Head Injuries Among Children Treated in US Emergency Departments, 2015-2019

Clin Pediatr (Phila). 2024 Jun;63(5):659-668. doi: 10.1177/00099228231191942. Epub 2023 Aug 8.

Abstract

This study evaluates the epidemiology of nonfatal head injuries among children aged 1 to 4 years associated with consumer products and identifies the specific consumer products associated with these injuries. Data for children aged 1 to 4 years who presented to emergency departments (EDs) from 2015 to 2019 for a nonfatal head injury were extracted from the National Electronic Injury Surveillance System. An estimated 1 032 429 (95% confidence interval [CI]: 675 822-1 389 063) children presented to US EDs for head injuries, averaging 566 injuries daily. The average rate of head injury did not change over the 5-year study period (slope = -0.003; P = .852); it was highest among children aged 1 year (2.06 per 100 children aged 1 year), which was nearly 3 times that of children aged 4 years (rate ratio = 2.75; 95% CI: 2.73-2.77). Most injuries occurred at home (80.4%) and occurred from interacting with home furnishings (45.1%). This study underscores the need for increased head injury mitigation efforts among young children.

Keywords: National Electronic Injury Surveillance System; consumer products; head injury; pediatric.

MeSH terms

  • Child, Preschool
  • Craniocerebral Trauma* / epidemiology
  • Craniocerebral Trauma* / etiology
  • Emergency Service, Hospital* / statistics & numerical data
  • Female
  • Humans
  • Infant
  • Male
  • United States / epidemiology