ArticleInjury epidemiology2023
The epidemiology of firework-related injuries in the US, 2012-2022.
Article in Injury epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Epidemiology and clinical characteristics of fireworks-related injuries in Los Angeles County trauma centers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- State Firework Legislation and Pediatric Hand Trauma.JAMA network open · 2026Article
- Impact of government pyrotechnics ban on emergency department usage rates around the turn of the years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Surgical Firework Injury of the Thumb: Injury Pattern and Treatment Algorithm.Journal of hand surgery global online · 2025Article
- Patterns of Firework-blast Injuries: A Descriptive Case Series.Journal of emergencies, trauma, and shockArticle
- Pediatric blast injuries: Distinguishing features and unique challenges.Turkish journal of emergency medicineReview
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to examine the epidemiology of firework-related injuries within a national population between 2012 and 2022, including the severity of injury by year, patient demographics, body region injured, firework type, and diagnosis category of injury.
methodsData were collected from the Consumer Product Safety Commission's National Electronic Injury Surveillance System, which is a representative nationwide database that collects data on consumer product-related injuries occurring in the US. Injury rates were calculated based on patient age, sex, body region injured, firework type, and diagnosis category.
resultsA total of 3219 injuries, representing an estimated 122,912 firework-related injuries, were treated in emergency departments within the US from 2012 to 2022. The overall incidence rate of firework-related injuries in the study rose by over 17% from 2012 [2.61 cases per 100,000 people (95% CI 2.03-3.20)] to 2022 and [3.05 cases per 100,000 people (95% CI 2.29-3.80)]. The rate of injuries was highest in adolescents and young adults (age 20-24; 7.13 cases per 100,000 people). Men experienced firework injuries at more than double the rate of women (4.90 versus 2.25 cases per 100,000 people). The upper extremities (41.62%), head/neck (36.40%), and lower extremities (13.78%) were the most commonly injured regions. Over 20% of cases in patients older than 20 were significant injuries requiring hospitalization. Aerial devices (32.11%) and illegal fireworks (21.05%) caused the highest rates of significant injury of any firework type.
conclusionsThe incidence of firework-related injuries has risen over the past decade. Injuries remain the most common among adolescents and young adults. In addition, significant injuries requiring hospitalization occur most often during aerial and illegal firework use. Further targeted sale restrictions, distribution, and manufacturing regulations for high-risk fireworks are required to reduce the incidence of significant injury.
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