Evidence map›Paper›PMID 41697352›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

Epidemiology and clinical characteristics of fireworks-related injuries in Los Angeles County trauma centers.

Andrea Sozzi, Anaar Siletz, Negar Nekooei, Justin Tian, Demetrios Demetriades

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Andrea SozziAcute Care Surgery, Los Angeles Medical Center, USC School of Medicine, Los Angeles, CA, USA. andrea.sozzi@unimi.it.ORCID http://orcid.org/0000-0002-5060-7690
Anaar SiletzAcute Care Surgery, Los Angeles Medical Center, USC School of Medicine, Los Angeles, CA, USA.
Negar NekooeiAcute Care Surgery, Los Angeles Medical Center, USC School of Medicine, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0001-8885-1683
Justin TianAcute Care Surgery, Los Angeles Medical Center, USC School of Medicine, Los Angeles, CA, USA.
Demetrios DemetriadesAcute Care Surgery, Los Angeles Medical Center, USC School of Medicine, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFireworks-related injuries (FWIs) remain a public health concern during festivities, affecting mainly adolescents and young adults. This study evaluates the epidemiology, demographics, and clinical features of FWIs at trauma centers in Los Angeles County.

methodsA retrospective review of the Los Angeles County Trauma Registry identified all FWI patients included in the trauma registries of 12 trauma centers (2015-2022). Collected data included demographics, injury characteristics, and outcomes. Injury severity was measured by AIS and ISS. Incidence rates used U.S. Census intercensal estimates.

resultsA total of 244 FWI patients (0.31/100,000) presented, rising from 0.19 to 0.47/100,000 (peak 0.66 in 2021). Patients were predominantly male (92.6%) and aged 15-34 (67.6%). July accounted for 57.4% of injuries, especially July 4-5 (41.8%). Extremity injuries occurred in 86.9%, with 62.7% undergoing upper-limb amputations (94.7% of these were isolated finger amputations). Ocular injuries occurred in 31.1%; burns in 27%. Surgical intervention was needed in 79.1%. ICU admission occurred in 18.4% (median stay 3 days); median hospital stay was 4 days. No fatalities were reported.

conclusionRates of FWIs are increasing, causing significant extremity and ocular trauma; stronger prevention and enforcement are needed.

Indexed as

Blast InjuriesTrauma CentersAdolescentAdultBurnsChildChild, PreschoolEye InjuriesFemaleHumansIncidenceInjury Severity ScoreLos AngelesMaleMiddle AgedRegistriesEpidemiologyFireworks-related InjuriesLA CountyTrauma

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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.