Bicycle or Accessory Related Facial Laceration Injuries in the Pediatric Population (2018-2022): A NEISS Database Study

Authors' Affiliations

Jonathan Tobin, Edward Via College of Osteopathic Medicine, Blacksburg, VA

Location

D.P. Culp Center Ballroom

Start Date

4-5-2024 9:00 AM

End Date

4-5-2024 11:30 AM

Poster Number

13

Name of Project's Faculty Sponsor

Alison LePera

Faculty Sponsor's Department

Emergency Medicine

Classification of First Author

Clinical Doctoral Student

Competition Type

Competitive

Type

Poster Presentation

Presentation Category

Health

Abstract or Artist's Statement

Introduction: Facial lacerations are common among athletes and fitness enthusiasts of all age groups. Lacerations to the face are difficult injuries to properly treat in the emergency department (ED) due to the cosmetic aspect of the injury, the method of wound closure, and the potential damage to underlying structures including but not exclusively the facial nerve, parotid gland, and vermillion border. Materials and methods: This 5-year retrospective study examined national estimates (NE) for facial lacerations related to sports and recreational equipment that presented to EDs in the United States (US) using data acquired from the National Electronic Injury Surveillance System (NEISS). Demographic information collected included injury location, age, and disposition. Results: From 2018-2022, it was found that 41,559 sports related lacerations (NE:1,450,077) mostly affected the face (40%; NE:554,113). Of these cases, 94% were treated or examined and released from the ED (NE:90,957). Out of 209 sports and recreation equipment categories, bicycles constituted the largest number of sports related facial lacerations, (17%; NE:97,041). Of the cases with facial lacerations due to bicycles, a close majority of 49% were children between the ages of 2-12 years old (NE:40,975). Conclusion: This information is important for EDs serving populations that frequently use bicycles for exercise and transportation. Due to potential cosmetic complications of vermillion border lacerations and specific methods of wound closure, additional training for emergency medicine physicians or availability of a plastic surgeon on call may be beneficial for ED’s in heavy cycling communities. Furthermore, with 49% of bicycle and accessory related facial lacerations affecting children, these findings aim to help guide future discussions on the potential effectiveness of bicycle safety and helmets in preventing serious pediatric facial injury. Lastly, these findings support the currently available literature on pediatric bicycle-related trauma by reporting on recently obtained data.

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Apr 5th, 9:00 AM Apr 5th, 11:30 AM

Bicycle or Accessory Related Facial Laceration Injuries in the Pediatric Population (2018-2022): A NEISS Database Study

D.P. Culp Center Ballroom

Introduction: Facial lacerations are common among athletes and fitness enthusiasts of all age groups. Lacerations to the face are difficult injuries to properly treat in the emergency department (ED) due to the cosmetic aspect of the injury, the method of wound closure, and the potential damage to underlying structures including but not exclusively the facial nerve, parotid gland, and vermillion border. Materials and methods: This 5-year retrospective study examined national estimates (NE) for facial lacerations related to sports and recreational equipment that presented to EDs in the United States (US) using data acquired from the National Electronic Injury Surveillance System (NEISS). Demographic information collected included injury location, age, and disposition. Results: From 2018-2022, it was found that 41,559 sports related lacerations (NE:1,450,077) mostly affected the face (40%; NE:554,113). Of these cases, 94% were treated or examined and released from the ED (NE:90,957). Out of 209 sports and recreation equipment categories, bicycles constituted the largest number of sports related facial lacerations, (17%; NE:97,041). Of the cases with facial lacerations due to bicycles, a close majority of 49% were children between the ages of 2-12 years old (NE:40,975). Conclusion: This information is important for EDs serving populations that frequently use bicycles for exercise and transportation. Due to potential cosmetic complications of vermillion border lacerations and specific methods of wound closure, additional training for emergency medicine physicians or availability of a plastic surgeon on call may be beneficial for ED’s in heavy cycling communities. Furthermore, with 49% of bicycle and accessory related facial lacerations affecting children, these findings aim to help guide future discussions on the potential effectiveness of bicycle safety and helmets in preventing serious pediatric facial injury. Lastly, these findings support the currently available literature on pediatric bicycle-related trauma by reporting on recently obtained data.