The epidemiology of upper extremity injuries presenting to the emergency department in the United States
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The epidemiology of upper extremity injuries presenting to emergency departments in the USA is not well studied. The purpose of this investigation was to estimate the incidence rates of upper extremity injuries presenting to emergency departments.
The National Electronic Injury Surveillance System (NEISS)—a database of emergency department visits based on a sample of hospitals selected and weighted to represent the entire US population in order to allow estimates of overall incidence—was queried for all upper extremity injuries presenting to US emergency departments in 2009. Injury types were analyzed for each region of the upper extremity, and incidence rates were calculated based on population estimates from the US Census.
A query of the NEISS resulted in 92,601 records of upper extremity injury treated at an emergency department in the USA in 2009, which translates to an estimated total of 3,468,996 such injuries that year. This corresponds to an incidence of 1,130 upper extremity injuries per 100,000 persons per year. The most common region injured was the finger (38.4%). The most common upper extremity injury was a fracture (29.2%). Specific injuries with high incidence rates (all per 100,000 per year) included finger lacerations (221), wrist fractures (72), finger fractures (68), and lower arm fractures (64). Home is the most common setting for an upper extremity injury.
The NEISS provides estimates of the incidences of upper extremity injuries that may be useful for public health initiatives.
- Centers for Disease Control and Prevention. Nonfatal traumatic brain injuries from sports and recreation activities—United States, 2001–2005. MMWR Morb Mortal Wkly Rep. 2007;56:733–7.
- Downing ND. Fractures of the hand. Surgery. 2003;21(10):256–8. CrossRef
- Eitel DR, Rudkin SE, Malvehy M, et al. Improving service quality by understanding emergency department flow: a White Paper and position statement prepared for the American Academy of Emergency Medicine. J Emerg Med. 2010;38(1):70–9. CrossRef
- Larsen CF, Brondum V, Skov O. Epidemiology of scaphoid fractures in Odense, Denmark. Acta Orthop Scand. 1992;63:216–8. CrossRef
- Larsen CF, Mulder S, Johansen AM, et al. The epidemiology of hand injuries in The Netherlands and Denmark. Eur J Epidemiol. 2004;19:323–7. CrossRef
- National Electronic Injury Surveillance System (NEISS). Consumer Product Safety Commission US. Available at: http://www.cpsc.gov/library/neiss.html. Accessed September 1, 2010.
- NEISS coding manual. US. Consumer product Safety Commission Division of Hazard and Injury Data systems. January 2010. http://www.cpsc.gov/neiss/ completemanual.pdf. Accessed September 1, 2010.
- Niska R, Bhuiya F, Xu J. National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary. Natl Health Stat Rep. 2010;6(26):1–31.
- van Onselen EB, Karim RB, Hage JJ, et al. Prevalence and distribution of hand fractures. J Hand Surg Br. 2003;28(5):491–5. CrossRef
- Owens PL, Barrett ML, Gibson TB, et al. Emergency department care in the Unites States: a profile of national data sources. Ann Emerg Med. 2010;56:150–65. CrossRef
- Schroeder T, Ault K. The NEISS sample (design and implementation) 1997 to present. US Consumer Products Safety Commission Division of Hazard and Injury Data Systems. 2001. http://www.cpsc.gov/neiss/2001d011-6b6.pdf. Accessed September 1, 2010.
- Singer AJ, Thode Jr HC, Hollander JE. National trends in ED lacerations between 1992 and 2002. Am J Emerg Med. 2006;24:183–8. CrossRef
- Singer BR, McLauchlan GJ, Robinson CM, et al. Epidemiology of fractures in 15,000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998;80:243–8. CrossRef
- Sorey WH, Cassidy LD, Crout J, et al. River rope tree swing injuries. South Med J. 2008;101:699–702. CrossRef
- van DC Tassel, Owens BD, Wolf JM. Incidence estimates and demographics of scaphoid fractures in the U.S. population. J Hand Surg Am. 2010;35:1242–5. CrossRef
- U.S. Census Bureau, Population Division. Estimates data http://www.census.gov/ popest/states/tables/NST-EST2009-01.xls Accessed September 1, 2010.
- Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010;92:542–9. CrossRef
- The epidemiology of upper extremity injuries presenting to the emergency department in the United States
Volume 7, Issue 1 , pp 18-22
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