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Published on: January 20, 2023
Elevator-related injuries to children in the United States, 1990 through 2004
Joseph O'Neil1, Gregory K Steele, Carrie Huisingh
1Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA. joeoneil@iupui.edu
Insights
Elevator injuries in children are a significant public health concern, with doors closing on body parts causing most injuries. Close supervision near elevators is crucial for child safety.
Area of Science:
- Pediatric injury epidemiology
- Consumer product safety surveillance
Background:
- Elevator-related injuries pose a risk to children.
- Understanding injury patterns is essential for prevention.
Purpose of the Study:
- To describe the epidemiology of elevator-related injuries among children in the United States.
- To identify common causes, injury types, and body regions affected.
Main Methods:
- Retrospective cohort analysis of data from the National Electronic Injury Surveillance System (NEISS).
- Projection of national estimates from reported cases (1990-2004).
Main Results:
- An estimated 29,030 elevator-related injuries occurred in children (1990-2004).
- The most frequent cause was elevator doors closing on body parts, primarily affecting the upper extremity.
- Soft-tissue injuries were the most common type.
Conclusions:
- Elevator injuries represent a notable risk for children.
- Supervision is critical to mitigate these preventable injuries.
Abstract:
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.
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