Injury Prevention最新文献

{"title":"Ending nuclear weapons, before they end us.","authors":"Chris Zielinski","doi":"10.1136/ip-2025-045820","DOIUrl":"10.1136/ip-2025-045820","url":null,"abstract":"","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"352-353"},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exersaucers: a comprehensive review of their developmental and safety implications.","authors":"Shrayash Khare","doi":"10.1136/ip-2024-045620","DOIUrl":"10.1136/ip-2024-045620","url":null,"abstract":"<p><p>Exersaucers, marketed as safe alternatives to mobile baby walkers, are stationary activity centres that allow infants to engage with toys in a confined space. Despite their widespread popularity, concerns have emerged regarding their impact on motor development, language acquisition and safety. This review provides a detailed analysis of peer-reviewed studies, examining the evidence for both the benefits and potential developmental risks associated with exersaucers. By addressing methodological gaps and integrating recommendations for caregivers, this article aims to inform the balanced use of exersaucers in infant care.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"424-427"},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ratio of emergency department visits to deaths for opioid overdose.","authors":"Himani Byregowda, Ryoko Susukida, Masoumeh Amin-Esmaeili, Monique Wilson, Marie Stratton, Renee M Johnson","doi":"10.1136/ip-2023-045116","DOIUrl":"10.1136/ip-2023-045116","url":null,"abstract":"<p><strong>Background: </strong>Data on fatal and non-fatal overdose provide important information about the magnitude of the overdose crisis. We consider these metrics in tandem and estimated the ratio of opioid overdose-related emergency department (ED) visits to opioid overdose deaths. A lower ratio could indicate more fatal overdoses, fewer overdose reversals with naloxone or a combination of both.</p><p><strong>Methods: </strong>Data are from the Maryland Vital Statistics Administration (opioid overdose deaths), the Health Services Cost Review Commission (non-fatal ED visits for opioid overdose). We generated 2020 annual rates of fatal and non-fatal opioid overdose deaths for the state of Maryland and its 24 jurisdictions and estimated the ratio of opioid overdose-related ED visits to deaths.</p><p><strong>Results: </strong>The 2020 visit-to-death ratio for Maryland was 1.7, and ranged from 0.9 to 3.8 across jurisdictions. We identified five counties that had above-median rates of opioid overdose-related ED visits and deaths, and low visit-to-death ratios.</p><p><strong>Conclusions: </strong>Our findings indicate that there were nearly two ED visits for each opioid overdose death in Maryland, and there was substantial variation across counties. The visit-to-death ratio enables a better understanding of the relationship between fatal and non-fatal opioid overdose and is essential to averting deaths and evaluating overdose prevention efforts.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"408-411"},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation in completeness of coding external cause of injuries under ICD-10-CM.","authors":"Christine C Stewart, Gregory Simon, Brian K Ahmedani, Arne Beck, Yihe G Daida, Frances L Lynch, Ashli A Owen-Smith, Sonya L Negriff, Rebecca Rossom, Stacy A Sterling, Christine Y Lu, Michael Schoenbaum","doi":"10.1136/ip-2023-045164","DOIUrl":"10.1136/ip-2023-045164","url":null,"abstract":"<p><strong>Introduction: </strong>Information about causes of injury is key for injury prevention efforts. Historically, cause-of-injury coding in clinical practice has been incomplete due to the need for extra diagnosis codes in the International Classification of Diseases-Ninth Revision-Clinical Modification (ICD-9-CM) coding. The transition to ICD-10-CM and increased use of clinical support software for diagnosis coding is expected to improve completeness of cause-of-injury coding. This paper assesses the recording of external cause-of-injury codes specifically for those diagnoses where an additional code is still required.</p><p><strong>Methods: </strong>We used electronic health record and claims data from 10 health systems from October 2015 to December 2021 to identify all inpatient and emergency encounters with a primary diagnosis of injury. The proportion of encounters that also included a valid external cause-of-injury code is presented.</p><p><strong>Results: </strong>Most health systems had high rates of cause-of-injury coding: over 85% in emergency departments and over 75% in inpatient encounters with primary injury diagnoses. However, several sites had lower rates in both settings. State mandates were associated with consistently high external cause recording.</p><p><strong>Conclusions: </strong>Completeness of cause-of-injury coding improved since the adoption of ICD-10-CM coding and increased slightly over the study period at most sites. However, significant variation remained, and completeness of cause-of-injury coding in any diagnosis data used for injury prevention planning should be empirically determined.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"412-415"},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141436872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Violent deaths among individuals subject to domestic violence protection orders in King County, Washington, USA, 2014-2020.","authors":"Kimberly Dalve, Alice M Ellyson, Deidre Bowen, Isaac C Rhew, Frederick P Rivara, Ali Rowhani-Rahbar","doi":"10.1136/ip-2023-045189","DOIUrl":"10.1136/ip-2023-045189","url":null,"abstract":"<p><strong>Objectives: </strong>Individuals (ie, respondents) subject to domestic violence protection orders have threatened or engaged in one form of violence perpetration and may be at increased risk for experiencing others forms of violence, including violent death.</p><p><strong>Methods: </strong>Using a cohort of granted domestic violence protection orders in King County, Washington, USA, from 2014 to 2020 (n=3543), we calculated standardised mortality ratios for violent death, including suicide, homicide, legal intervention and undetermined intent, comparing domestic violence protection order respondents to King County residents adjusting for year, age, sex, and race and ethnicity through indirect standardisation.</p><p><strong>Results: </strong>There were 66 deaths among domestic violence protection order respondents; 25.8% were violent deaths and 52.9% of violent deaths involved firearms. The standardised mortality ratio for violent death was 3.71 (95% CI: 2.16 to 5.93) among domestic violence protection order respondents compared with King County residents.</p><p><strong>Conclusion: </strong>The domestic violence protection order process may provide an opportunity for referrals to services to address shared risk factors for violence perpetration and victimisation.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"416-419"},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Firearm businesses as partners in suicide prevention: a cross-sectional study of the Gun Shop Project in Colorado, USA.","authors":"Erin Wright-Kelly, Jessica Theresa Buck-Atkinson, Marian E Betz, Kate Little, Jani S Little, Beverly E Kingston, Eric Sigel, Sabrina Arredondo-Mattson","doi":"10.1136/ip-2023-045178","DOIUrl":"10.1136/ip-2023-045178","url":null,"abstract":"<p><strong>Background: </strong>The Gun Shop Project aims to reduce firearm suicide and is widely implemented in the USA, yet little is known about the core firearm business practices and behaviours that might contribute to preventing firearm suicide.</p><p><strong>Methods: </strong>Owners or managers of all firearm businesses identified as participants in Colorado's Gun Shop Project were invited to respond to a questionnaire. Data collection occurred from March to May 2021. Analyses included unweighted descriptive statistics with CIs and Pearson χ² tests for categorical associations.</p><p><strong>Results: </strong>54 firearm businesses participated (response rate: 28%). Under half reported practices that are Gun Shop Project core aspects (range: 14%-45%). 22% of businesses frequently engaged customers on the importance of safe firearm storage in suicide prevention while 26% had denied a firearm sale and 14% had assisted with temporary secure storage in the past year with customers perceived to be in suicidal crisis. However, high proportions reported willingness to engage in these behaviours if a customer was in crisis: 74% were willing to refuse a sale of a firearm or ammunition, 70% were willing to discuss temporary secure storage options and 70% were willing to direct customers to mental health services.</p><p><strong>Conclusions: </strong>This study suggests that efforts to continue educating and involving firearm businesses may have an impact on the adoption of organisational suicide prevention practices and behaviours. Ongoing efforts are needed to understand core components of Gun Shop Project to inform standardised recommendations for effective firearm business practices that prevent firearm suicide.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical and work loss costs of violence, self-harm, unintentional and traumatic brain injuries per injured person in the USA.","authors":"Cora Peterson, Likang Xu, Sha Zhu, Christopher Dunphy, Curtis Florence","doi":"10.1136/ip-2024-045259","DOIUrl":"10.1136/ip-2024-045259","url":null,"abstract":"<p><strong>Objective: </strong>Injuries and poisoning are leading causes of US morbidity and mortality. This study aimed to update medical and work loss cost estimates per injured person.</p><p><strong>Methods: </strong>Injuries treated in emergency departments (ED) during 2019-2020 were analysed in terms of mechanism (eg, fall) and intent (eg, unintentional), as well as traumatic brain injury (TBI) (multiple mechanisms and intents). Fatal injury medical spending was based on the Nationwide Emergency Department Sample and National Inpatient Sample. Non-fatal injury medical spending and workplace absences (general, short-term disability and workers' compensation) were analysed among injury patients with commercial insurance or Medicaid and matched controls during the year following an injury ED visit using MarketScan databases.</p><p><strong>Results: </strong>Medical spending for injury deaths in hospital EDs and inpatient settings averaged US$4777 (n=57 296) and US$45 678 per fatality (n=89 175) (2020 USD). Estimates for fatal TBI were US$5052 (n=5363) and US$47 952 (n=37 184). People with ED treat and release visits for non-fatal injuries had on average US$5798 (n=895 918) in attributable medical spending and US$1686 (11 missed days) (n=116 836) in work loss costs during the following year, while people with non-fatal injuries who required hospitalisation after an ED injury visit had US$52 246 (n=32 976) in medical spending and US$7815 (51 days) (n=4473) in work loss costs. Estimates for non-fatal TBI were US$4529 (n=25 792), US$1503 (10 days) (n=1631), US$51 241 (n=3030) and US$6110 (40 days) (n=246).</p><p><strong>Conclusions and relevance: </strong>Per person costs of injuries and violence are important to monitor the economic burden of injuries and assess the value of prevention strategies.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"333-339"},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysing occupational injuries onboard in Türkiye: human factors and under-reporting issues.","authors":"Taha Talip Türkistanlı, Davut Pehlivan","doi":"10.1136/ip-2025-045673","DOIUrl":"10.1136/ip-2025-045673","url":null,"abstract":"<p><strong>Background: </strong>Maritime transportation remains one of the most hazardous industries globally, with work-related incidents posing significant risks.</p><p><strong>Material and method: </strong>This research investigates onboard occupational injuries in the Turkish maritime sector, focusing on cases between 2013 and 2024. The study analyzes onboard injuries using the Human Factors Analysis and Classification System and Multiple Correspondence Analysis.</p><p><strong>Results: </strong>The study reveals that human error, inadequate supervision and insufficient organisational processes are primary contributors, particularly in dry bulk vessel operations. A lack of adequate rescue operations is noted, leading to high fatality rates. Furthermore, the analysis identifies a significant issue of under-reporting, especially in less severe events and near misses, limiting the industry's ability to address and mitigate occupational risks effectively.</p><p><strong>Conclusions: </strong>By improving reporting practices and addressing organisational failures, this study emphasises the need for stronger safety measures, more targeted training and better rescue preparedness to reduce the frequency and severity of occupational injuries and enhance the overall safety of maritime workers.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"272-277"},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the knowledge and practices on road safety measures among motorbikers in Dhaka, Bangladesh: a cross-sectional study.","authors":"Sadhan Kumar Das, Tahazid Tamannur, Arifatun Nesa, Abdullah Al Noman, Piue Dey, Shuvojit Kumar Kundu, Hafiza Sultana, Baizid Khoorshid Riaz, Anm Shamsul Islam, Golam Sharower, Bablu Kumar Dhar, Mohammad Meshbahur Rahman","doi":"10.1136/ip-2023-045071","DOIUrl":"10.1136/ip-2023-045071","url":null,"abstract":"<p><strong>Introduction: </strong>Road traffic injuries (RTIs), particularly motorbike injuries, are one of the leading causes of death worldwide and have been a serious concern in low- and middle-income countries like Bangladesh. Therefore, this study aimed to assess the level of knowledge and practices on road safety measures among motorbikers in Dhaka, Bangladesh.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from January 2022 to December 2022 among 350 motorbikers of Dhaka city via a series of face-to-face interviews. Motorbikers who regularly ride a motorcycle were interviewed about their road safety knowledge and practices through a two-stage cluster sampling technique. Frequency distribution, independent sample t-test and one-way analysis of variance (ANOVA) were performed in data analysis.</p><p><strong>Results: </strong>Out of the 350 motorbikers, only 54.6% had good knowledge and 16.9% had poor knowledge on the signs and safety regulations of roads. Moreover, only 50.6% of respondents followed good practices while 23.4% followed poor practices of road safety measures. One-way ANOVA analysis demonstrates that the average knowledge score was significantly (p<0.05) higher among higher-educated, unmarried and non-smokers. Additionally, higher education level, non-smoking status and being Muslim were significantly (p<0.05) associated with good road safety practices.</p><p><strong>Conclusions: </strong>The overall good knowledge level and practices of road safety measures among the motorbikers was not satisfactory although the majority of them knew individual signs and regulations. Therefore, this study suggests that education and strict enforcement of traffic rules may increase their knowledge and practice behaviour regarding road safety which in turn would minimise traffic injuries and fatalities.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"278-285"},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138482298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Button battery exposure in children: a systematic review and meta-analysis.","authors":"Christopher Tran, Carlos Nunez, Guy D Eslick, Ruth Barker, Elizabeth J Elliott","doi":"10.1136/ip-2024-045339","DOIUrl":"10.1136/ip-2024-045339","url":null,"abstract":"<p><strong>Background: </strong>There is a rising burden of severe and fatal outcomes resulting from button battery exposures (ingestions or insertions). We summarised current evidence following button battery exposures in children and provided pooled prevalence estimates for key clinical characteristics, complications and risk estimates for predictors.</p><p><strong>Methods: </strong>MEDLINE, Embase and Scopus databases were searched up to 19 May 2023. Included studies described complications of button battery exposures in children aged <18 years and reported prevalence data, an OR estimate or allowed OR calculation. Random effects models were used to estimate pooled estimates and event rates.</p><p><strong>Findings: </strong>Forty-four articles (3125 children) were included in the analysis. Battery exposures were more common in males (59%) and young children. For ingestions, batteries were most often located in the stomach (43%). Mucosal damage (46%) and oesophageal stricture (10%) were the most common complications. Most (60%) children were asymptomatic at presentation. When symptoms were present, vomiting (26%) and dysphagia (18%) were the most common. Duration of ingestion to removal increased the likelihood of any complication; OR 3.71 (95% CI 1.11 to 12.42) for ≥10 hours and 5.12 (95% CI 1.79 to 14.67) for ≥12 hours. Battery diameter ≥20 mm was associated with any complication OR 4.34 (95% CI 1.16 to 16.27) and oesophageal location OR 18.66 (95% CI 6.99 to 49.82). Death was associated with oesophageal impaction OR 15.52 (95% CI 2.40 to 100.27). For insertions, nasal septal perforation was the most common complication (13%).</p><p><strong>Interpretation: </strong>Button batteries are a potentially fatal domestic hazard particularly for young children. Increased prevention efforts through safer battery design are needed to mitigate this risk.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"265-271"},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}