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National Electronic Injury Surveillance System (national + electronic_injury_surveillance_system)
Selected AbstractsInjuries Related to Snow Blowers in the United States: 2002 Through 2008ACADEMIC EMERGENCY MEDICINE, Issue 5 2010Bart Hammig PhD Abstract Objectives:, The objective was to examine injuries related to the use of a snow blower among patients treated in an emergency department (ED). Methods:, Data were obtained from the National Electronic Injury Surveillance System (NEISS) for the years 2002,2008. National estimates of ED visits for injuries associated with the use of a snow blower were obtained, and descriptive epidemiologic characteristics assessed. Results:, From 2002 through 2008, there were an estimated 32,307 ED visits for injuries related to the use of a snow blower in the United States. Older adults had a higher proportion of ED visits for such injuries than younger age groups. The majority of injuries involved injuries to the hand, with 42% of cases diagnosed with fractures and 20% resulting in amputations. Conclusions:, Findings indicate that injuries from snow blowers remain a public health problem. Efforts to reduce injury incidence are discussed in accordance with inherent challenges of prevention of injuries associated with these products. ACADEMIC EMERGENCY MEDICINE 2010; 17:566,569 © 2010 by the Society for Academic Emergency Medicine [source] Curling Iron-related Injuries Presenting to U.S. Emergency DepartmentsACADEMIC EMERGENCY MEDICINE, Issue 4 2001Khajista Qazi MD Abstract. Objective: To describe curling iron-related injuries reported to the National Electronic Injury Surveillance System (NEISS) between January 1, 1992, and December 31, 1996. Methods: The authors retrospectively reviewed data from NEISS, a weighted probability sample of emergency departments (EDs) developed to monitor consumer product-related injuries. The information reported includes patient demographics, injury diagnosis, body part injured, incident locale, patient disposition, and a brief narrative description. The authors reviewed the narrative in the hair care products category and abstracted records indicating the injury was caused by contact with a curling iron. Also analyzed were the design features of commonly available curling irons purchased from national discount department stores. Results: There were an estimated 105,081 hair care product-related injuries in the five-year period, of which 82,151 (78%) involved a curling iron. Seventy percent of injuries were to females. The patient's median age was 8 years (range 1 month to 96 years). The most commonly occurring injury was thermal burns (97%; 79,912/82,151). Ninety-eight percent of the injuries occurred in the home and 99% of the patients were discharged home from the ED. In patients <4 years old, 56% of burns occurred by grabbing or touching, while in those ,10 years the burns occurred by contact while in use. In the older group 69% of burns were of the cornea. Most curling irons use small amounts of power, yet there are no standards for temperature settings or control. The cylinder containing the heating element is mostly exposed, and many irons do not have a power switch. Conclusions: The most common injury resulting from curling irons is thermal burns. The mechanisms and patterns of injury in developmentally distinct age groups suggest that many of these injuries could be prevented by public education and the re-engineering of curling irons. [source] Nonfatal tool- or equipment-related injuries treated in US emergency departments among workers in the construction industry, 1998,2005AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 6 2010Hester J. Lipscomb PhD Abstract Background Individuals in the construction industry are exposed to a variety of tools and pieces of equipment as they work. Methods Data from the National Institute for Occupational Safety and Health (NIOSH) occupational supplement to the National Electronic Injury Surveillance System (NEISS-Work) were used to characterize tool- and equipment,related injuries among workers in the construction industry that were treated in US emergency departments between 1998 and 2005. Based on a national stratified probability sample of US hospitals with 24,hr emergency services, NEISS-Work allows calculation of national injury estimates. Results Over the 8-year period between 1998 and 2005, we estimated 786,900 (95% CI 546,600,1,027,200) ED-treated tool- or equipment-related injuries identified by the primary or secondary source of injury code. These injuries accounted for a quarter of all ED-treated construction industry injuries. Although over 100 different tools or pieces of equipment were responsible for these injuries, seven were responsible for over 65% of the injury burden: ladders, nail guns, power saws, hammers, knives, power drills, and welding tools in decreasing order. Conclusions Current injury estimates and their severity, marked by the proportion of cases that were not released after ED treatment, indicate interventions are particularly needed to prevent injuries associated with use of ladders as well as nail guns and power saws. Attention should focus on design and guarding to more efficiently prevent these injuries rather than simply calling for the training of workers in how to safely use a dangerous tool or piece of equipment. Am. J. Ind. Med. 53: 581,587, 2010. © 2010 Wiley-Liss, Inc. [source] Occupational injuries among emergency responders,,AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 1 2010Audrey A. Reichard MPH Abstract Background Emergency responders frequently incur injuries while providing medical, fire, and law enforcement services. National surveillance systems provide fragmented perspectives on responder injuries because they omit specific classes of workers (e.g., government or volunteers); they report only selected injuries; and employment information is incomplete. Methods We characterized injuries among emergency medical services (EMS), firefighting, and police occupations by using data from the National Electronic Injury Surveillance System,Occupational Supplement (NEISS-Work) for injuries treated in U.S. hospital emergency departments in 2000,2001. Results Sprains and strains were the leading injury (33,41%) among EMS, firefighter, and police occupations. Police officers and career firefighters had the highest injury rates (8.5 and 7.4 injuries per 100 full-time equivalent workers, respectively). Conclusions The physical demands of emergency response are a leading cause of injuries that may benefit from similar interventions across the occupations. To assess risk, improved exposure data need to be acquired, particularly for volunteers. Am. J. Ind. Med. 53:1,11, 2010. Published 2009 Wiley-Liss, Inc. [source] Potential work-related bloodborne pathogen exposures by industry and occupation in the United States Part I: An emergency department-based surveillance study,,AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 3 2007Guang X. Chen Abstract Background Since the early 1990s, researchers have attempted to assess the magnitude of potential work-related bloodborne pathogen (BBP) exposures in the U.S. The only data-derived estimate of 385,000 needlestick and other sharps injuries per year was reported in 2004. The estimate was derived from a convenience sample and did not include exposures outside of hospitals. This study seeks to understand the magnitude and distribution of the exposures across all industries and occupations. Methods Data were from the 1998 to 2000 National Electronic Injury Surveillance System (NEISS), a stratified probability-based sample of U.S. hospital emergency departments (EDs). NEISS covers all industries and occupations. National estimates of exposures and exposure rates (the number of exposures/1,000 full-time equivalents (FTE)) were computed. Results An estimated 78,100 potential work-related exposures to BBP were treated in hospital EDs annually in the U.S. While hospitals accounted for 75% of all these exposures, 11 other industries had a substantial number of exposures. While registered nurses accounted for 36% of all exposures, 13 other occupations had a substantial number of exposures. Hospitals had the highest exposure rate of 11.3/1,000 FTE, followed by nursing homes (2.8), and residential care facilities without nursing (1.9). Registered nurses had the highest exposure rate of 15.3/1,000 FTE, followed by clinical laboratory technologists and technicians (13.9), and physicians (7.1). Conclusions While this study begins to more completely describe the problem of potential BBP exposure in the workplace, it is but a first step in further understanding the complex issues surrounding workplace BBP exposures. Am. J. Ind. Med. 50: 183,190, 2007. Published 2007 Wiley-Liss, Inc. [source] Pediatric Tree House,Related Injuries Treated in Emergency Departments in the United States: 1990,2006ACADEMIC EMERGENCY MEDICINE, Issue 3 2009Charles Randazzo Abstract Objectives:, The objective was to describe the epidemiology of tree house,related injuries in the United States among children and adolescents. Methods:, The authors conducted a retrospective analysis using data from the National Electronic Injury Surveillance System for patients ,19 years who were treated in an emergency department (ED) for a tree house,related injury from 1990 through 2006. Results:, An estimated 47,351 patients ,19 years of age were treated in EDs for tree house,related injuries over the 17-year study period. Fractures were the most common diagnosis (36.6%), and the upper extremities were the most commonly injured body part (38.8%). The odds of sustaining a head injury were increased for children aged <5 years. Falls were the most common injury mechanism (78.6%) and increased the odds of sustaining a fracture. Falls or jumps from a height ,10 feet occurred in 29.3% of cases for which height of the fall/jump was recorded. Boys had significantly higher odds of falling or jumping from a height of ,10 ft than girls, and children 10 to 19 years old also had significantly higher odds of falling or jumping from a height of ,10 feet, compared to those 9 years old and younger. The odds of hospitalization were tripled if the patient fell or jumped from ,10 feet and nearly tripled if the patient sustained a fracture. Conclusions:, This study examined tree house,related injuries on a national level. Tree house safety deserves special attention because of the potential for serious injury or death due to falls from great heights, as well as the absence of national or regional safety standards. The authors provide safety and prevention recommendations based on the successful standards developed for playground equipment. [source] Injuries in Youth Football: National Emergency Department Visits during 2001,2005 for Young and Adolescent PlayersACADEMIC EMERGENCY MEDICINE, Issue 3 2009Michael J. Mello MD Abstract Objectives:, Limited research exists describing youth football injuries, and many of these are confined to specific regions or communities. The authors describe U.S. pediatric football injury patterns receiving emergency department (ED) evaluation and compare injury patterns between the younger and older youth football participants. Methods:, A retrospective analysis of ED data on football injuries was performed using the National Electronic Injury Surveillance System,All Injury Program. Injury risk estimates were calculated over a 5-year period (2001,2005) using participation data from the National Sporting Goods Association. Injury types are described for young (7,11 years) and adolescent (12,17 years) male football participants. Results:, There were an estimated total of 1,060,823 visits to U.S. EDs for males with football-related injuries. The most common diagnoses in the younger group (7,11 years) were fracture/dislocation (29%), sprain/strain (27%), and contusion (27%). In the older group (ages 12,17 years), diagnoses included sprain/strain (31%), fracture/dislocation (29%), and contusion (23%). Older participants had a significantly higher injury risk of injury over the 5-year study period: 11.0 (95% confidence interval [CI] = 9.2 to 12.8) versus 6.1 (95% CI = 4.8 to 7.3) per 1,000 participants/year. Older participants had a higher injury risk across all categories, with the greatest disparity being with traumatic brain injury (TBI), 0.8 (95% CI = 0.6 to 1.0) versus 0.3 (95% CI = 0.2 to 0.4) per 1,000 participants/year. Conclusions:, National youth football injury patterns are similar to those previously reported in community and cohort studies. Older participants have a significantly higher injury risk, especially with TBI. [source] Emergency Department Visits for Pediatric Trampoline-related Injuries: An UpdateACADEMIC EMERGENCY MEDICINE, Issue 6 2007James G. Linakis PhD Objectives:To describe the epidemiology of emergency department (ED) visits for trampoline-related injuries among U.S. children from January 1, 2000, to December 31, 2005, using the National Electronic Injury Surveillance System (NEISS) and to compare recent trampoline injury demographics and injury characteristics with those previously published for 1990,1995 using the same data source. Methods:A stratified probability sample of U.S. hospitals providing emergency services in NEISS was utilized for 2000,2005. Nonfatal trampoline-related injury visits to the ED were analyzed for patients from 0 to 18 years of age. Results:In 2000,2005, there was a mean of 88,563 ED visits per year for trampoline-related injuries among 0,18-year-olds, 95% of which occurred at home. This represents a significantly increased number of visits compared with 1990,1995, when there was an average of 41,600 visits per year. Primary diagnosis and principal body part affected remained similar between the two study periods. Conclusions:ED visits for trampoline-related injuries in 2000,2005 increased in frequency by 113% over the number of visits for 1990,1995. Trampoline use at home continues to be a significant source of childhood injury morbidity. [source] |