Children treated for lawn mower-related injuries in US emergency departments, 1990–2014

Ren, Karen S.; Chounthirath, Thiphalak; Yang, Jingzhen; Friedenberg, Laura; Smith, Gary A.

doi:10.1016/j.ajem.2017.03.022

Cited by 17 publications

(13 citation statements)

References 22 publications

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“…The hand is the most common area of the human body to suffer trauma in the pediatric patient. 7,8 Our study, similar to other investigations, 9,10 documented that younger children, particularly those under the age of 5 years, are especially prone to injuries. This observation should not be surprising, given the natural curiosity young children have for their environment.…”

Section: Discussionsupporting

confidence: 90%

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Marchalik

Rada

Albino

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:Upper extremity friction burn due to powered home equipment is a growing problem in the pediatric population. The purpose of this study was to review the etiology, presentation, characteristics, and treatment of this particular type of pediatric mechanism of injury.Methods:A retrospective chart review using International Classification of Diseases, version 9, codes for patients treated at a large tertiary care, free-standing children’s hospital was performed to identify all patients presenting with an upper extremity friction burn from 2003 to 2012.Results:Sixty-nine patients sustained upper extremity friction burns. The average age at the time of injury was 3.3 years (range, 0.7–10.6) with presentation to our center occurring 16.6 days (range, 0–365 days) following injury. Mean follow-up was 23.3 months (range, 2–104). Mechanism of injury included treadmills (n = 63) and vacuum cleaners (n = 6). Twenty-eight operations were performed on 21 patients (30%). All patients requiring a surgical intervention sustained injury via treadmill mechanism (P = 0.0001). Unlike treadmill burns, vacuum cleaner injuries affected the dorsal hand or a single digit (P = 0.00004). Scar hyperpigmentation was more prevalent in these patients compared with the treadmill group (P = 0.003). All vacuum-induced burn patients had full range of motion and function with conservative treatment alone, whereas only 55.6% of treadmill burn patients had full recovery of range of motion and 50.8% recovery of full hand function.Conclusions:Friction burns from vacuum cleaners are less prevalent, have different injury patterns, and can be treated conservatively with excellent functional outcomes. Treadmill friction burns result in more significant injury and risk for dysfunction, requiring surgical intervention.

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Section: Discussionsupporting

confidence: 90%

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Marchalik

Rada

Albino

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…Voluntary safety specifications for lawn mowers were first published in 1987 and have been revised periodically and have led to improvements in lawn mower design. 14 From 1990 to 2014, the rate of lawn mower injuries dropped by more than 50%, likely due, in part, to design changes and increased awareness. 15 There may be some hope drawn from the example of power saw hand injuries, which had an annual 5.8% decrease in incidence after mandatory regulations were put in place in 2007; previously, the incidence had been rising 18% annually.…”

Section: Discussionmentioning

confidence: 99%

Seasonal Trends in Traumatic Digit Amputations: Experience of a Level І and a Level ІІ Hospital in a Northeastern State

Harris

Goodman

Kuczmarski

et al. 2019

Hand (New York, N,Y.)

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Background: Traumatic digit amputations are common hand injuries in the United States. The primary aim of our study was to describe the relationship between season and mechanisms of amputation. Methods: The Emergency Department and Orthopaedic Surgery Billing Department databases of our level І institution in the Northeast were reviewed to identify patients with a traumatic digit amputation between January 2010 and December 2015. Inclusion criteria were defined as any patient presenting with a partial or complete amputation through Verdan zone I or II. All patient information was entered into a secure database, including date of injury, demographic information, digits amputated, mechanism of injury (crush, laceration, avulsion, bite, blast, saw, snow blower, or lawn mower), and Verdan zones of amputation. In addition to descriptive statistics, Fisher exact and χ2 tests were used to compare the incidence of these traumatic digit amputation mechanisms between seasons. Results: For this 6-year period, an average of 24 patients presented each season for treatment of a traumatic digit amputation. Of all seasons, spring had the highest proportion of lawn mower amputations (62.5%; P < .0001), summer had the highest proportion of blast amputations (75.0%; P = .011), and winter had the highest proportion of snow blower amputations (90.9%; P < .0001). All other traumatic digit amputation mechanisms had no significant seasonal variation in incidence (P > .30). Conclusions: Given that certain traumatic digit amputation mechanisms occur predictably during certain seasons, seasonal public education has the potential to prevent these debilitating injuries.

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“…The positive public health consequences of the CPSC walk behind mower safety (design) standard are remarkably impressive. The most recent retrospective epidemiological study on lawn mower injuries in children show a 59% decrease in emergency department cases involving children being injured by lawn mowers during the study period of 1990-2014 [20]. The National Electronic Injury Surveillance System (NEISS), the main CPSC database, indicates that ALL injury types involving walk behind lawn mowers that required emergency room treatment averaged 6291 people per year, down from the 70,000 injuries per year level in the 1970s (Consumer Product Safety Commission, 2008-2017).…”

Section: A Case Study: Design Modifications In Consumer Walk Behind Lmentioning

confidence: 99%

A Public Health Perspective on Consumer Product Design

Seifert¹

2020

J Appl Mech Eng

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Consideration of a public health perspective in consumer product design is a necessary enhancement to good product design, not just standard engineering practice. This study aims to determine a causal relationship between product design and level of injuries and related costs through the construction of a model that takes into account public health impacts of a particular design, both before product introduction and throughout the product life cycle. The model examines the relationship between design and injury rates by scoring injury data, which allows for interpretation as to design-related cause and potential removal of that cause through design change to eliminate a particular injury scenario.

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Children treated for lawn mower-related injuries in US emergency departments, 1990–2014

Cited by 17 publications

References 22 publications

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Seasonal Trends in Traumatic Digit Amputations: Experience of a Level І and a Level ІІ Hospital in a Northeastern State

A Public Health Perspective on Consumer Product Design

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