Evidence map›Paper›PMID 39945876›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Firework injuries around New Year's Eve - epidemiology, injury patterns and risk factors.

Helena Wegmann, Steffi Mayer, Notker Blankenburg, Peter Zimmermann, Torsten Schulz, Martin Lacher, Christian Kleber, Georg Osterhoff

Abstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. 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 · 2026
    Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Helena WegmannDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany.
Steffi MayerDepartment of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Notker BlankenburgDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany.
Peter ZimmermannDepartment of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Torsten SchulzDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany.
Martin LacherDepartment of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Christian KleberDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany.
Georg OsterhoffDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany. georg.osterhoff@medizin.uni-leipzig.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to determine key demographic and behavioural risk factors contributing to firework-related injuries and their outcomes.

methodsA retrospective study was conducted on pediatric and adult patients treated for firework-related injuries at the University Hospital Leipzig from December 28th to January 3rd over 10 years (2013-2023). Data were collected on demographics, injury details, weather conditions and classification of fireworks.

resultsA total of 155 patients (mean age 24 years, 80% male) were included. Injuries predominantly occurred within two hours after midnight, and all incidents involved violation of safety regulations. Most injuries were self-inflicted (48.4%), with hands being the most frequently affected body part (52.9%). Burn injuries were common (43.9%) but were less likely during rainy weather (OR 0.4, 95% CI 0.2-0.7, p = 0.004). Surgical intervention was required in 23.9% of cases, with significant risk factors being associated bone injuries (OR 107.1, 95% CI 22.7 to 505.6), male sex (OR 5.7, 95% CI 1.3-25.0) and multiple body region injuries (OR 4.9, 95% CI 2.1-11.7). Permanent loss of function was observed in 46.5% of all patients.

conclusionFirework-related injuries around New Year's Eve are associated with significant morbidity, particularly affecting the hands and often requiring surgical intervention. Bone injuries, male sex and multiple body region injuries were associated with higher need for surgical treatment. Despite most fireworks being purchased legally, there is widespread disregard to age restrictions and safety protocols. These findings highlight the necessity of public health initiatives to reduce the incidence and severity of such injuries, rather than stricter regulations.

Indexed as

Blast InjuriesBurnsAdolescentAdultChildChild, PreschoolFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsYoung AdultBurnsEmergency serviceEpidemiologyFireworksOpen fracturesWounds and injuries

Identifiers

PMID39945876
PMCPMC11825628

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.