US emergency department visits for fireworks injuries, 2006-2010

Joseph K. Canner, Adil H. Haider, Shalini Selvarajah, Xuan Hui, Han Wang, David T. Efron, Elliott R. Haut, Catherine G. Velopulos, Diane A. Schwartz, Albert Chi, Eric B. Schneider

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background Most literature regarding fireworks injuries are from outside the United States, whereas US-based reports focus primarily on children and are based on datasets which cannot provide accurate estimates for subgroups of the US population. Methods The 2006-2010 Nationwide Emergency Department Sample was used to identify patients with fireworks injury using International Classification of Diseases, Ninth Revision, Clinical Modification external cause of injury code E923.0. International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes were examined to determine the mechanism, type, and location of injury. Sampling weights were applied during analysis to obtain US population estimates. Results There were 25,691 emergency department visits for fireworks-related injuries between 2006 and 2010. There was no consistent trend in annual injury rates during the 5-y period. The majority of visits (50.1%) were in patients aged <20 y. Most injuries were among males (76.4%) and were treated in hospitals in the Midwest and South (42.0% and 36.4%, respectively) than in the West and Northeast (13.3% and 8.3%, respectively) census regions. Fireworks-related injuries were most common in July (68.1%), followed by June (8.3%), January (6.6%), December (3.4%), and August (3.1%). The most common injuries (26.7%) were burns of the wrist, hand, and finger, followed by contusion or superficial injuries to the eye (10.3%), open wounds of the wrist, hand, and finger (6.5%), and burns of the eye (4.6%). Conclusions Emergency department visits for fireworks injuries are concentrated around major national holidays and are more prevalent in certain parts of the country and among young males. This suggests that targeted interventions may be effective in combating this public health problem.

Original languageEnglish (US)
Pages (from-to)305-311
Number of pages7
JournalJournal of Surgical Research
Volume190
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Hospital Emergency Service
Wounds and Injuries
International Classification of Diseases
Wrist
Fingers
Eye Burns
Hand
Eye Injuries
Holidays
Contusions
Censuses
Burns
Population
Public Health
Weights and Measures

Keywords

  • Emergency department
  • Fireworks
  • Injury
  • NEDS

ASJC Scopus subject areas

  • Surgery

Cite this

Canner, J. K., Haider, A. H., Selvarajah, S., Hui, X., Wang, H., Efron, D. T., ... Schneider, E. B. (2014). US emergency department visits for fireworks injuries, 2006-2010. Journal of Surgical Research, 190(1), 305-311. https://doi.org/10.1016/j.jss.2014.03.066

US emergency department visits for fireworks injuries, 2006-2010. / Canner, Joseph K.; Haider, Adil H.; Selvarajah, Shalini; Hui, Xuan; Wang, Han; Efron, David T.; Haut, Elliott R.; Velopulos, Catherine G.; Schwartz, Diane A.; Chi, Albert; Schneider, Eric B.

In: Journal of Surgical Research, Vol. 190, No. 1, 01.01.2014, p. 305-311.

Research output: Contribution to journalArticle

Canner, JK, Haider, AH, Selvarajah, S, Hui, X, Wang, H, Efron, DT, Haut, ER, Velopulos, CG, Schwartz, DA, Chi, A & Schneider, EB 2014, 'US emergency department visits for fireworks injuries, 2006-2010', Journal of Surgical Research, vol. 190, no. 1, pp. 305-311. https://doi.org/10.1016/j.jss.2014.03.066
Canner JK, Haider AH, Selvarajah S, Hui X, Wang H, Efron DT et al. US emergency department visits for fireworks injuries, 2006-2010. Journal of Surgical Research. 2014 Jan 1;190(1):305-311. https://doi.org/10.1016/j.jss.2014.03.066
Canner, Joseph K. ; Haider, Adil H. ; Selvarajah, Shalini ; Hui, Xuan ; Wang, Han ; Efron, David T. ; Haut, Elliott R. ; Velopulos, Catherine G. ; Schwartz, Diane A. ; Chi, Albert ; Schneider, Eric B. / US emergency department visits for fireworks injuries, 2006-2010. In: Journal of Surgical Research. 2014 ; Vol. 190, No. 1. pp. 305-311.
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abstract = "Background Most literature regarding fireworks injuries are from outside the United States, whereas US-based reports focus primarily on children and are based on datasets which cannot provide accurate estimates for subgroups of the US population. Methods The 2006-2010 Nationwide Emergency Department Sample was used to identify patients with fireworks injury using International Classification of Diseases, Ninth Revision, Clinical Modification external cause of injury code E923.0. International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes were examined to determine the mechanism, type, and location of injury. Sampling weights were applied during analysis to obtain US population estimates. Results There were 25,691 emergency department visits for fireworks-related injuries between 2006 and 2010. There was no consistent trend in annual injury rates during the 5-y period. The majority of visits (50.1{\%}) were in patients aged <20 y. Most injuries were among males (76.4{\%}) and were treated in hospitals in the Midwest and South (42.0{\%} and 36.4{\%}, respectively) than in the West and Northeast (13.3{\%} and 8.3{\%}, respectively) census regions. Fireworks-related injuries were most common in July (68.1{\%}), followed by June (8.3{\%}), January (6.6{\%}), December (3.4{\%}), and August (3.1{\%}). The most common injuries (26.7{\%}) were burns of the wrist, hand, and finger, followed by contusion or superficial injuries to the eye (10.3{\%}), open wounds of the wrist, hand, and finger (6.5{\%}), and burns of the eye (4.6{\%}). Conclusions Emergency department visits for fireworks injuries are concentrated around major national holidays and are more prevalent in certain parts of the country and among young males. This suggests that targeted interventions may be effective in combating this public health problem.",
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AU - Haider, Adil H.

AU - Selvarajah, Shalini

AU - Hui, Xuan

AU - Wang, Han

AU - Efron, David T.

AU - Haut, Elliott R.

AU - Velopulos, Catherine G.

AU - Schwartz, Diane A.

AU - Chi, Albert

AU - Schneider, Eric B.

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N2 - Background Most literature regarding fireworks injuries are from outside the United States, whereas US-based reports focus primarily on children and are based on datasets which cannot provide accurate estimates for subgroups of the US population. Methods The 2006-2010 Nationwide Emergency Department Sample was used to identify patients with fireworks injury using International Classification of Diseases, Ninth Revision, Clinical Modification external cause of injury code E923.0. International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes were examined to determine the mechanism, type, and location of injury. Sampling weights were applied during analysis to obtain US population estimates. Results There were 25,691 emergency department visits for fireworks-related injuries between 2006 and 2010. There was no consistent trend in annual injury rates during the 5-y period. The majority of visits (50.1%) were in patients aged <20 y. Most injuries were among males (76.4%) and were treated in hospitals in the Midwest and South (42.0% and 36.4%, respectively) than in the West and Northeast (13.3% and 8.3%, respectively) census regions. Fireworks-related injuries were most common in July (68.1%), followed by June (8.3%), January (6.6%), December (3.4%), and August (3.1%). The most common injuries (26.7%) were burns of the wrist, hand, and finger, followed by contusion or superficial injuries to the eye (10.3%), open wounds of the wrist, hand, and finger (6.5%), and burns of the eye (4.6%). Conclusions Emergency department visits for fireworks injuries are concentrated around major national holidays and are more prevalent in certain parts of the country and among young males. This suggests that targeted interventions may be effective in combating this public health problem.

AB - Background Most literature regarding fireworks injuries are from outside the United States, whereas US-based reports focus primarily on children and are based on datasets which cannot provide accurate estimates for subgroups of the US population. Methods The 2006-2010 Nationwide Emergency Department Sample was used to identify patients with fireworks injury using International Classification of Diseases, Ninth Revision, Clinical Modification external cause of injury code E923.0. International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes were examined to determine the mechanism, type, and location of injury. Sampling weights were applied during analysis to obtain US population estimates. Results There were 25,691 emergency department visits for fireworks-related injuries between 2006 and 2010. There was no consistent trend in annual injury rates during the 5-y period. The majority of visits (50.1%) were in patients aged <20 y. Most injuries were among males (76.4%) and were treated in hospitals in the Midwest and South (42.0% and 36.4%, respectively) than in the West and Northeast (13.3% and 8.3%, respectively) census regions. Fireworks-related injuries were most common in July (68.1%), followed by June (8.3%), January (6.6%), December (3.4%), and August (3.1%). The most common injuries (26.7%) were burns of the wrist, hand, and finger, followed by contusion or superficial injuries to the eye (10.3%), open wounds of the wrist, hand, and finger (6.5%), and burns of the eye (4.6%). Conclusions Emergency department visits for fireworks injuries are concentrated around major national holidays and are more prevalent in certain parts of the country and among young males. This suggests that targeted interventions may be effective in combating this public health problem.

KW - Emergency department

KW - Fireworks

KW - Injury

KW - NEDS

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