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Pediatric shopping-cart-related injuries treated in US emergency departments, 1990-2011

Keith J Martin1, Thiphalak Chounthirath, Huiyun Xiang

  • 11Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Clinical Pediatrics
|December 20, 2013
PubMed

Insights

The 2004 US shopping cart safety standard did not reduce child injuries. Head injuries, including concussions, significantly increased post-standard, indicating a need for better prevention strategies for shopping cart safety.

Area of Science:

  • Public Health
  • Pediatric Safety
  • Injury Prevention

Background:

  • Shopping cart-related injuries pose a significant risk to children.
  • Previous safety standards may not have adequately addressed injury mechanisms.

Purpose of the Study:

  • To evaluate the impact of the 2004 US shopping cart safety standard on pediatric injuries.
  • To analyze trends in shopping cart-related injuries before and after the 2004 standard.

Main Methods:

  • Retrospective analysis of data from the National Electronic Injury Surveillance System (NEISS).
  • Inclusion of data from 1990 to 2011, covering children younger than 15 years.
  • Focus on injury demographics, body regions, and specific injury types like concussions.

Main Results:

  • An estimated 530,494 children <15 years were treated for shopping cart injuries (1990-2011).
  • Head injuries were most common (78.1%).
  • Annual concussion/closed head injury rates increased by 213.3% (0.64 to 2.02 per 10,000 children) from 1990 to 2011, despite the 2004 safety standard.

Conclusions:

  • The 2004 US shopping cart safety standard has not effectively reduced overall shopping cart-related injuries in children.
  • There has been a concerning rise in head injuries, particularly concussions, among children using shopping carts.
  • Enhanced prevention efforts are crucial to mitigate the ongoing risk of shopping cart injuries in pediatric populations.

Keywords:
childrenemergency departmentfallsgrocery cartsinjurypediatricshopping cartstrauma

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