Fishing-Related Injuries Among Pediatric Patients Treated in United States Emergency Departments, 1997 to 2016

2018 ◽  
Vol 57 (14) ◽  
pp. 1656-1663
Author(s):  
Tyler Vajdic ◽  
Kelly R. Bergmann ◽  
Alicia Zagel ◽  
Henry Ortega
Keyword(s):  
Emergency Departments ◽  
Surveillance System ◽  
Pediatric Patients ◽  
Severe Trauma ◽  
Recreational Fishing ◽  
Injury Patterns ◽  
Injury Surveillance System ◽  
Linear Regressions ◽  
Over Time ◽  
Age And Sex

An estimated 14.8 million youth under the age of 25 years participate in recreational fishing. Despite its popularity, fishing can be associated with injuries ranging from mild to severe trauma. There is a paucity of research available that describes characteristics of fishing-related injuries among youth. We examined the National Electronic Injury Surveillance System 1997-2016 to describe injury patterns by age and sex. Linear regressions estimated changes in injuries over time. There were an estimated 412 171 pediatric patients treated in US emergency departments for fishing-related injuries. The majority of injuries occurred in males (81.4% [95% confidence interval [CI]: 80.3-82.6]) and in youth ages 11 to 18 years (53.7% [95% CI: 51.0-56.5]). Injuries were most likely due to hooks and lures (79.7% [95% CI: 75.7-83.7]), and the arm/hand accounted for 43.9% of injuries (95% CI: 42.5-45.2). Based on these findings, we suggest that injury prevention efforts should be focused on older male children and wearing appropriate clothing.

A Nationwide Study of Skiing and Snowboarding-Related Facial Trauma

2021 ◽  
pp. 194338752199723 ◽  
Author(s):  
Thomas J. Sorenson ◽  
Vedant Borad ◽  
Warren Schubert
Keyword(s):  
Surveillance System ◽  
Pediatric Patients ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Cold Winter ◽  
Injury Surveillance System ◽  
Weighted Estimates ◽  
Patient Demographics ◽  
The Us

Study Design: Retrospective descriptive observational study. Purpose: Skiing and snowboarding offers valuable opportunities for outdoor physical activity throughout the cold winter months, but these activities can result in substantial personally injury. This study aimed to analyze trends in skiing and snowboarding-related facial trauma epidemiology. Methods: The National Electronic Injury Surveillance System (NEISS) was queried for facial trauma related to skiing and snowboarding treated in United States (US) emergency departments between 2010 and 2019. These data and weighted estimates were used to analyze patient demographics, injury location, and etiology. Results: A total of 361 skiing or snowboarding-related facial injuries were recorded. Lacerations were most common injury (165/361; 45.7%), and facial fractures occurred in 21.6% (78/261) of patients. The most common facial fracture locations are the nose (38/78; 48.7%), orbit (17/78; 21.8%), and mandible (15/78; 19.2%). Pediatric patients accounted for 52% (187/361) of these injuries and had higher rates of lacerations (51.9% vs 39.1%, P < 0.05) and hospital admission (4.8% vs 1.15%, P < 0.05) than adults. Adults had a higher rate of facial fracture (30% vs 13.9%, P < 0.001) than children. Conclusions: Skiing and snowboarding-related facial trauma is relatively uncommon in the US. In general, these injuries are largely decreasing, but facial fractures still occur not infrequently during these activities. Based on our data, we strongly urge helmet manufacturers to increase the availability of recreational snowsport helmets that include nose, orbit, and mandible protections, which could help to prevent many of these injuries.

Nonfatal All-Terrain Vehicle–Related Head and Neck Injuries to Children Treated in US Emergency Departments

2020 ◽  
Vol 59 (13) ◽  
pp. 1141-1149
Author(s):  
Daniel Li ◽  
Kris R. Jatana ◽  
Sandhya Kistamgari ◽  
Gary A. Smith
Keyword(s):  
Head And Neck ◽  
Emergency Departments ◽  
Surveillance System ◽  
Emergency Treatment ◽  
Closed Head Injury ◽  
Neck Injuries ◽  
Medical Outcomes ◽  
Injury Surveillance System ◽  
Injury Mechanisms ◽  
Closed Head

This study investigates children <18 years old with nonfatal all-terrain vehicle (ATV)–related head and neck injuries treated in United States emergency departments by analyzing data from the National Electronic Injury Surveillance System from 1990 to 2014. An estimated 279 391 children received emergency treatment during the 25-year study period. The number of injuries remained relatively constant from 1990 to 1997, increased by 142.9% from 1997 to 2007, and then decreased by 37.4% from 2007 to 2014. The most common diagnoses were concussion/closed head injury (32.6%) and fracture (32.6%); 15.4% of children were admitted. The most common injury mechanisms include ejection (30.0%), crash (18.8%), and rollover (15.8%). Patients who were injured on a street/highway were 1.49 times (95% confidence interval = 1.11-1.99) more likely to be admitted than patients injured at other locations. Although the number of nonfatal ATV–related head and neck injuries decreased during the latter part of the study period, they remain common and can have serious medical outcomes.

Cosmetic-Related Injuries Treated in US Emergency Departments: 2002 to 2016

2019 ◽  
Vol 58 (14) ◽  
pp. 1493-1501 ◽  
Author(s):  
Jordan Vajda ◽  
Rebecca J. McAdams ◽  
Kristin J. Roberts ◽  
Motao Zhu ◽  
Lara B. McKenzie
Keyword(s):  
Confidence Interval ◽  
Retrospective Analysis ◽  
Emergency Departments ◽  
Surveillance System ◽  
Representative Sample ◽  
Injury Surveillance System ◽  
Common Diagnosis ◽  
Hair Care ◽  
Nationally Representative ◽  
Using Data

A retrospective analysis was conducted by using data from the National Electronic Injury Surveillance System for children <5 years who were treated in US emergency departments (EDs) from 2002-2016) for a cosmetic-related injury. An estimated 64 686 (95% confidence interval = 53 037-76 335) children were treated in EDs for cosmetic-related injuries during the 15-year study period. There was no significant change in the rate (slope = 1.1 per 10 000 children per year, P = .95) of injuries over the study period. Injuries were most commonly associated with nail care (28.3%), hair care (27.0%), skin care (25.0%), and fragrance (12.7%) products. Children aged <2 years were most frequently injured (59.3%), and poisoning was the most common diagnosis (86.2%). To our knowledge, this is the first study to use a nationally representative sample to describe the epidemiology of cosmetic-related injuries among children aged <5 years. Unintentional exposure to cosmetics is an important source of injury for young children.

Hurricane Shutter-Related Injuries Treated in Emergency Departments

2020 ◽  
pp. 1-6
Author(s):  
Mathias B. Forrester
Keyword(s):  
United States ◽  
Emergency Departments ◽  
Surveillance System ◽  
Body Part ◽  
Tropical Storm ◽  
Upper Extremities ◽  
Tropical Storms ◽  
Injury Surveillance System ◽  
Hurricane Wilma ◽  
Hurricane Irma

ABSTRACT Objectives: Injuries may occur when putting up and taking down hurricane (storm) shutters. This study described hurricane shutter-related injuries managed at emergency departments (EDs). Methods: Hurricane shutter-related injuries were identified through the National Electronic Injury Surveillance System (NEISS), a database of consumer product-related injuries collected from the EDs of approximately 100 United States hospitals. Results: There were 329 hurricane shutter-related injuries during 2001-2017. Thirty-six injuries were reported during October 2005 (Hurricane Wilma), 30 during August 2008 (Tropical Storm Fay), and 103 during September 2017 (Hurricane Irma). Patients were 20 years or older in 90.6% of the cases; 76.3% of the patients were male. The most frequently reported injuries were laceration (48.9%), sprain or strain (15.2%), and fracture (9.4%). Lower extremities (34.0%) were the most commonly affected body part followed by upper extremities (29.5%) and head or neck (17.0%). The patient was treated or examined at the ED and released in 86.6% of the cases. Conclusions: Over half of the hurricane shutter-related injuries appeared to occur in association with hurricanes and tropical storms. The most frequently reported injuries were laceration followed by sprain or strain and fracture. The majority of patients were treated or examined at the ED and released.

Water Tubing–Related Injuries Treated in US Emergency Departments, 1991−2009

2013 ◽  
Vol 10 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Kevin R. Heinsimer ◽  
Nicolas G. Nelson ◽  
Kristin J. Roberts ◽  
Lara B. McKenzie
Keyword(s):  
Children And Adolescents ◽  
Emergency Departments ◽  
Surveillance System ◽  
Body Part ◽  
Injury Surveillance ◽  
Annual Number ◽  
Sprains And Strains ◽  
Injury Surveillance System ◽  
Sample Weights ◽  
National Estimates

Background:The objective was to describe the patterns and mechanisms of water tubing–related injuries treated in U.S. emergency departments.Methods:The National Electronic Injury Surveillance System was used to examine cases of water tubing–related injuries. Sample weights were used to calculate national estimates of water tubing–related injuries. Analyses were conducted in 2010.Results:From 1991−2009 an estimated 69,471 injuries were treated in US emergency departments for water tubing–related injuries. The annual number of cases increased 250% over the 19-year study period (P < .001). Sprains and strains accounted for the largest portion of injuries (27.2%). The head was the most frequently injured body part (27.5%). Children and adolescents ≤ 19 years were more likely to be injured by contact with another person (OR: 2.47; 95% CI = 1.61−3.80) and were more likely to sustain injuries to the head (OR: 2.61; 95% CI = 2.01−3.38) compared with adults. Adults ≥ 20 years, were more likely than individuals ≤ 19 years to sustain sprains and strains (OR: 2.11; 95% CI = 1.64−2.71) and were most commonly injured by impact with the water (54.6%).Conclusions:Patterns of water tubing–related injuries differ for children and adults. Research is needed to determine how best to reduce these injuries.

scholarly journals Children Younger Than 18 Years Treated for Nonfatal Burns in US Emergency Departments

2019 ◽  
Vol 59 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Meghan Mitchell ◽  
Sandhya Kistamgari ◽  
Thitphalak Chounthirath ◽  
Lara B. McKenzie ◽  
Gary A. Smith
Keyword(s):  
United States ◽  
Emergency Departments ◽  
Surveillance System ◽  
Mechanism Of Injury ◽  
Injury Surveillance System ◽  
Number Of Children ◽  
Pediatric Injury ◽  
Nationally Representative ◽  
Using Data ◽  
Head Neck

This study investigated children <18 years old treated for burns in United States (US) emergency departments from 1990 to 2014 using data from the National Electronic Injury Surveillance System. There were 2 548 971 children treated for burns during the study period, averaging 101 959 annually. The number and rate of burns decreased by 30.0% and 38.9%, respectively, (both P < .001) during the study. Most patients (58.4%) were boys, 64.0% were <6 years old, and 7.4% were admitted to the hospital. Thermal burns accounted for 60.2% of injuries. The hand/fingers were most commonly injured (37.1%), followed by head/neck (19.6%). The most common specified mechanism of injury was grabbing/touching (18.4%), followed by spilling/splashing (16.4%). Although the number of children treated for burns has decreased, it remains an important source of pediatric injury, demonstrating the need to increase prevention efforts, especially among young children. This is the first study to use a nationally representative sample to investigate burn mechanisms.

Pediatric Sports- and Recreation-Related Dental Injuries Treated in US Emergency Departments

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1262-1270 ◽  
Author(s):  
Efrain Montero ◽  
Sandhya Kistamgari ◽  
Thitphalak Chounthirath ◽  
Nichole L. Michaels ◽  
Motao Zhu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Confidence Interval ◽  
Emergency Departments ◽  
Surveillance System ◽  
Emergency Department Visits ◽  
Injury Surveillance ◽  
Injury Surveillance System ◽  
Dental Injury ◽  
Using Data ◽  
Dental Injuries

This study investigated characteristics and trends associated with sports- and recreation-related dental injuries among children <18 years old treated in US emergency departments using data from the National Electronic Injury Surveillance System for 2000 to 2017. There were an estimated 198 787 (95% confidence interval = 162 216-235 358) injuries during the study period, averaging 11 044 injuries annually. The rate of dental injuries per 100 000 US population <18 years old fluctuated during the study, starting at 16.9 in 2000 and ending at 13.9 in 2017. Injuries most commonly occurred among males (69.8%) and children 7 to 12 years old (44.6%). Pediatric sports- and recreation-related dental injuries were most commonly associated with bicycles (28.6%), playground equipment (15.3%), and baseball/softball (12.4%). Although emergency department visits for pediatric sports- and recreation-related dental injuries decreased during the study period overall, sports and recreation remain an important source of preventable dental injury, particularly among children 7 to 12 years old.

scholarly journals Incidence of Patients With Knee Strain and Sprain Occurring at Sports or Recreation Venues and Presenting to United States Emergency Departments

2015 ◽  
Vol 50 (11) ◽  
pp. 1190-1198 ◽  
Author(s):  
Aaron M. Gray ◽  
William L. Buford
Keyword(s):  
Emergency Departments ◽  
Surveillance System ◽  
Injury Risk ◽  
Athletic Trainers ◽  
Incidence Rates ◽  
Consumer Products ◽  
Injury Surveillance ◽  
Injury Surveillance System ◽  
Cross Sectional ◽  
Injury Rates

Context Knee injuries account for a substantial percentage of all athletic injuries. The relative rates of knee injury for a variety of sports by sex and age need to be understood so we can better allocate resources, such as athletic trainers, to properly assess and treat injuries and reduce injury risk. Objective To describe the epidemiology of patients with sport-related knee strain and sprain presenting to US emergency departments from 2002 to 2011. Design Cross-sectional study. Setting Using the Consumer Products Safety Commission's National Electronic Injury Surveillance System and the US Census Bureau, we extracted raw data to estimate national rates of patients with knee strain and sprain presenting to emergency departments. Patients or Other Participants Participants were individuals sustaining a knee strain or sprain at sports or recreation venues and presenting to local emergency departments for treatment. We included 12 popular sports for males and 11 for females. Ages were categorized in six 5-year increments for ages 5 to 34 years and one 10-year increment for ages 35 to 44 years. Main Outcome Measure(s) Incidence rates were calculated using weights provided by the National Electronic Injury Surveillance System and reported with their 95% confidence intervals for sport, sex, and age. Results Strain and sprain injury rates varied greatly by sport, sex, and age group. The highest injury rates occurred in football and basketball for males and in soccer and basketball for females. The most at-risk population was 15 to 19 years for both sexes. Conclusions Athletes experience different rates of knee strain and sprain according to sport, sex, and age. Increased employment of athletic trainers to care for the highest-risk populations, aged 10 to 19 years, is recommended to reduce emergency department use and implement injury-prevention practices.

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