{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:42:54Z","timestamp":1777898574970,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Characterization of the epidemiology and cost of lawn-mower injuries is potentially useful to inform injury prevention and health policy efforts. We examined the incidence, distribution, types and severity, and emergency department (ED) and hospitalization charges of lawn-mower injuries among all age groups across the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective, cross-sectional study used nationally representative, population-based (all-payer) data from the US Nationwide Emergency Department Sample for lawn-mower\u2013related ED visits and hospitalizations from January 1, 2006, through December 31, 2013. Lawn-mower injuries were identified by using International Classification of Diseases, Ninth Revision, Clinical Modification code E920 (accidents caused by a powered lawn mower). We analyzed data on demographic characteristics, age, geographic distribution, type of injury, injury severity, and hospital charges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We calculated a weighted estimate of 51\u2009151 lawn-mower injuries during the 8-year study period. The most common types of injuries were lacerations (n = 23\u2009907, 46.7%), fractures (n = 11\u2009433, 22.4%), and amputations (n = 11\u2009013, 21.5%). The most common injury locations were wrist or hand (n = 33\u2009477, 65.4%) and foot or toe (n = 10\u2009122, 19.8%). Mean ED charges were $2482 per patient, and mean inpatient charges were $36\u2009987 per patient. The most common procedures performed were wound irrigation or debridement (n = 1436, 29.9%) and amputation (n = 1230, 25.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Lawn-mower injuries occurred at a constant rate during the study period. Changes to nationwide industry safety standards are needed to reduce the frequency and severity of these preventable injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354918785909","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T14:00:59Z","timestamp":1533132059000},"page":"570-577","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Incidence, Distribution, and Cost of Lawn-Mower Injuries in the United States, 2006-2013"],"prefix":"10.1177","volume":"133","author":[{"given":"Daniel G.","family":"Hottinger","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isam","family":"Nasr","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph K.","family":"Canner","sequence":"additional","affiliation":[{"name":"Department of Surgery, Johns Hopkins Surgery Center for Outcomes Research, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Kattail","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, McMaster Children\u2019s Hospital, Hamilton Health Sciences University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Koka","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Schwengel","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,8,1]]},"reference":[{"key":"bibr1-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.6.e106"},{"key":"bibr2-0033354918785909","volume-title":"Consumer Turf Care Equipment\u2014Pedestrian-Controlled Mowers and Ride-On Mowers\u2014Safety Specifications","author":"American National Standards Institute","year":"2017"},{"key":"bibr3-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0056"},{"key":"bibr4-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2015.11.025"},{"key":"bibr5-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.03.022"},{"key":"bibr6-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2006.02.020"},{"key":"bibr7-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2009.07.005"},{"key":"bibr8-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181a5f2ec"},{"key":"bibr9-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.158.12.1177"},{"key":"bibr10-0033354918785909","volume-title":"The NEISS Sample (Design and Implementation) From 1979 to 1996","author":"Schroeder T","year":"2001"},{"key":"bibr11-0033354918785909","unstructured":"Healthcare Cost and Utilization Project. 2014 introduction to the HCUP Nationwide Emergency Department Sample (NEDS). 2015. https:\/\/www.hcup-us.ahrq.gov\/db\/nation\/neds\/NEDS_Introduction_2015.jsp. 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Accessed June 18, 2018."},{"issue":"154","key":"bibr15-0033354918785909","first-page":"1","volume":"2","author":"Ingram DD","year":"2012","journal-title":"Vital Health Stat"},{"key":"bibr16-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"bibr17-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"bibr18-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1136\/ip.8.2.91"},{"key":"bibr19-0033354918785909","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"bibr20-0033354918785909","unstructured":"US Department of Labor, Bureau of Labor Statistics. CPI inflation calculator. https:\/\/www.bls.gov\/data\/inflation_calculator.htm. Accessed June 18, 2018."},{"key":"bibr21-0033354918785909","unstructured":"Howden LM, Meyer JA. Age and sex composition: 2010. 2010 Census Briefs. 2011. http:\/\/www.census.gov\/prod\/cen2010\/briefs\/c2010br-03.pdf. 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