Abstract：
BACKGROUND: The purpose of this study is to examine and characterize patterns of injury to the upper extremity caused by fireworks in a nationally representative sample of emergency department patients from 2011 to 2020.
METHODS: The National Electronic Injury Surveillance System was queried for upper-extremity injuries caused by fireworks between 2011 and 2020.
RESULTS: One thousand two hundred fifty-one injuries were identified from the database representing 47,235 national cases that presented to emergency departments in the United States. Case frequency was stable during the period until 2020, which was nearly 70% higher than the previous 9-y average. Patients were generally young and male, with most cases in the 10-29-y age group and males over three times as likely to be injured as females. The most common injury was burn, and the week of July 4th accounted for 53% of cases alone. Diagnosis was also significantly associated with device type.
CONCLUSIONS: These data can be used to target prevention measures and campaigns to specific patient populations most at risk of injury, specifically young males. They may also be used to highlight the impact of policy changes on availability of fireworks, the need for public health education coinciding with injury incidence peaks, and secondary pandemic effects.
METHODS: The National Electronic Injury Surveillance System was queried for upper-extremity injuries caused by fireworks between 2011 and 2020.
RESULTS: One thousand two hundred fifty-one injuries were identified from the database representing 47,235 national cases that presented to emergency departments in the United States. Case frequency was stable during the period until 2020, which was nearly 70% higher than the previous 9-y average. Patients were generally young and male, with most cases in the 10-29-y age group and males over three times as likely to be injured as females. The most common injury was burn, and the week of July 4th accounted for 53% of cases alone. Diagnosis was also significantly associated with device type.
CONCLUSIONS: These data can be used to target prevention measures and campaigns to specific patient populations most at risk of injury, specifically young males. They may also be used to highlight the impact of policy changes on availability of fireworks, the need for public health education coinciding with injury incidence peaks, and secondary pandemic effects.
摘要：
背景：这项研究的目的是在2011年至2020年全国代表性的急诊科患者样本中检查并表征烟花引起的上肢损伤的模式。
方法：在2011年至2020年期间，对国家电子伤害监测系统进行了询问，以了解烟花引起的上肢伤害。
结果：从数据库中确定了一千二百五十一件伤害，这些伤害代表了47,235例国家病例，这些病例提交给了美国的急诊科。在2020年之前的这段时间里，病例频率保持稳定，比之前的9年平均水平高出近70%。患者通常是年轻和男性，大多数病例在10-29岁年龄组，男性受伤的可能性是女性的三倍以上。最常见的损伤是烧伤,仅7月4日这一周就占病例的53%。诊断也与器械类型显著相关。
结论：这些数据可用于针对最有受伤风险的特定患者人群采取预防措施和运动，特别是年轻的男性。它们也可以用来强调政策变化对烟花供应的影响，公共卫生教育的需要与伤害发生率高峰相吻合，和继发性大流行效应。
方法：在2011年至2020年期间，对国家电子伤害监测系统进行了询问，以了解烟花引起的上肢伤害。
结果：从数据库中确定了一千二百五十一件伤害，这些伤害代表了47,235例国家病例，这些病例提交给了美国的急诊科。在2020年之前的这段时间里，病例频率保持稳定，比之前的9年平均水平高出近70%。患者通常是年轻和男性，大多数病例在10-29岁年龄组，男性受伤的可能性是女性的三倍以上。最常见的损伤是烧伤,仅7月4日这一周就占病例的53%。诊断也与器械类型显著相关。
结论：这些数据可用于针对最有受伤风险的特定患者人群采取预防措施和运动，特别是年轻的男性。它们也可以用来强调政策变化对烟花供应的影响，公共卫生教育的需要与伤害发生率高峰相吻合，和继发性大流行效应。
