

Vol 64 (6) ◽

pp. 962-963 ◽

Cited By ~ 2

Author(s):

Thomas E. Reichelderfer ◽

Avrin Overbach ◽

Joseph Greensher

Keyword(s):

Emergency Room ◽

Surveillance System ◽

Hazard Index ◽

Severity Index ◽

Product Safety ◽

Injury Surveillance ◽

Consumer Product ◽

Hospital Emergency ◽

Injury Surveillance System ◽

Hospital Emergency Room

Pediatricians generally may not be aware that playgrounds and playground equipment present an unsuspected hazard to children. Swings, slides, and playground equipment are ranked fifth in the Consumer Product Hazard Index based on data from the National Electronic Injury Surveillance System (NEISS) of the Consumer Product Safety Commision (CPSC), with an Age Adjusted Frequency-Severity Index of 12,498,000 for 1976 to 1977.1 Last year the CPSC's NEISS estimated that 167,000 persons were administered hospital emergency room treatment on a nationwide basis for injuries associated with public (75,000), home (41,000), and unspecified (51,000) playground equipment. The majority of those injured were between 5 and 10 years of age.

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Battery-Related Injuries in Children and Adults

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181320641405 ◽

2020 ◽

Vol 64 (1) ◽

pp. 1665-1670

Author(s):

Jacqueline Zimmermann ◽

Danielle King ◽

Caroline Crump

Keyword(s):

Emergency Room ◽

Surveillance System ◽

Rechargeable Batteries ◽

Injury Surveillance ◽

Consumer Product ◽

Age Group ◽

Injury Surveillance System ◽

Probability Sample ◽

Injury Data ◽

Button Cell

The aim of the current study was to analyze the circumstances behind battery injuries, including the mode of injuries experienced (e.g., a shock or consumption), as well as the battery types and products most frequently involved in battery injuries. The National Electronic Injury Surveillance System (NEISS), a probability sample of US hospitals that collects information from emergency room (ER) visits related to a consumer product, was utilized. Injury data from the NEISS database was coded to identify a) the accident mode that led to the injury, b) the battery type involved, and c) the product that was powered by the battery or charger, if available. The data revealed that battery-related injuries were most often associated with (1) children consuming button cell batteries associated with toys and other household objects, and (2) adults becoming burned when handling vehicle batteries. Surprisingly, injuries associated with rechargeable batteries were the least frequent; however, when burns occurred, they were predominantly related to e- cigarettes, as well as vehicles. Results are discussed in terms of general exposure to specific battery types and products analyzing these battery types within each age group.

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Proportion of Home and Leisure Accidents in mainland Portugal, in 2019

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1374 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

T Alves ◽

E Rodrigues ◽

M Neto ◽

R Mexia ◽

C Matias-Dias

Keyword(s):

Cause Of Death ◽

Health Problem ◽

Surveillance System ◽

Hospital Admissions ◽

Public Health Problem ◽

Injury Surveillance ◽

World Health ◽

Hospital Treatment ◽

Injury Surveillance System ◽

Mainland Portugal

Abstract Unintentional injuries are recognized by the World Health Organization and the European Union as a preventable public health problem contributing to mortality and morbidity burden and expression in the emergency department (ED). According to EuroSafe injury is the fourth most common cause of death within the EU, being the leading cause of death in the youngest. Whereas injury related fatalities is only a part of the problem and more patients require hospital treatment it is essential measure the size of the injury problem and characteristics of these non-fatal injuries. Information from Injury Data-Base reveals that the majority of injury related ED attendances and hospital admissions result from accidents occur in home and during leisure times. So, the aim of this study it was to know the proportion of Home and Leisure Accidents (HLA) which needed attendance in the emergency rooms of the Hospitals National Health, in Portugal Mailand, in 2019. For the analysis were considered the total number of NHS health entities that have an ED, SONHO information system and National injury surveillance system - EVITA System. Based on hospital emergency records in 2019, was obtained the total number of victims by HLA who needed assistance in this health services. In 2019, there were 526 786 ED attendances due to HLA, so about 11,3% of hospital ED attendances in mainland Portugal were caused by HLA. Globally, it was observed a proportion of HLA with admission in ED higher in males (12,9%) than females (10,1%). Disaggregating the data by age group, it was possible to observe a preponderance of males in victims aged less than or equal to 54 years. On the other hand, females showed a higher proportion in individuals aged 55 and over. Additionally, victims aged 75 and over had the highest proportion of hospital admissions by HLA, both in females (15,5%) and males (13,1%). This study represented a relevant advance contributing to the revelation of the dimension of this problem in Portugal. Key messages The National Injury Surveillance System provides information that allows to know the dimension of this health problem in mainland Portugal. HLA represents 11,3 % of the total hospital ED attendances. HLA are the predominant cause of injury related ED attendances. Males and females have a different proportions of injury. Males aged 54 years and over have higher proportion of HLA than females.

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Implementation challenges facing hospital-based surveillance systems in Africa: lessons learned from IPPNWs Multinational Injury Surveillance System (MISSPP) and South Africa's National Non-fatal Injury Surveillance System (NANFISS) pilot projects

Injury Prevention ◽

10.1136/ip.2010.029215.517 ◽

2010 ◽

Vol 16 (Supplement 1) ◽

pp. A144-A144 ◽

Cited By ~ 1

Author(s):

R. Matzopoulos ◽

D. Zavala ◽

R. Mtonga ◽

M. Valenti

Keyword(s):

Surveillance System ◽

Lessons Learned ◽

Injury Surveillance ◽

Surveillance Systems ◽

Pilot Projects ◽

Injury Surveillance System ◽

Fatal Injury ◽

Implementation Challenges

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The National Interscholastic Cycling Association (NICA) Mountain Biking Injury Surveillance System (ISS): Analysis of 66,588 Student Athlete-Years of Injury Data

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115856 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5856

Author(s):

Meredith Ehn ◽

Masaru Teramoto ◽

Daniel M. Cushman ◽

Kristen Saad ◽

Stuart Willick

Keyword(s):

Surveillance System ◽

Student Athletes ◽

The United States ◽

Injury Surveillance ◽

Mountain Biking ◽

Student Athlete ◽

Mountain Bike ◽

Injury Surveillance System ◽

Injury Characteristics ◽

Mountain Bike Racing

Interscholastic youth cross-country mountain bike racing in the United States has grown significantly over the past decade, yet little is known about the risk profile in this age group. Aiming to protect participants, we implemented a prospective, longitudinal injury surveillance system for the purpose of better understanding youth mountain biking injuries and implementing safety measures. Data were collected during competition years 2018–2020, totaling 66,588 student athlete-years. Designated reporters from each team received weekly emails with exposure and incident report forms. Variables analyzed included demographic, rider-related, trail-related, and other data. Injury characteristics during the COVID-19 pandemic in 2020 were compared to the years 2018 and 2019. More student athletes participated in the 2020 season (25,261) than in prior seasons (18,575 in 2018 and 22,752 in 2019). During competition year 2020, overall injury proportion was lower (1.7% versus 3.0% in 2018 and 2.7% in 2019). Variables associated with injury, body part injured, type of injury, time-loss, and disposition following injury were similar between all years. Despite the pandemic and resultant changes to competition, student athletes continued to ride their bikes and become injured, but the proportion of injuries differed. This report details injury characteristics in youth mountain bike racing, including a comparison of before and during the pandemic.

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Phone-Related Distracted Walking Injuries as a Function of Age and Walking Environment

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181321651104 ◽

2021 ◽

Vol 65 (1) ◽

pp. 611-615

Author(s):

Zheng Haolan ◽

Isabella M. Campbell ◽

Wayne C.W. Giang*

Keyword(s):

Emergency Department ◽

Surveillance System ◽

Age Groups ◽

Injury Surveillance ◽

Future Research ◽

Home Environments ◽

Injury Surveillance System ◽

Different Types ◽

Ed Visits ◽

Walking Environment

Using phones while walking has been a factor that has led to accidents and injuries. However, few studies have analyzed the propensity of injuries due to distracted walking for different age groups and in different types of walking environments. This study aims to examine the number of emergency department (ED) visits due to distracted walking across different age groups and walking environments using a publicly available dataset, the National Electronic Injury Surveillance System (NEISS) database. The results suggest that there were an estimated 29140 distracted walking injuries between the years 2011-2019. Individuals between 11 and 20 years old had the most injuries, followed by 21 to 30, and 31 to 40. Furthermore, the proportion of estimated injuries that occurred in different walking environments differed across age groups. Safety-orient interventions for future research for stairs and home environments were also recommended in the present study.

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Validity of Soccer Injury Data from the National Collegiate Athletic Association's Injury Surveillance System

Journal of Athletic Training ◽

10.4085/1062-6050-46.5.489 ◽

2011 ◽

Vol 46 (5) ◽

pp. 489-499 ◽

Cited By ~ 71

Author(s):

Kristen L. Kucera ◽

Stephen W. Marshall ◽

David R. Bell ◽

Michael J. DiStefano ◽

Candice P. Goerger ◽

...

Keyword(s):

Surveillance System ◽

Sport Participation ◽

Athletic Trainers ◽

Capture Rate ◽

Injury Surveillance ◽

Medical Attention ◽

Collegiate Sports ◽

Injury Surveillance System ◽

Clinical Records ◽

Women's Soccer

Context: Few validation studies of sport injury-surveillance systems are available. Objective: To determine the validity of a Web-based system for surveillance of collegiate sport injuries, the Injury Surveillance System (ISS) of the National Collegiate Athletic Association's (NCAA). Design: Validation study comparing NCAA ISS data from 2 fall collegiate sports (men's and women's soccer) with other types of clinical records maintained by certified athletic trainers. Setting: A purposive sample of 15 NCAA colleges and universities that provided NCAA ISS data on both men's and women's soccer for at least 2 years during 2005–2007, stratified by playing division. Patients or Other Participants: A total of 737 men's and women's soccer athletes and 37 athletic trainers at these 15 institutions. Main Outcome Measure(s): The proportion of injuries captured by the NCAA ISS (capture rate) was estimated by comparing NCAA ISS data with the other clinical records on the same athletes maintained by the athletic trainers. We reviewed all athletic injury events resulting from participation in NCAA collegiate sports that resulted in 1 day or more of restricted activity in games or practices and necessitated medical care. A capture-recapture analysis estimated the proportion of injury events captured by the NCAA ISS. Agreement for key data fields was also measured. Results: We analyzed 664 injury events. The NCAA ISS captured 88.3% (95% confidence interval = 85.9%, 90.8%) of all time-lost medical-attention injury events. The proportion of injury events captured by the NCAA ISS was higher in Division I (93.8%) and Division II (89.6%) than in Division III (82.3%) schools. Agreement between the NCAA ISS data and the non–NCAA ISS data was good for the majority of data fields but low for date of full return and days lost from sport participation. Conclusions: The overall capture rate of the NCAA ISS was very good (88%) in men's and women's soccer for this period.

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