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Clinical Pediatrics
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Elevator-Related Injuries to Children in the United States, 1990 Through 2004

Joseph O'Neil, MD, MPH

Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana, joeoneil{at}iupui.edu

Gregory K. Steele, DrPH, MPH

Department of Public Health, Indiana University School of Medicine, Indianapolis, Indiana

Carrie Huisingh, MPH

Department of Public Health, Indiana University School of Medicine, Indianapolis, Indiana

Gary A. Smith, MD, DrPH

Department of Pediatrics, The Ohio State University College of Medicine and Public Health, Center for Injury Research and Policy, Columbus Children's Research Institute, Children's Hospital, Columbus, Ohio

This study describes the epidemiology of elevator-related injuries among children in the United States from 1990 to 2004. A retrospective cohort analysis was performed using data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission. Reported cases were used to project national estimates. An estimated 29 030 elevator-related injuries occurred among children in the United States during 1990 to 2004. The mean age was 8.1 years (SD, 6.1 years), with 53.3% of injuries among boys. The overall injury rate was 2.5 injuries per 100 000 population. The injury rate for children aged 0-4 years was 4.2 per 100 000 population, and for children aged 5-19 years the injury rate was 1.9 per 100 000 population. The most frequent cause of injury was the elevator door closing on a body part, the most frequently injured body region was the upper extremity, and soft-tissue injuries were the most frequent type of injury. Children should be closely supervised on or near elevators to reduce the risk of injury.

Key Words: elevator-related injuries • injury surveillance • pediatrics • trauma.

This version was published on September 1, 2007

Clinical Pediatrics, Vol. 46, No. 7, 619-625 (2007)
DOI: 10.1177/0009922807300232
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