A Summary of Head and Neck Injuries in Collegiate Athletics Using the NCAA Injury Surveillance System.

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.

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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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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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Feel the Burn! Fireworks-related Otolaryngologic Trauma

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211008100 ◽

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.

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

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/19433875211073437 ◽

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.

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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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