Electronic cigarette explosion and burn injuries, US Emergency Departments 2015–2017

Rossheim, Matthew E.; Livingston, Melvin D.; Soule, Eric K.; Zeraye, Helen A.; Thombs, Dennis L.

doi:10.1136/tobaccocontrol-2018-054518

Cited by 50 publications

(50 citation statements)

References 10 publications

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“…We observed the largest number of e-cigarette-related burn cases in 2016 followed by a decline in 2017, a similar observation as noted by Rossheim et al in their study on e-cigarette-related burn and explosion injuries presenting to EDs (7). The decline in the number of burn cases from 2016 to 2017 we observed was more pronounced than that reported by Rosseheim et al This decline coincided with the following events occurring around the time: (1) FDA provided an online education program entitled "Tips to Help Avoid "Vape" Battery Explosions" (16); (2) the U.S. Fire Department published a report of e-cigaretterelated res and explosions in the U.S. and provided information on appropriate use of e-cigarettes (17);…”

Section: Discussionsupporting

confidence: 90%

“…Data from NPDS, a national surveillance system, indicate that approximately one-fth of e-cigaretterelated burn cases reported to PCCs were not referred to or did not arrive at HCFs. This information is complementary to the ndings from previous studies on e-cigarette-related burn injury cases presented to EDs (4,7) and is helpful in understanding the overall burden of e-cigarette-related burn injuries.…”

Section: Discussionmentioning

confidence: 65%

“…nationally representative data from NEISS and provided national estimates of e-cigarette-related burn and explosion injuries presenting to U.S. hospital emergency departments (EDs). They estimated that 1,007 individuals with battery-related burn injuries presented to EDs in 2016 (4) and 2,035 individuals with burns and injuries from e-cigarette explosion presented to EDs from 2015 to 2017 (4,7). Although these national estimates are valuable for understanding the burden of e-cigarette-related burn and explosion injuries, the information is limited to individuals who presented to EDs with such injuries.…”

mentioning

confidence: 99%

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Burn Injuries Related to E-Cigarettes Reported to Poison Control Centers in the United States, 2010-2019

WANG

Liu

Rostron

et al. 2020

Preprint

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Background: United States (U.S.) national data indicate that 2,035 individuals with burn injuries from e-cigarette explosions presented to U.S. hospital emergency departments (EDs) in 2015-2017. This national estimate is valuable for understanding the burden of burn injuries from e-cigarette explosions among individuals who presented to EDs. However, little is known about individuals who experienced e-cigarette-related burns but may not present to EDs or health care facilities.Findings: We analyzed data from the National Poison Data System (NPDS) to describe frequency and characteristics of e-cigarette-related burn cases in the U.S. in 2010-2019. NPDS contains information collected during telephone calls to poison control centers (PCCs) across the U.S., including e-cigarette-related burns and other unintended events. During 2010-2019, 19,306 exposure cases involving e-cigarettes were documented in NPDS. Of those, 69 were burn cases. The number of burn cases increased from one in 2011 to a peak of 26 in 2016, then decreased to three in 2019. The majority of the burn cases occurred among young adults aged 18-24 years (29.0%; n=20) and adults aged 25 years or older (43.5%; n=30); 14.4% occurred among individuals ≤ 17 years old. Of the 69 burn cases, 5.8% (n=4) were admitted to a hospital; 65.2% (n=45) were treated and released; 15.9 % (n=11) were not referred to a health care facility (HCF); 4.4% (n=3) refused referral or did not arrive at an HCF; and 8.7% (n=6) were lost to follow-up or left the HCF against medical advice. Nearly one-third (30.4%; n=21) of the cases had a minor effect (symptoms resolved quickly), 47.8% (n=33) had a moderate effect (symptoms were more pronounced and prolonged than in minor cases, but not life-threatening), and 2.9% (n=2) had a major effect (life-threatening symptoms).Conclusions: Approximately one-fifth of e-cigarette-related burn cases reported to PCCs were not referred to or did not arrive at an HCF. Some burn cases had serious medical outcomes. The burn cases mostly affected young adults and adults aged 25 years or older. The number of burn cases in NPDS represents a small portion of e-cigarette-related burn cases but it can serve as a complementary data source to traditional injury surveillance systems.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 65%

mentioning

confidence: 99%

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Burn Injuries Related to E-Cigarettes Reported to Poison Control Centers in the United States, 2010-2019

WANG

Liu

Rostron

et al. 2020

Preprint

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“…A study examining the frequency of explosions and burn injuries related to EC use found more than 2,000 cases from 2015 to 2017. 18 ECs are powered by lithium-ion batteries that can short circuit and explode. Multiple reasons can cause the malfunction of batteries, including improper charging and lack of fail-safe mechanisms.…”

Section: Explosions Battery Malfunction Injuriesmentioning

confidence: 99%

Update on the Risks of Electronic Cigarettes—Vaping

Reasoner

Regier

Beckendorf

et al. 2020

TOJ

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Approximately 13 years ago, electronic cigarettes (ECs), also referred to as electronic nicotine delivery systems, alternative nicotine delivery systems, e-hookahs, mods, vape pens, vaporizers, vapes, and tank systems, were introduced to the US market. ECs are lithium-ion batteryoperated devices that heat a liquid, usually containing nicotine and dozens of other toxins, into an aerosol of tiny particles (sometimes called a "vapor," although this is a misnomer) that is then inhaled. ECs rapidly gained popularity among teenagers and young adults due to marketing campaigns that touted them as a safer alternative to traditional cigarettes and as a tool for reaching the goal of smoking cessation. Because of their relatively recent introduction into the US market, the long-term health effects of ECs have not been well documented.

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“…[14] A 2019 study on mice showed that the chronic use of e-cigarettes, with or without nicotine, damages the defence system of the lung, increasing lung susceptibility to virus and pathogens. [10] An additional hazard unique to e-cigarettes is the risk of explosion while being charged, used or even stored, [15,16] which has never been reported with traditional cigarettes. This has led to strict regulations that require these products to be carried in checked-in luggage only during air travel.…”

Section: The Case Against E-cigarettes E-cigarettes Are Not Harmlessmentioning

confidence: 99%

The need to regulate electronic cigarettes amidst health concerns: Let’s follow the evidence

Egbe

London

Kalideen³

et al. 2020

S Afr Med J

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Growing evidence, including 60 confirmed deaths and >2 000 electronic cigarette-related acute lung injuries reported in the USA, [1] has prompted the banning or restriction of e-cigarette sales in some US states [2] and in >98 countries to protect the health of citizens. [3] South Africa (SA) is yet to follow suit. To evaluate the need for urgent regulation of e-cigarette use in SA, considerations of key arguments are reviewed below. Conclusions The growing evidence raises concerns, revealing harmful effects from short-term e-cigarette use. The long-term health effects are largely unknown at this stage, but current evidence points to the need for caution with regard to e-cigarettes. We call on the SA government to take swift action to avoid the public health risks of e-cigarettes and speedily pass the Control of Tobacco Products and Electronic Delivery Systems Draft Bill [33] into law, which will provide for the regulation of e-cigarettes as for other tobacco products.

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Electronic cigarette explosion and burn injuries, US Emergency Departments 2015–2017

Abstract: There are more e-cigarette explosion and burn injuries in the USA than estimated in the past reports. Improved surveillance of e-cigarette injuries and regulation of e-cigarette devices is urgently needed. NEISS could be a valuable resource for e-cigarette injury surveillance.

Cited by 50 publications

References 10 publications

Burn Injuries Related to E-Cigarettes Reported to Poison Control Centers in the United States, 2010-2019

Burn Injuries Related to E-Cigarettes Reported to Poison Control Centers in the United States, 2010-2019

Update on the Risks of Electronic Cigarettes—Vaping

The need to regulate electronic cigarettes amidst health concerns: Let’s follow the evidence

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