INJURY PREVENTION

Patient-level predictors of unspecified head injury coding in traumatic brain injury-related population-based emergency department visits
Tang Y, Neuroth LM, Waller A and Harmon KJ
The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) code S09.90 ('unspecified injury of head') is frequently used in emergency departments (EDs) but excluded from the Centers for Disease Control and Prevention (CDC)'s standard traumatic brain injury (TBI) surveillance definition due to its non-specific nature. This study identifies patient-level and ED-level factors associated with the use of S09.90 and examines whether the relationship between age and S09.90 coding varies by injury severity.
Leveraging emergency medical services data to analyse characteristics and risk factors of violence: an epidemiological study
Sheikh SA, Musharraf MB, Rahim KA, Kumar K, Hassan S, Shafiq Y, Ahmed MW, Shahnaz D, Naseer R, Razzak JA and Atiq H
Violence-related injuries result in over a million deaths globally and affect individuals across various settings and demographics. This study examines the characteristics of violence victims and risk factors for assault at homes.
Trends in violence-related emergency department visits among children and adolescents <18 years in 12 jurisdictions, January 2022-April 2025
Zwald M, Chen Y, Swedo E, Jack SPD, Sumner S, D'Inverno A and Holland K
Violence-related injuries are a serious cause of morbidity among children and youth. This study used timely emergency department (ED) visit data from 12 jurisdictions participating in CDC's Advancing Violence Epidemiology in Real-Time (AVERT) program to examine trends in violence-related ED visits among children and youth.
Occupational accidents among healthcare workers in Türkiye: a systematic review and meta-analysis
Ören Çelik MM, Karaketir EŞ, Canbaz S and İnce GN
Healthcare workers (HCWs) face substantial occupational hazards imposing significant physical, psychological and economic burdens on individuals and health systems. Despite extensive research, the reported prevalence of occupational injuries varies across professional groups and regions. This systematic review and meta-analysis aimed to estimate the prevalence of occupational injuries among HCWs in Türkiye-based on self-reported outcomes over study-specified recall periods-and inform preventive strategies.
Call for collaborations: case-control studies on injury interventions and risk factors in LMICs
Bhalla K, Goel R, Quistberg A, Batomen B, Guzman LA and Matzopoulos R
Trends and age-period-cohort effect on incidence and mortality of unintentional drowning from 1990 to 2021 in China
Jiang P, Cao W, Jiang C, Qin K and Xu J
Unintentional drowning is a major public health concern worldwide, placing a substantial burden on global emergency medical services, with China bearing a particularly heavy burden. This study aims to comprehensively analyse the trends in incidence and mortality rates of unintentional drowning in China from 1990 to 2021, and to forecast future trends from 2022 to 2036.
Burden of unintentional drowning in Texas
Nguyen L, Levine NN, Zaman S, McKay S, Camp EA and Shenoi RP
Drowning is the third-leading cause of unintentional injury death worldwide. There is a limited understanding of the financial and non-financial burden of drowning in Texas by population subgroups. This cross-sectional study quantified the burden of unintentional drowning in Texas by demographic subgroups and aquatic bodies.
Handgun carrying and suicidality: An analysis of Florida adolescents
Boccio C, Jackson DB, Testa A, Semenza D and Jones MS
The aim of this study is to explore the relationship between handgun carrying and suicidality in middle school and high school students.
Disparities in and characteristics of drowning deaths in India: findings from a population-based mortality study
Kumar GA, Akbar M, Dora SSP, Majumder M, Kumar K, Roy MP and Dandona R
We report on sociodemographic inequalities in drowning mortality rate and characteristics of drowning deaths in India.
Caregiver perceptions of child active transportation safety: a nested pre-post survey
HubkaRao T, Churchill T, Cloutier MS, Nettel-Aguirre A and Hagel BE
Changes to the urban environment have successfully reduced child injuries and deaths, though their influence on caregiver perceptions of safety and child active transportation (AT) is less understood. This study evaluated whether traffic calming curbs or in-street signs influenced caregiver perceptions of child AT safety.
Six suggestions for improving quantitative evaluations
Hemenway D
This special feature contains some personal suggestions for improving quantitative analyses. I focus on articles that use regressions to determine the connections among variables, a common way for evaluating the effects of public policy. Examples come from the firearms literature. It seems to me that, once they have obtained some data, too many researchers almost immediately start running regressions-before they fully understand the dataset or think deeply about the questions they are trying to answer. I provide six suggestions for researchers: Try to: (1) determine and report a causal theory, including the chain-of-causation; (2) investigate the accuracy of the data; (3) explore the data; (4) disaggregate where possible; (5) determine if the results are plausible and (6) be transparent about the methods and results-let the reader into your 'statistical kitchen.' The evidence about the effectiveness of Child Access Prevention Laws illustrates some of these issues.
Dads also matter: paternal and maternal factors associated with infant injury mortality
Shin GJ, Kersch L, Swain S, Freeman J, Gallagher S, Agarwal S and Haines K
Despite advances in injury prevention, trauma remains a leading cause of infant mortality in the USA. This study sought to compare maternal characteristics with paternal risk factors for injury-related mortality for infants.
Characteristics of injuries among Syrian refugees in Lebanon
Al-Hajj S, Presser E, Michael M, El-Asmar K, Farhat M, Jaber L, Moustafa M and Mowafi H
Injuries sustained before and during displacement contribute significantly to the health burden of refugees, a challenge compounded by limited access to care in host settings. This study aimed to assess the prevalence, causes, outcomes and impacts of physical injuries among Syrian refugees residing in informal settlements across Lebanon.
Pedestrians' perceptions of the role of the built environment towards pedestrian safety in Kampala city, Uganda: a phenomenological study
Bayiga-Zziwa E, Balugaba BE and Jessani N
Pedestrians accounted for 39% of road traffic fatalities in Kampala city in 2021. This qualitative study therefore sought to understand people's perceptions of the role of the built environment (BE) in relation to pedestrian injury in order to complement findings from quantitative approaches in a previous phase of the study on the relationship between the BE and pedestrian injury and death.
Toddler drowning prevention through self-rescue: can 1-year-old children learn to float?
Schwebel DC and Johnston A
Drowning is a leading cause of toddler death. Prevention must be multifaceted but could include training children to protect their own safety in water. Efforts to teach toddlers self-rescue water survival skills are widely promoted but scientifically untested. A pre-post study evaluated whether self-rescue training effectively teaches 1-year-olds to survive independently in water.
Youth suicidality and adverse experiences: assessing the protective role of social support systems
Yang Y, Yang X and Liller K
Understanding the interrelationships of school, family and individual risk and protective factors of youth suicidality is critical for the development of effective prevention strategies. This study evaluates the interplay of social support systems, adverse family environments and violence experiences in relation to youth suicidality.
Impact of earned sick leave policies on parent-perpetrated maltreatment of children under five
Rochford HI and Le AB
Earned sick leave (ESL) impacts the economic security of families of workers as it enables workers to take time off to address personal or familial health issues, with pay and job protection. All forms of child maltreatment are strongly related to the economic position of a family, but the relationship between state-level ESL policy adoption and rates of parent-perpetrated child maltreatment remains unexamined.
Counting the hidden cost of suicide in Spain: a direct and indirect cost analysis for the working-age population
Freire A, Theben A and Plamenova-Djourova N
Suicide imposes substantial societal costs in Spain, yet robust quantitative evidence to guide policy remains limited. This study estimates the economic burden of premature mortality due to suicide, with particular attention to working-age adults, to inform prevention priorities.
Bicycling injuries in children and the role of the built environment: a case-crossover study
Aucoin J, Zanotto M, HubkaRao T, Doan Q, Beno S, Stang A, Howard AW, McCormack GR, Nettel-Aguirre A, Winters M and Hagel BE
Bicycling has many health benefits for children but can result in injuries. The built environment is associated with the risk of bicycling injury in adults, yet less is known about risks for children. This study sought to explore associations between built environment characteristics and child bicyclist injuries in three Canadian municipalities.
Traumatic amputations: a nationwide epidemiological analysis of a developing country over 16 years
Sorbello CCJ, Ceratti MM, Sunye IR, Portela FSO, da Silva MFA, Teivelis MP, Neto MC and Wolosker N
Traumatic amputations are one of the most common causes of limb loss; however, few studies have investigated the epidemiology of traumatic amputations and their implications for public health in developing countries. Therefore, this study aimed to epidemiologically analyse all amputations resulting from traumatic injuries in the Brazilian public health system over a 16-year period.
Economic and health burden of road traffic crashes in Kaski, Nepal
Bishwokarma S, Adhikari C, Khatri D, Gauchan B, Sapkota VP and Ranabhat CL
Evidence on the economic burden and costs of road traffic crashes (RTCs) in Nepal remains limited. This study assessed the disability-adjusted life-years (DALYs), costs and sociodemographic and injury-related factors associated with RTCs.