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Stair-related injuries treated in United States emergency departments

  • Author Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Danielle Herbert Blazewick
    Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Affiliations
    Center for Injury Research and Policy at Nationwide Children's Hospital, Columbus, OH, United States

    University of Cincinnati College of Medicine, Cincinnati, OH, United States
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  • Author Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Thitphalak Chounthirath
    Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Affiliations
    Center for Injury Research and Policy at Nationwide Children's Hospital, Columbus, OH, United States
    Search for articles by this author
  • Author Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Nichole L. Hodges
    Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Affiliations
    Center for Injury Research and Policy at Nationwide Children's Hospital, Columbus, OH, United States

    The Ohio State University College of Medicine, Columbus, OH, United States
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  • Author Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Christy L. Collins
    Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Affiliations
    Datalys Center for Sports Injury and Prevention, Inc., Indianapolis, IN, United States
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  • Author Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    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.
    Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
    Affiliations
    Center for Injury Research and Policy at 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
    Search for articles by this author
  • Author Footnotes
    1 Address where work was done: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital; 700 Children's Drive; Columbus, OH 43205.
Published:September 20, 2017DOI:https://doi.org/10.1016/j.ajem.2017.09.034

      Abstract

      Objective

      To investigate the characteristics of stair-related injuries among individuals of all ages and estimate national injury frequencies and rates using a representative sample of patients treated in United States emergency departments.

      Methods

      Data from the National Electronic Injury Surveillance System were analyzed for patients treated for stair-related injuries in United States emergency departments from 1990 through 2012.

      Results

      An estimated 24,760,843 patients were treated in emergency departments for a stair-related injury during the 23-year study period, averaging 1,076,558 patients annually, or 37.8 injuries per 10,000 United States residents. The annual rate of stair-related injuries decreased by 12.6% (p < 0.001) during 1990–1996, followed by an increase of 24.0% (p < 0.001) during 1996–2012. Although the highest injury rates occurred among younger children and older adults, the majority (67.2%) of emergency department visits for stair-related injuries was by individuals 11–60 years old. Most patients were female (62.4%), who also had a higher injury rate (46.5 vs. 29.1 per 10,000) than males. Sprains and strains (32.3%), soft tissue injuries (23.8%), and fractures (19.3%) were the most common types of injury. The body regions most frequently injured were the lower extremities (42.1%) and head/neck (21.6%). Patients ≤10 years old experienced more head/neck injuries. Older adult patients more frequently sustained fractures than younger age groups.

      Conclusions

      Stairs are a common source of injury among individuals of all ages and the frequency and rate of stair-related injuries are increasing. This underscores the need for increased prevention efforts, particularly those related to stair design and construction.

      Abbreviations:

      CHI (Closed head injury), CI (Confidence interval), CPSC (United States Consumer Product Safety Commission), ED (Emergency department), NEISS (National Electronic Injury Surveillance System), RR (Relative risk), US (United States)

      Keywords

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