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

  • Karen S. Ren
    Affiliations
    Center for Injury Research and Policy, The Research Institute of Nationwide Children's Hospital, Columbus, OH, United States

    The Ohio State University College of Medicine, Columbus, OH, United States
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  • Thiphalak Chounthirath
    Affiliations
    Center for Injury Research and Policy, The Research Institute of Nationwide Children's Hospital, Columbus, OH, United States
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  • Jingzhen Yang
    Affiliations
    Center for Injury Research and Policy, The Research Institute of Nationwide Children's Hospital, Columbus, OH, United States

    The Ohio State University College of Medicine, Columbus, OH, United States
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  • Laura Friedenberg
    Affiliations
    Center for Injury Research and Policy, The Research Institute of Nationwide Children's Hospital, Columbus, OH, United States
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  • Gary A. Smith
    Correspondence
    Corresponding author at: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States.
    Affiliations
    Center for Injury Research and Policy, The Research Institute of Nationwide Children's Hospital, Columbus, OH, United States

    The Ohio State University College of Medicine, Columbus, OH, United States

    Child Injury Prevention Alliance, Columbus, OH, United States
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Published:March 13, 2017DOI:https://doi.org/10.1016/j.ajem.2017.03.022

      Abstract

      Objective

      Investigate the epidemiology of lawn mower-related injuries to children in the US.

      Methods

      A retrospective analysis was conducted of children younger than 18 years of age treated in US emergency departments for a lawn mower-related injury from 1990 through 2014 using data from the National Electronic Injury Surveillance System.

      Results

      An estimated 212,258 children <18 years of age received emergency treatment for lawn mower-related injuries from 1990 through 2014, equaling an average annual rate of 11.9 injuries per 100,000 US children. The annual injury rate decreased by 59.9% during the 25-year study period. The leading diagnosis was a laceration (38.5%) and the most common body region injured was the hand/finger (30.7%). Struck by (21.2%), cut by (19.9%), and contact with a hot surface (14.1%) were the leading mechanisms of injury. Patients <5 years old were more likely (RR 7.01; 95% CI: 5.69–8.64) to be injured from contact with a hot surface than older patients. A projectile was associated with 49.8% of all injuries among patients injured as bystanders. Patients injured as passengers or bystanders were more likely (RR 3.77; 95% CI: 2.74–5.19) to be admitted to the hospital than lawnmower operators.

      Conclusions

      Lawn mower-related injuries continue to be a cause of serious morbidity among children. Although the annual injury rate decreased significantly over the study period, the number of injuries is still substantial, indicating the need for additional prevention efforts. In addition to educational approaches, opportunities exist for improvements in mower design and lawn mower safety standards.

      Abbreviations:

      ANSI (American National Standards Institute), CI (Confidence Interval), CPSC (United States Consumer Product Safety Commission), ED (Emergency Department), NEISS (National Electronic Injury Surveillance System), NMIR (No-mow-in-reverse), OPEI (Outdoor Power Equipment Institute), RR (Relative risk), US (United States)

      Keywords

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      References

        • Alonso J.E.
        • Sanchez F.L.
        Lawn mower injuries in children: a preventable impairment.
        J Pediatr Orthop. 1995; 15: 83-89
        • Vosburgh C.L.
        • Gruel C.R.
        • Herndon W.A.
        • Sullivan J.A.
        Lawn mower injuries of the pediatric foot and ankle: observations on prevention and management.
        J Pediatr Orthop. 1995; 15: 504-509
        • Farley F.A.
        • Senunas L.
        • Greenfield M.L.
        • et al.
        Lower extremity lawn-mower injuries in children.
        J Pediatr Orthop. 1996; 16: 669-672
        • Mayer J.P.
        • Anderson C.
        • Gabriel K.
        • Soweid R.
        A randomized trial of an intervention to prevent lawnmower injuries in children.
        Patient Educ Couns. 1998; 34: 239-246
        • Still J.
        • Orlet H.
        • Law E.
        • Gertler C.
        Lawn mower-related burns.
        J Burn Care Rehabil. 2000; 21: 403-405
        • Bull M.J.
        • Agran P.
        • Gardner H.G.
        • et al.
        Lawn mower-related injuries to children.
        Pediatrics. 2001; 107: 1480-1481
        • Smith G.A.
        • Committee on Injury and Poison Prevention
        Technical report: lawn mower-related injuries to children.
        Pediatrics. 2001; 107E106
        • Hostetler S.G.
        • Schwartz L.
        • Shields B.J.
        • Xiang H.
        • Smith G.A.
        Characteristics of pediatric traumatic amputations treated in hospital emergency departments: United States, 1990–2002.
        Pediatrics. 2005; 116: e667-e674
        • Vollman D.
        • Khosla K.
        • Shields B.J.
        • Beeghly B.C.
        • Bonsu B.
        • Smith G.A.
        Lawn mower-related injuries to children.
        J Trauma. 2005; 59: 724-728
        • Costilla V.
        • Bishai D.M.
        Lawnmower injuries in the United States: 1996 to 2004.
        Ann Emerg Med. 2006; 47: 567-573
        • Lau S.T.
        • Lee Y.H.
        • Hess D.J.
        • Brisseau G.F.
        • Keleher G.E.
        • Caty M.G.
        Lawnmower injuries in children: a 10-year experience.
        Pediatr Surg Int. 2006; 22: 209-214
        • Vollman D.
        • Smith G.A.
        Epidemiology of lawn-mower-related injuries to children in the United States, 1990–2004.
        Pediatrics. 2006; 118: e273-e278
        • Hammig B.
        • Childers E.
        • Jones C.
        Injuries associated with the use of riding mowers in the United States, 2002–2007.
        J Saf Res. 2009; 40: 371-375
        • Hammig B.
        • Jones C.
        Paediatric injuries incurred by being run over by a riding lawn mower: United States, 2002–2008.
        Int J Inj Control Saf Promot. 2010; 17: 205-207
        • Hill S.M.
        • Elwood E.T.
        Pediatric lower extremity mower injuries.
        Ann Plast Surg. 2011; 67: 279-287
        • McNamara W.F.
        • Yamout S.Z.
        • Escobar M.A.
        • Glick P.L.
        Lawn mower-related projectile injury.
        Pediatr Surg Int. 2009; 25: 643-645
        • Bachier M.
        • Feliz A.
        Epidemiology of lawnmower-related injuries in children: a 10-year review.
        Am J Surg. 2016; 211: 727-732
        • American National Standards Institute
        • Outdoor Power Equipment Institute
        ANSI/OPEI B71.1-2003: consumer turf care equipment - walk-behind mowers and ride-on machines with mowers - safety specifications.
        New York, NY, American National Standards Institute2003
        • Loder R.T.
        • Brown K.L.
        • Zaleske D.J.
        • Jones E.T.
        Extremity lawn-mower injuries in children: report by the Research Committee of the Pediatric Orthopaedic Society of North America.
        J Pediatr Orthop. 1997; 17: 360-369
        • Loder R.T.
        • Dikos G.D.
        • Taylor D.A.
        Long-term lower extremity prosthetic costs in children with traumatic lawnmower amputations.
        Arch Pediatr Adolesc Med. 2004; 158: 1177-1181
        • Rusch M.D.
        • Grunert B.K.
        • Sanger J.R.
        • Dzwierzynski W.W.
        • Matloub H.S.
        Psychological adjustment in children after traumatic disfiguring injuries: a 12-month follow-up.
        Plast Reconstr Surg. 2000; 106 ([discussion 1459–1460]): 1451-1458
        • Trautwein L.C.
        • Smith D.G.
        • Rivara F.P.
        Pediatric amputation injuries: etiology, cost, and outcome.
        J Trauma. 1996; 41: 831-838
        • Love S.M.
        • Grogan D.P.
        • Ogden J.A.
        Lawn-mower injuries in children.
        J Orthop Trauma. 1988; 2: 94-101
        • Martin L.I.
        Lawnmower injuries in children: destructive and preventable.
        Plast Surg Nurs. 1990; 10 ([75-66]): 69-70
        • Schroeder T.
        • Ault K.
        The NEISS sample (design and implementation): 1997 to present.
        ([accessed 17.02.03])
        • US Census Bureau
        Population estimates.
        ([accessed 17.02.03])
        • U.S. Consumer Product Safety Commission
        NEISS Electronic Injury Surveillance System (NEISS) online: explanation of NEISS estimates obtained through the CPSC web-site.
        ([accessed 17.02.03])
        • American Academy of Pediatrics
        Lawn mower safety. AAP parent pages.
        2001
        • U.S. Consumer Product Safety Commission
        Lawn mower safety [press release].
        ([accessed 17.02.03])
        • American National Standards Institute
        ANSI/OPEI B71.1-2012: consumer turf care equipment - pedestrian-controlled mowers and ride-on mowers - safety specifications vol 2016.
        American National Standards Institute, New York, NY2012
        • Coopwood T.B.
        Missile injuries from power lawn mowers.
        Tex Med. 1976; 72: 53-54
        • Dormans J.P.
        • Azzoni M.
        • Davidson R.S.
        • Drummond D.S.
        Major lower extremity lawn mower injuries in children.
        J Pediatr Orthop. 1995; 15: 78-82
        • PRWeb
        Steer children clear of lawn mower injuries.
        ([accessed 17.02.03])
        • U.S. Consumer Product Safety Commission
        CPSC fact sheet: riding lawnmowers.
        ([accessed 17.02.03])