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.

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.

Socioeconomic disparities in psychological distress in a nationally representative sample of Japanese adolescents: A time trend study

2016 ◽  
Vol 51 (3) ◽  
pp. 278-286 ◽  
Author(s):  
Yuko Kachi ◽  
Aya Abe ◽  
Emiko Ando ◽  
Tomoyuki Kawada
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Psychological Distress ◽  
Confidence Interval ◽  
Household Income ◽  
Odds Ratio ◽  
Representative Sample ◽  
Mental Health Problems ◽  
Japanese Adolescents ◽  
Nationally Representative

Objective: Socioeconomic status as a determinant of mental health problems has received scant attention in Japan, which has long been considered an egalitarian society. This study examined the association between socioeconomic status and psychological distress and its trends over 6 years among Japanese adolescents. Methods: We used data from a nationally representative sample of 9491 adolescents aged 12–18 years who participated in three repeated cross-sectional surveys between 2007 and 2013. The K6 scale was used to assess psychological distress. Socioeconomic status indicators included household income, parental education, parental working status and household structure. Results: Psychological distress prevalence decreased significantly from 2007 (10.7%) to 2013 (7.6%). However, the socioeconomic status patterns of psychological distress were consistent through the study period. Adolescents living in both lower (odds ratio = 1.61; 95% confidence interval = [1.27, 2.05]) and higher income households (odds ratio = 1.30; 95% confidence interval = [1.03, 1.62]) were more likely to report psychological distress than their middle-income counterparts. Adolescents with low household income were more likely to feel stress from interpersonal relationships and less likely to have help-seeking behaviors, while those with high household income were more likely to feel stress about school achievement. Psychological distress was also associated with parental poor education and single parenthood. Conclusions: Socioeconomic status disparities in adolescent psychological distress were evident and consistent during the 6-year period. There is a unique U-shaped relationship between household income and psychological distress among adolescents in Japan, unlike those from other countries. However, the underlying mechanisms may differ by income status. Future prevention efforts should consider socioeconomic status as a determinant of adolescent mental health problems.

Pediatric Equestrian Injuries

PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1173-1176
Author(s):  
Doris M. Bixby-Hammett
Keyword(s):  
United States ◽  
Surveillance System ◽  
National Park ◽  
National Park Service ◽  
Injury Surveillance System ◽  
Common Area ◽  
Park Service ◽  
System Data ◽  
Using Data ◽  
Service Data

Using data from four sources, horse-related injuries are summarized for persons younger than 25 years of age. Head injury caused 57% of deaths. The upper extremity was the most common area injured, with the next most frequent areas the lower extremity (National Park Service data) and the head (United States Pony Clubs [USPC] data). Injured females outnumbered injured males and had a greater percentage of participants injured (USPC data). Injuries occurred at home in 41% (National Electronic Injury Surveillance System data). USPC figures suggest that greater knowledge may reduce the severity of horse-related injuries. Previous horse-related injury had occurred in 1 of 4 of those injured (USPC data). One third of accidents occurred during lessons (USPC data). Riding instructors should be certified by a recognized organization, and parents should evaluate an instructor's personal riding and their safety records with students. The pediatrician's role should be in counseling parents with children who ride and in offering recommendations for safety to governing boards of youth horse activities.

Citizen Approval of Monetary- vs Goods-For-Votes Exchanges

2020 ◽  
pp. 1-5
Author(s):  
Mollie J. Cohen
Keyword(s):  
Representative Sample ◽  
Survey Experiment ◽  
Need For Care ◽  
Vote Buying ◽  
Question Wording ◽  
Nationally Representative ◽  
Using Data

Abstract Does citizen approval of vote buying depend on the type of benefit being offered? I answer this question using data from a survey experiment conducted on a nationally representative sample of Nicaraguans in 2017. Nicaraguans report significantly lower approval of money-for votes exchanges compared to goods-for-votes exchanges. Furthermore, reported rates of vote buying are lower in the money condition (4.8%) than in the goods-for-votes condition (7.8%), even though the posttreatment question assessing vote buying experience was identical across conditions. This study echoes other work suggesting the need for care in designing questions about vote buying, as slight changes in question wording that prime participants to think about goods versus monetary exchanges can affect both citizen approval of the behavior and the reported prevalence of vote buying.

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.

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.

Pediatric Ingestions of Christmas Past, Present, and Future: A Review of Holiday Trends, 1997 to 2015

2019 ◽  
Vol 58 (5) ◽  
pp. 571-577
Author(s):  
Patrick T. Reeves ◽  
Jayasree Krishnamurthy ◽  
Eric A. Pasman ◽  
Cade M. Nylund
Keyword(s):  
United States ◽  
Emergency Department ◽  
Foreign Body ◽  
Confidence Interval ◽  
Surveillance System ◽  
Christmas Tree ◽  
Injury Surveillance System ◽  
Christmas Trees ◽  
System Data ◽  
Frequent Reason

During the observance of Christmas, many families display decorations, which increases the risk of unfettered access and subsequent ingestion of small objects by children in the home. Our aim was to characterize the epidemiology of Christmas foreign body ingestion (CFBI) by children. National Electronic Injury Surveillance System data from 1997 to 2015 were obtained for children aged 0 to 17 years who presented to United States Emergency Departments matching “ingested” for “artificial Christmas trees”; “Christmas tree lights”; “Christmas tree stands or supports”; “Christmas decorations, nonelectric”; and “Christmas decorations, electric” (excluding tree lights). An estimated 22 224 children (95% confidence Interval = 18 107-26 340) presented to the emergency department for CFBI over the study period. Children aged 2 years and younger ingested Christmas objects most frequently ( P < .001). CFBI visits demonstrated a seasonal trend ( P < .001). Christmas decoration ingestions are a frequent reason for children to present to the ED, which require dedicated awareness for appropriate diagnosis and care.

scholarly journals Spectrum of Dizziness Visits to US Emergency Departments: Cross-Sectional Analysis From a Nationally Representative Sample

2008 ◽  
Vol 83 (7) ◽  
pp. 765-775 ◽  
Author(s):  
David E. Newman-Toker ◽  
Yu-Hsiang Hsieh ◽  
Carlos A. Camargo ◽  
Andrea J. Pelletier ◽  
Gregary T. Butchy ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Representative Sample ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Nationally Representative ◽  
Sectional Analysis

scholarly journals Epidemiologic Comparison of Injured High School Basketball Athletes Reporting to Emergency Departments and the Athletic Training Setting

2014 ◽  
Vol 49 (3) ◽  
pp. 381-388 ◽  
Author(s):  
Erica N. Fletcher ◽  
Lara B. McKenzie ◽  
R. Dawn Comstock
Keyword(s):  
High School ◽  
Emergency Department ◽  
Confidence Interval ◽  
Athletic Training ◽  
Emergency Departments ◽  
Clinical Settings ◽  
Consumer Product Safety Commission ◽  
Injury Surveillance System ◽  
P Values ◽  
Training Setting

Context: Basketball is a popular US high school sport with more than 1 million participants annually. Objective: To compare patterns of athletes with basketball-related injuries presenting to US emergency departments from 2005 through 2010 and the high school athletic training setting from the 2005–2011 seasons. Design: Descriptive epidemiology study. Setting: Data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission and the High School Reporting Information Online database. Main Outcome Measure(s): Complex sample weights were used to calculate national estimates of basketball-related injuries for comparison. Patients or Other Participants: Adolescents from 13 to 19 years of age treated in US emergency departments for basketball-related injuries and athletes from 13 to 19 years of age from schools participating in High School Reporting Information Online who were injured while playing basketball. Results: Nationally, an estimated 1 514 957 (95% confidence interval = 1 337 441, 1 692 474) athletes with basketball-related injuries reported to the emergency department and 1 064 551 (95% confidence interval = 1 055 482, 1 073 620) presented to the athletic training setting. Overall, the most frequent injuries seen in the emergency department were lacerations and fractures (injury proportion ratios [IPRs] = 3.45 and 1.72, respectively), whereas those seen in the athletic training setting were more commonly concussions and strains/sprains (IPRs = 2.23 and 1.19, respectively; all P values &lt; .0001). Comparisons of body site and diagnosis combinations revealed additional differences. For example, athletes with lower leg fractures more often presented to the emergency department (IPR = 6.53), whereas those with hand fractures more frequently presented to the athletic training setting (IPR = 1.18; all P values &lt; .0001). Conclusions: Patterns of injury differed among high school basketball players presenting for treatment in the emergency department and the athletic training setting. Understanding differences specific to clinical settings is crucial to grasping the full epidemiologic and clinical picture of sport-related injuries. Certified athletic trainers play an important role in identifying, assessing, and treating athletes with sport-related injuries who might otherwise present to clinical settings with higher costs, such as the emergency department.

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