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.

Feel the Burn! Fireworks-related Otolaryngologic Trauma

2021 ◽  
pp. 000348942110081
Author(s):  
Alexander J. Straughan ◽  
Luke J. Pasick ◽  
Vrinda Gupta ◽  
Daniel A. Benito ◽  
Joseph F. Goodman ◽  
...  
Keyword(s):  
United States ◽  
Head And Neck ◽  
Emergency Departments ◽  
Closed Head Injury ◽  
Penetrating Trauma ◽  
The United States ◽  
Neck Injuries ◽  
Chi Square ◽  
Injury Surveillance System ◽  
Cross Sectional

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019. Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Incidence, types, and mechanisms of injury related to fireworks use in the US population were assessed. Results: A total of 541 patients (349 [64.5%] male, and 294 [54%] under 18 years of age) presented to emergency departments with fireworks-related head and neck injuries; the estimated national total was 20 584 patients (13 279 male, 9170 white, and 11 186 under 18 years of age). The most common injury diagnoses were burns (44.7% of injuries), laceration/avulsion/penetrating trauma (21.1%), and otologic injury (15.2%), which included hearing loss, otalgia, tinnitus, unspecified acoustic trauma, and tympanic membrane perforation. The remaining 19% of injuries were a mix, including contusion, abrasion, hematoma, fracture, and closed head injury. Associations between fireworks type and injury diagnosis (chi-square P < .001), as well as fireworks type by age group (chi-square P < .001) were found. Similarly, associations were found between age groups and injury diagnoses (chi-square P < .001); these included children 5 years and younger and adults older than 30 years. Conclusions: Fireworks-related head and neck injuries are more likely to occur in young, white, and male individuals. Burns are the most common injury, while otologic injury is a significant contributor. Annual rates of fireworks-related head and neck injuries have not changed or improved significantly in the United States in the past decade, suggesting efforts to identify and prevent these injuries are insufficient.

Pediatric Cheerleading Injuries Treated in Emergency Departments in the United States

2017 ◽  
Vol 56 (11) ◽  
pp. 985-992 ◽  
Author(s):  
Nada Naiyer ◽  
Thiphalak Chounthirath ◽  
Gary A. Smith
Keyword(s):  
United States ◽  
Emergency Departments ◽  
Closed Head Injury ◽  
Injury Rate ◽  
The United States ◽  
Common Mechanism ◽  
Injury Surveillance System ◽  
Injury Mechanisms ◽  
States Data ◽  
Closed Head

This study investigates the epidemiology of cheerleading injuries to children in the United States. Data were analyzed from the National Electronic Injury Surveillance System for children 5 through 18 years of age treated in US emergency departments for cheerleading injuries from 1990 through 2012. An estimated 497 095 children ages 5 to 18 years were treated in US emergency departments for a cheerleading injury during the 23-year study period, averaging 21 613 injured children per year. From 1990 to 2012, the annual cheerleading injury rate increased significantly by 189.1%; and from 2001 to 2012, the annual rate of cheerleading-related concussion/closed head injury increased significantly by 290.9%. Falls were the most common mechanism of injury (29.4%) and were more likely to lead to hospitalization (relative risk = 2.47; 95% confidence interval = 1.67-3.68) compared with other injury mechanisms. The rising number and rate of pediatric cheerleading injuries underscore the need for increased efforts to prevent these injuries.

scholarly journals Water polo-related injuries among adolescents and young adults treated at emergency departments

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Mathias B. Forrester
Keyword(s):  
Young Adults ◽  
Head And Neck ◽  
Emergency Departments ◽  
Surveillance System ◽  
Body Part ◽  
Adolescents And Young Adults ◽  
Contact Sport ◽  
Injury Surveillance System ◽  
Water Polo ◽  
Acute Injuries

AbstractObjectivesWater polo is a physically demanding contact sport involving swimming, overhead throwing, and wrestling/defending that can result in acute injuries. The objective of this study was to characterize water polo-related injuries among adolescents and young adults treated at United States (US) emergency departments (EDs).MethodsCases were water polo-related injuries among patients age 13–25 years reported to the National Electronic Injury Surveillance System (NEISS) during 2000–2019. The distribution of the national injury estimates was determined for selected variables.ResultsA total of 418 water polo-related injuries among patients age 13–25 years treated at US EDs during 2000–2019 were identified, resulting in a national estimate of 15,426 injuries. The patient was age 13–18 years in 73.5% of the injuries, 19–22 years in 20.5%, and 23–25 years in 6.0%; 62.1% of the patients were male and 37.9% female. The injury occurred at a place of recreation or sports in 63.4% of the injuries and a school in 21.4%. The most common diagnoses were a laceration (19.4%), strain or sprain (17.8%), contusion or abrasion (17.6%), or fracture (13.0%). The affected body part was 53.6% head and neck, 31.1% upper extremity, 8.0% trunk, 6.5% lower extremity, and 0.7% other/unknown. The patient was treated, released, or transferred in 98.3% of the injuries.ConclusionThe majority of patients were adolescents and male. Most of the injuries occurred at a place of recreation or sports or school. The most commonly reported injuries were laceration and strain or sprain and most often affected the head and neck.

The Most Dangerous Game: A Review of Head and Neck Injuries in American Football and Rugby

2022 ◽  
pp. 194338752110734
Author(s):  
Jordan Richardson ◽  
Dani Stanbouly ◽  
Harrison Moynihan ◽  
Renée M. Reynolds ◽  
Matthew J. Recker ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hospital Admission ◽  
Head And Neck ◽  
Predictor Variable ◽  
American Football ◽  
Outcome Variable ◽  
Neck Injuries ◽  
Injury Surveillance System ◽  
Admission Rates ◽  
Increased Risk

Study Design The investigators designed and implemented a 20-year cross-sectional study using the National Electronic Injury Surveillance System database. Objective The purpose of this study is to estimate and compare hospital admission (danger) rates between rugby and football of those who presented to the emergency department with head and neck injuries after playing these sports. Methods The primary predictor variable was sport played. The primary outcome variable was danger, measured by hospital admission rates. Results Over the past 20 years, there has been a trend of decreasing incidence of injuries presenting to the emergency department in both sports. There was no difference in the rate of hospital admission when comparing football and rugby (OR, 1.2; P = .1). Male gender was associated with an increased risk of admission. Other variables associated with hospital admission included white racial group, injury taking place in the fall, being either young (15–24 years old) or senior (65 years of age and over), and being injured at school or at a sport/recreational facility. Conclusions There is no difference in danger as measured by admission rates between American football and rugby. There exists, however, several variables that are associated with admission when sustaining injury to the head and neck, when playing these two sports.

Pediatric Playground-Related Injuries Treated in Hospital Emergency Departments in the United States

2017 ◽  
Vol 57 (5) ◽  
pp. 584-592 ◽  
Author(s):  
Sarah L. Adelson ◽  
Thitphalak Chounthirath ◽  
Nichole L. Hodges ◽  
Christy L. Collins ◽  
Gary A. Smith
Keyword(s):  
Emergency Departments ◽  
Closed Head Injury ◽  
Injury Rate ◽  
The United States ◽  
Injury Surveillance System ◽  
Safety Standards ◽  
Average Patient ◽  
Impact Attenuation ◽  
Standards And Guidelines ◽  
Hospital Emergency Departments

This study analyzed pediatric playground-related injuries data from the National Electronic Injury Surveillance System. An estimated 5 025 440 children <18 years were treated in US emergency departments for playground-related injuries during 1990-2012, averaging 218 497 children annually. The average patient age was 6.5 years. The overall annual injury rate declined during 1990-2007 ( P < .001) and then increased during 2007-2012 ( P < .001). The climbing equipment–related injury rate remained constant during 1990-2009 and then increased during 2007-2012 ( P = .014). The concussion/closed head injury rate increased during 1990-2008 ( P < .002) with the rate almost doubling from 2008-2012 ( P < .001). Falls accounted for 76.7% of all injuries and 87.7% of injuries to the upper extremities. Injuries resulted in hospitalization for 4.3% of patients. Despite current playground safety standards and guidelines, a large number of playground-related injuries continue to occur. Revised impact attenuation criteria for playground surfacing materials should be implemented and evaluated to more adequately prevent fall-related upper extremity fractures.

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.

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