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Published on: November 21, 2013
Lawn mower injuries in children: a 30-year experience
Anh Nguyen1, Simon Raymond, Vanessa Morgan
1Department of Plastic Surgery, Princess Margaret Hospital for Children, Perth, Western Australia, Australia.
Insights
Lawn mower injuries, especially from ride-on mowers, are severe for children. Prevention strategies are crucial to avoid these devastating injuries and improve child safety.
Area of Science:
- Pediatric Trauma
- Injury Prevention
- Public Health
Background:
- Lawn mowers pose a significant risk of severe injuries to children.
- This study examines patterns and trends of lawn mower injuries in children treated at a major pediatric hospital.
Purpose of the Study:
- To analyze the epidemiology of pediatric lawn mower injuries.
- To identify trends and risk factors associated with these injuries over a 30-year period.
Main Methods:
- Retrospective review of patient medical records at the Royal Children's Hospital, Melbourne.
- Analysis of lawn mower injuries in children admitted between 1975 and 2004.
Main Results:
- Overall pediatric lawn mower admissions decreased, but ride-on mower injuries increased.
- Ride-on mower injuries resulted in more severe outcomes, longer admissions, and more operations.
- Rural location and operating the mower were risk factors for increased injury severity.
Conclusions:
- Lawn mower injuries represent a preventable cause of significant childhood morbidity.
- Multisectoral collaboration is essential for developing effective preventative measures.
- Targeted interventions are needed to address the increasing risk from ride-on mowers.
Background:
Lawn mowers cause severe injuries that are particularly devastating to children. This study analyses the patterns and trends in lawn mower injuries involving children referred to Victoria's principal children's hospital.
Methods:
A retrospective review of the patient medical records at the Royal Children's Hospital (Melbourne) Victoria, Australia was carried out. The series included all patients admitted for lawn mower injury during the 30-year period spanning 1975-2004.
Results:
Lawn mower injuries treated at Royal Children's Hospital were severe and included partially amputated limbs. Overall, admissions for lawn mower injury generally decreased over time from n = 26 in the 1975-1979 interval to n = 14 in the 2000-2004 interval. However, the frequency of admission for injuries caused by ride-on mowers contradicted the overall trend and generally increased over time from n = 5 in the 1975-1979 interval to n = 11 in the 2000-2004 interval. This is of particular concern. Ride-on lawn mowers caused significantly more severe injuries requiring longer periods of admission and more operations during admission in comparison to standard mowers. Rural location at the time of injury was a risk factor associated with requiring longer periods of admission and more operations during admission. Children injured while operating mowers were generally older than children injured as bystanders.
Conclusion:
Lawn mower injuries are a significant cause of morbidity. These injuries are particularly devastating to children. The tragedy is keenly felt in the realization that these devastating injuries to children could all be prevented. Strategic preventative measures should be developed through partnership between the medical profession, the media, industry specialists and the wider community.
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