Epidemiology of Pediatric Holiday-Related Injuries Presenting to US Emergency Departments

D’Ippolito, Anthony; Collins, Christy L.; Comstock, R. Dawn

doi:10.1542/peds.2009-0307

Cited by 29 publications

(19 citation statements)

References 8 publications

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“…Other studies also showed that burns and lacerations were the most common types of injury. 7,8,21-23,24 According to our data, about 82% of injured patients were treated as outpatients and approximately 18% were hospitalized, which is in line with the results of similar studies. 20,21 Witsaman et al (2006) found that in the USA, 91.6% of children referred to hospitals for fireworks-related injuries were treated in the emergency department and discharged without inpatient hospitalization, whereas 5.3% were hospitalized and 2.3% were transferred to another institution.…”

Section: Discussionsupporting

confidence: 91%

Extent, nature and hospital costs of fireworks-related injuries during the Wednesday Eve Festival in Iran

et al. 2013

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Abstract:Background:Fireworks are commonly used in local and national celebrations. The aim of this study is to explore the extent, nature and hospital costs of injuries related to the Persian Wednesday Eve festival in Iran. Methods:Data for injuries caused by fireworks during the 2009 Persian Wednesday Eve festival were collected from the national Ministry of Health database. Injuries were divided into nine groups and the average and total hospital costs were estimated for each group. The cost of care for patients with burns was estimated by reviewing a sample of 100 patients randomly selected from a large burn center in Tehran. Other costs were estimated by conducting semi structured interviews with expert managers at two large government hospitals.Results:1817 people were injured by fireworks during the 2009 Wednesday Eve festival. The most frequently injured sites were the hand (43.3%), eye (24.5%) and face (13.2%), and the most common types of injury were burns (39.9%), contusions/abrasions (24.6%) and lacerations (12.7%). The mean length of hospital stay was 8.15 days for patients with burns, 10.7 days for those with amputations, and 3 days for those with other types of injury. The total hospital cost of injuries was US$ 284 000 and the average cost per injury was US$ 156. The total hospital cost of patients with amputations was US$ 48 598. Most of the costs were related to burns (56.6%) followed by amputations (12.2%). Conclusions:Injuries related to the Persian Wednesday Eve festival are common and lead to extensive morbidity and medical costs.

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Section: Discussionsupporting

confidence: 91%

Extent, nature and hospital costs of fireworks-related injuries during the Wednesday Eve Festival in Iran

et al. 2013

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“…In our study we found that boys had higher rates of TBI than girls in each age subgroup, according to other studies [15][16][17][18]. It can be explained by greater male risk-taking behaviors and differences in male socialization.…”

Section: Discussionsupporting

confidence: 84%

Brain CT scan for pediatric minor accidental head injury. An Italian experience and review of literature

et al. 2012

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The best way to manage children with minor head trauma is still matter of debate. Loss of consciousness and scalp swelling are risk factors predicting brain injury that deserve CT control. The radiation risks posed by CT scanning in children must be balanced by the benefits. We believe that even though CT scans may be clinically unnecessary in many cases, the rate of scanning is justified by the even limited number of abnormalities which require neurosurgical treatment.

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“…8, 35, 36 It was, however, unexpected and counter to our hypothesis to find lower severity injuries and lower rates of admission or transfer after an injury-related ED visits for non-Hispanic black children compared with non-Hispanic white children and among children from areas with moderate and high prevalence of poverty compared with children from areas with low prevalence of poverty. These results are in contrast with studies that have demonstrated higher rates of severe and fatal injuries in children with lower SES.…”

Section: Discussioncontrasting

confidence: 73%

“…2 Although the CDC has documented declining rates of fatal childhood injuries, 3 national injury surveillance systems show increased pediatric ED visits for specific injuries. 4–8 …”

mentioning

confidence: 99%

Patient- and Community-Level Sociodemographic Characteristics Associated with Emergency Department Visits for Childhood Injury

Macy

Zonfrillo

Cook

et al. 2015

The Journal of Pediatrics

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Objective To examine pediatric emergency department (ED) visits over 5 years, trends in injury severity, and associations between injury-related ED visit outcome and patient and community-level socio-demographic characteristics. Study design Retrospective analysis of administrative data provided to the Pediatric Emergency Care Applied Research Network Core Data Project, 2004–2008. Home addresses were geocoded to determine census block group and associated socio-demographic characteristics. Maximum Abbreviated Injury Scale severity and Severity Classification System scores were calculated. Generalized estimating equations were used to test for associations between socio-demographic characteristics and admission or transfer among injury-related ED visits. Results Overall ED visits and injury-related visits increased from 2004 to 2008 at study sites. Of 2,833,676 successfully geocoded visits, 700,821 (24.7%) were injury-related. The proportion of higher severity injury-related visits remained consistent. Nearly 10% of injury-related visits resulted in admission or transfer each year. After adjusting for age, sex, payer, and injury severity, odds of admission or transfer were lower among minority children and children from areas with moderate and high prevalence of poverty. Conclusions Pediatric injury-related ED visits to included sites increased over the study period while injury severity, anticipated resource utilization, and visit outcomes remained stable, with low rates of admission or transfer. Socio-demographic differences in injury-related visits and ED disposition were apparent. ED-based injury surveillance is essential to understand disparities, inform targets for prevention programs, and reduce the overall burden of childhood injuries.

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Epidemiology of Pediatric Holiday-Related Injuries Presenting to US Emergency Departments

Abstract: Most injuries that were sustained on holidays and required ED treatment were not holiday-specific but were associated with more general activities. Parents should be aware that holidays present a risk not only for holiday-specific injuries but also for more general, "everyday" injuries.

Cited by 29 publications

References 8 publications

Extent, nature and hospital costs of fireworks-related injuries during the Wednesday Eve Festival in Iran

Extent, nature and hospital costs of fireworks-related injuries during the Wednesday Eve Festival in Iran

Brain CT scan for pediatric minor accidental head injury. An Italian experience and review of literature

Patient- and Community-Level Sociodemographic Characteristics Associated with Emergency Department Visits for Childhood Injury

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