Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019

Abstract Background Despite a national decrease in emergency department visits in the United States during the first 10 months of the pandemic, preliminary Consumer Product Safety Commission data indicate increased firework-related injuries. We hypothesized an increase in firework-related injuries d...

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Autores principales:	Nathan Maassel, Abbie Saccary, Daniel Solomon, David Stitelman, Yunshan Xu, Fangyong Li, Emily Christison-Lagay, James Dodington
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/59438eb2cfe9440bb16f5e95d118078b
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spelling	oai:doaj.org-article:59438eb2cfe9440bb16f5e95d118078b2021-11-14T12:29:01ZFirework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–201910.1186/s40621-021-00358-22197-1714https://doaj.org/article/59438eb2cfe9440bb16f5e95d118078b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40621-021-00358-2https://doaj.org/toc/2197-1714Abstract Background Despite a national decrease in emergency department visits in the United States during the first 10 months of the pandemic, preliminary Consumer Product Safety Commission data indicate increased firework-related injuries. We hypothesized an increase in firework-related injuries during 2020 compared to years prior related to a corresponding increase in consumer firework sales. Methods The National Electronic Injury Surveillance System (NEISS) was queried from 2018 to 2020 for cases with product codes 1313 (firework injury) and narratives containing “fireworks”. Population-based national estimates were calculated using US Census data, then compared across the three years of study inclusion. Patient demographic and available injury information was also tracked and compared across the three years. Firework sales data obtained from the American Pyrotechnics Association were determined for the same time period to examine trends in consumption. Results There were 935 firework-related injuries reported to the NEISS from 2018 to 2020, 47% of which occurred during 2020. National estimates for monthly injuries per million were 1.6 times greater in 2020 compared to 2019 (p < 0.0001) with no difference between 2018 and 2019 (p = 0.38). The same results were found when the month of July was excluded. Firework consumption in 2020 was 1.5 times greater than 2019 or 2018, with a 55% increase in consumer fireworks and 22% decrease in professional fireworks sales. Conclusions Firework-related injures saw a substantial increase in 2020 compared to the two years prior, corroborated by a proportional increase in consumer firework sales. Increased incidence of firework-related injuries was detected even with the exclusion of the month of July, suggesting that the COVID-19 pandemic may have impacted firework epidemiology more broadly than US Independence Day celebrations.Nathan MaasselAbbie SaccaryDaniel SolomonDavid StitelmanYunshan XuFangyong LiEmily Christison-LagayJames DodingtonBMCarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9Public aspects of medicineRA1-1270ENInjury Epidemiology, Vol 8, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Public aspects of medicine RA1-1270
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Public aspects of medicine RA1-1270 Nathan Maassel Abbie Saccary Daniel Solomon David Stitelman Yunshan Xu Fangyong Li Emily Christison-Lagay James Dodington Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019
description	Abstract Background Despite a national decrease in emergency department visits in the United States during the first 10 months of the pandemic, preliminary Consumer Product Safety Commission data indicate increased firework-related injuries. We hypothesized an increase in firework-related injuries during 2020 compared to years prior related to a corresponding increase in consumer firework sales. Methods The National Electronic Injury Surveillance System (NEISS) was queried from 2018 to 2020 for cases with product codes 1313 (firework injury) and narratives containing “fireworks”. Population-based national estimates were calculated using US Census data, then compared across the three years of study inclusion. Patient demographic and available injury information was also tracked and compared across the three years. Firework sales data obtained from the American Pyrotechnics Association were determined for the same time period to examine trends in consumption. Results There were 935 firework-related injuries reported to the NEISS from 2018 to 2020, 47% of which occurred during 2020. National estimates for monthly injuries per million were 1.6 times greater in 2020 compared to 2019 (p < 0.0001) with no difference between 2018 and 2019 (p = 0.38). The same results were found when the month of July was excluded. Firework consumption in 2020 was 1.5 times greater than 2019 or 2018, with a 55% increase in consumer fireworks and 22% decrease in professional fireworks sales. Conclusions Firework-related injures saw a substantial increase in 2020 compared to the two years prior, corroborated by a proportional increase in consumer firework sales. Increased incidence of firework-related injuries was detected even with the exclusion of the month of July, suggesting that the COVID-19 pandemic may have impacted firework epidemiology more broadly than US Independence Day celebrations.
format	article
author	Nathan Maassel Abbie Saccary Daniel Solomon David Stitelman Yunshan Xu Fangyong Li Emily Christison-Lagay James Dodington
author_facet	Nathan Maassel Abbie Saccary Daniel Solomon David Stitelman Yunshan Xu Fangyong Li Emily Christison-Lagay James Dodington
author_sort	Nathan Maassel
title	Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019
title_short	Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019
title_full	Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019
title_fullStr	Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019
title_full_unstemmed	Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019
title_sort	firework-related injuries treated at emergency departments in the united states during the covid-19 pandemic in 2020 compared to 2018–2019
publisher	BMC
publishDate	2021
url	https://doaj.org/article/59438eb2cfe9440bb16f5e95d118078b
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Firework-related injuries treated at emergency departments in the United States during the COVID-19 pandemic in 2020 compared to 2018–2019

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