Trimming- and pruning-related injuries in the United States, 1990 to 2007.

BACKGROUND: Trimming and pruning equipment is used frequently in the United States, and associated injuries are common. METHODS: The National Electronic Injury Surveillance System database was used to examine trimming- and pruning-related injuries treated in US hospital emergency departments from 1990 through 2007. RESULTS: An estimated 648,100 individuals (95% confidence interval: 535,500-760,700) were treated in US hospital emergency departments for trimming- and pruning-related injuries during the 18-year study period. The average annual injury rate was 13.0 per 100,000 US population, and the annual rate of injury increased 35.1% from 11.4 in 1990 to 15.4 in 2007 (slope = 0.241, p < 0.01). Approximately two-thirds (67.6%) of the injuries occurred among males, and 62.8% of incidents occurred to individuals 18 years to 54 years of age. Lacerations and puncture injuries occurred most often (71.0%), and injuries to the arms and hands accounted for 67.8% of cases. A majority (56.8%) of injuries involved the use of a power tool. The most common project at the time of injury was hedge/shrub trimming (66.5%), followed by grass/lawn trimming (24.3%) and tree trimming (9.1%). Patients required hospitalization in 2.1% of cases. Most injury incidents (98.5%) occurred around the home. CONCLUSIONS: This is the first study to examine trimming- and pruning-related injuries in the United States using a nationally representative sample. The increasing number and rate of injuries associated with trimming activities in the United States underscore the need for increased prevention efforts, including enhanced safety features of trimming equipment and better education of equipment operators regarding the potential hazards of trimming activities.

Snow shovel-related injuries and medical emergencies treated in US EDs, 1990 to 2006.

BACKGROUND: Injuries and medical emergencies associated with snow shovel use are common in the United States. METHODS: This is a retrospective analysis of data from the National Electronic Injury Surveillance System. This study analyzes the epidemiologic features of snow shovel-related injuries and medical emergencies treated in US emergency departments (EDs) from 1990 to 2006. RESULTS: An estimated 195 100 individuals (95% confidence interval, 140 400-249 800) were treated in US EDs for snow shovel-related incidents during the 17-year study period, averaging 11 500 individuals annually (SD, 5300). The average annual rate of snow shovel-related injuries and medical emergencies was 4.15 per 100 000 population. Approximately two thirds (67.5%) of these incidents occurred among males. Children younger than 18 years comprised 15.3% of the cases, whereas older adults (55 years and older) accounted for 21.8%. The most common diagnosis was soft tissue injury (54.7%). Injuries to the lower back accounted for 34.3% of the cases. The most common mechanism of injury/nature of medical emergency was acute musculoskeletal exertion (53.9%) followed by slips and falls (20.0%) and being struck by a snow shovel (15.0%). Cardiac-related ED visits accounted for 6.7% of the cases, including all of the 1647 deaths in the study. Patients required hospitalization in 5.8% of the cases. Most snow shovel-related incidents (95.6%) occurred in and around the home. CONCLUSIONS: This is the first study to comprehensively examine snow shovel-related injuries and medical emergencies in the United States using a nationally representative sample. There are an estimated 11 500 snow shovel-related injuries and medical emergencies treated annually in US EDs.

Golf cart-related injuries in the U.S.

BACKGROUND: Golf carts today are used in a variety of public and private settings. Injuries related to golf carts are an important and increasing problem for people of all ages. This study analyzes trends and potential causes of nonfatal golf cart-related injury on a national level. METHODS: The National Electronic Injury Surveillance System database was used to examine all cases of nonfatal golf cart-related injury treated in U.S. emergency departments (EDs) from 1990 to 2006. Analysis was conducted in 2007. RESULTS: An estimated 147,696 (95% CI=144,404; 150,987) injuries, involving individuals aged 2 months to 96 years, were treated in EDs in the U.S. for golf cart-related injuries during the study period. Injuries to children (aged<16) constituted 31.2% of the cases. The most common type of injury was soft tissue damage (47.7%). Patients required hospitalization in 7.8% of the cases. Falling from a golf cart was the most common cause of injury (38.3%). Of golf cart-related injuries with a reported location, 70.3% occurred at sports facilities, 15.2% occurred on streets or public property, and 14.5% occurred around a home or farm. The number of golf cart-related injuries increased steadily each year, with an increase of 132.3% over the 17-year study period. CONCLUSIONS: Given the growing capabilities and popularity of golf carts, coupled with the marked increase in golf cart-related injuries observed over the study period (>130%), intensified efforts are needed to prevent these injuries, especially among children.