US emergency department visits for fireworks injuries, 2006-2010

Joseph K. Canner, Adil H. Haider, Shalini Selvarajah, Xuan Hui, Han Wang, David T. Efron, Elliott R. Haut, Catherine G. Velopulos, Diane A. Schwartz, Albert Chi, Eric B. Schneider

Research output: Contribution to journalArticlepeer-review

47 Citations (Scopus)


Background Most literature regarding fireworks injuries are from outside the United States, whereas US-based reports focus primarily on children and are based on datasets which cannot provide accurate estimates for subgroups of the US population. Methods The 2006-2010 Nationwide Emergency Department Sample was used to identify patients with fireworks injury using International Classification of Diseases, Ninth Revision, Clinical Modification external cause of injury code E923.0. International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes were examined to determine the mechanism, type, and location of injury. Sampling weights were applied during analysis to obtain US population estimates. Results There were 25,691 emergency department visits for fireworks-related injuries between 2006 and 2010. There was no consistent trend in annual injury rates during the 5-y period. The majority of visits (50.1%) were in patients aged <20 y. Most injuries were among males (76.4%) and were treated in hospitals in the Midwest and South (42.0% and 36.4%, respectively) than in the West and Northeast (13.3% and 8.3%, respectively) census regions. Fireworks-related injuries were most common in July (68.1%), followed by June (8.3%), January (6.6%), December (3.4%), and August (3.1%). The most common injuries (26.7%) were burns of the wrist, hand, and finger, followed by contusion or superficial injuries to the eye (10.3%), open wounds of the wrist, hand, and finger (6.5%), and burns of the eye (4.6%). Conclusions Emergency department visits for fireworks injuries are concentrated around major national holidays and are more prevalent in certain parts of the country and among young males. This suggests that targeted interventions may be effective in combating this public health problem.

Original languageEnglish
Pages (from-to)305-311
Number of pages7
JournalJournal of Surgical Research
Issue number1
Publication statusPublished - Jul 2014
Externally publishedYes


  • Emergency department
  • Fireworks
  • Injury
  • NEDS


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