{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:13:53Z","timestamp":1791893633910,"version":"4.3.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,11,9]],"date-time":"2017-11-09T00:00:00Z","timestamp":1510185600000},"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":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Background: The purpose of this study was to identify the incidence of upper extremity injuries presenting to emergency departments (EDs) nationally. Methods: The Nationwide Emergency Department Sample (NEDS) database was queried using International Classification of Diseases, Ninth Revision (ICD-9) codes specific for hand\/wrist injuries to identify national estimates of ED visits. The incidence, mean age, gender, payer mix, hospital type, location (metropolitan vs nonmetropolitan), and geographic region were recorded. Results: In total, 2 791 257 patients with upper extremity injuries and infections were treated at an ED in 2010. In total, 7.4% resulted in hospital admission; 57% of patients were male. Most common age group affected was 18 to 44 years (44%), followed by those less than 17 years (24%) and 45 to 64 years (21%). The 3 most common injury classifications were soft tissue contusions (37%), fractures (27%), and infections (17%). Thirty-seven percent of patients had private insurance, 21% had Medicaid, 19% were uninsured, 13% Medicare, and 10% other. In total, 63% of visits were seen in nonteaching EDs, 80% were seen in metropolitan cities, and 65% of visits were seen at non\u2013trauma-designated hospitals. Geographically, 37% of visits were in the South, 25% Midwest, 20% Northeast, and 18% in the West. Conclusions: Soft tissue contusion was the most frequent diagnosis. More than half of the patients were male, while the majority of patients were under the age of 44. Ninety-three percent of patients did not require hospital admission. Half had private insurance and the two-thirds of these patients were seen at nonteaching facilities.<\/jats:p>","DOI":"10.1177\/1558944717735943","type":"journal-article","created":{"date-parts":[[2017,11,10]],"date-time":"2017-11-10T00:54:20Z","timestamp":1510275260000},"page":"408-412","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":39,"title":["Trends in Upper Extremity Injuries Presenting to US Emergency Departments"],"prefix":"10.1177","volume":"14","author":[{"given":"Eric","family":"Wenzinger","sequence":"first","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"Rivera-Barrios","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Herrera","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,11,9]]},"reference":[{"key":"bibr1-1558944717735943","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v9n4p97"},{"key":"bibr2-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2007.059717"},{"issue":"4","key":"bibr3-1558944717735943","first-page":"305","volume":"51","author":"Giustini M","year":"2015","journal-title":"Ann Ist Super Sanita"},{"key":"bibr4-1558944717735943","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.10.1605"},{"key":"bibr5-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.10.945"},{"key":"bibr6-1558944717735943","doi-asserted-by":"publisher","DOI":"10.3109\/17453679209154827"},{"key":"bibr7-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1023\/B:EJEP.0000024662.32024.e3"},{"issue":"6","key":"bibr8-1558944717735943","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1055\/s-0033-1358732","volume":"45","author":"Leixnering M","year":"2013","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"bibr9-1558944717735943","first-page":"25","volume-title":"Trauma","author":"Mackenzie EJ","year":"2008","edition":"6"},{"key":"bibr10-1558944717735943","unstructured":"Nance ML. National trauma data bank annual report. http:\/\/www.facs.org\/trauma\/ntdb\/pdf\/ntdb-annual-report-2012.pdf. Published 2012. Accessed August 13, 2017."},{"key":"bibr11-1558944717735943","unstructured":"National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables. Tables 1, 4, 14, 24. Date unknown. https:\/\/www.cdc.gov\/nchs\/data\/ahcd\/nhamcs_emergency\/2013_ed_web_tables.pdf. Accessed August 13, 2017."},{"key":"bibr12-1558944717735943","unstructured":"NEDS Database Documentation. Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2016. www.hcup-us.ahrq.gov\/db\/nation\/neds\/nedsdbdocumentation.jsp. Accessed August 13, 2017."},{"key":"bibr13-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-011-9383-z"},{"key":"bibr14-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1349132"},{"key":"bibr15-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-531"},{"key":"bibr16-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2009.195"},{"key":"bibr17-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00103-7"},{"key":"bibr18-1558944717735943","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.05.017"},{"key":"bibr19-1558944717735943","unstructured":"Weiss AJ, Wier LM, Stocks C, et al. Overview of Emergency Department Visits in the United States, 2011. HCUP Statistical Brief #174. Rockville, MD: Agency for Healthcare Research and Quality. http:\/\/www.hcupus.ahrq.gov\/reports\/statbriefs\/sb174-Emergency-Department-Visits-Overview.pdf. Published June 2014. Accessed August 13, 2017."}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944717735943","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944717735943","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944717735943","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:29:16Z","timestamp":1777447756000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944717735943"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,9]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/1558944717735943"],"URL":"https:\/\/doi.org\/10.1177\/1558944717735943","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,9]]}}}