Orthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis.
Journal
The Journal of the American Academy of Orthopaedic Surgeons
ISSN: 1940-5480
Titre abrégé: J Am Acad Orthop Surg
Pays: United States
ID NLM: 9417468
Informations de publication
Date de publication:
01 Jul 2021
01 Jul 2021
Historique:
received:
28
05
2020
accepted:
23
08
2020
pubmed:
19
9
2020
medline:
29
7
2021
entrez:
18
9
2020
Statut:
ppublish
Résumé
Cell phones are an integral part of daily life but are distractors that can contribute to injury. The present study uses a large national emergency department (ED) database to evaluate the frequency, anatomic location, and type of injuries associated with cell phone use. We hypothesize that orthopaedic injuries related to cell phone use have increased over time and affect certain body parts and age groups more than others. The 1999 to 2018 Nation Electronic Injury Surveillance System was queried for cell phone-related injuries leading to ED visits (injuries to the head or face or involving a landline were excluded). Demographics, type of orthopaedic injury, and body part injured were tabulated, and injuries were then classified over time as direct mechanical or cell phone use-associated, as well as related to texting compared with talking. A weighted national total of 44,599 injuries met inclusion criteria. A marked increase was noted in the incidence of cell phone use-associated injuries over the time (2,900%). Injuries occurred in persons with mean ± standard deviation age of 36.6 ± 19.9 years old, predominantly in women (60.6%), at home (32.8%) or on the street (22.4%), and while walking (31.6%) or driving (18.16%). The distribution of orthopaedic injuries was defined and occurred most frequently in the neck, lower torso/hip, and ankle. The most common types of injuries were sprain/strain (56.8%) and fracture (32.6%). The proportion of fracture injury types was significantly greater in adults aged greater than 65 (P < 0.001). The proportion of injuries related to texting on a cell phone was greatest in the 13- to 29-year-old age group and declined as age increased. Orthopaedic injures related to cell phone use resulting in ED visits have markedly increased over time. The distribution and characteristics of such injuries can be used in targeted public health education and policy development.
Identifiants
pubmed: 32947349
pii: 00124635-202107010-00008
doi: 10.5435/JAAOS-D-20-00639
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
571-579Informations de copyright
Copyright © 2020 by the American Academy of Orthopaedic Surgeons.
Références
Pew Research Centre: Mobile Phone Fact Sheet. Philadelphia, PA, Pew Charitable Trust, 2019. Available at: https://www.pewresearch.org/internet/fact-sheet/mobile/ . Accessed March 9, 2020.
Pew Research Centre: Technology Adoption in the Elderly. Philadelphia, PA, Pew Charitable Trust, 2017. Available at: https://www.pewresearch.org/internet/2017/05/17/tech-adoption-climbs-among-older-adults/ . Accessed March 9, 2020.
Patten CJD, Kircher A, Östlund J, Nilsson L: Using mobile telephones: Cognitive workload and attention resource allocation. Accid Anal Prev 2004;36:341-350.
McEvoy SP, Stevenson MR, Woodward M: The contribution of passengers versus mobile phone use to motor vehicle crashes resulting in hospital attendance by the driver. Accid Anal Prev 2007;39:1170-1176.
Harbluk JL, Noy YI, Trbovich PL, Eizenman M: An on-road assessment of cognitive distraction: Impacts on drivers' visual behavior and braking performance. Accid Anal Prev 2007;39:372-379.
Povolotskiy R, Gupta N, Leverant AB, Kandinov A, Paskhover B: Head and neck injuries associated with cell phone use. JAMA Otolaryngol Head Neck Surg 2019;146:122-127.
Wilson FA, Stimpson JP: Trends in fatalities from distracted driving in the United States, 1999 to 2008. Am J Public Health 2010;100:2213-2219.
Braitman KA, McCartt AT: National reported patterns of driver cell phone use in the United States. Traffic Inj Prev 2010;11:543-548.
Liu C, Lu C, Wang S, Sharma A, Shaw J: A longitudinal analysis of the effectiveness of California's ban on cellphone use while driving. Transp Res Part A Policy Pract 2019;124:456-467.
Prohibition on personal use of electronic devices on the flight deck. In: 79 FR 8257. Vol 14 CFR 121. College Park, MD, Federal Register of the National Archives, 2014, pp 8257-8263.
Nasar JL, Troyer D: Pedestrian injuries due to mobile phone use in public places. Accid Anal Prev 2013;57:91-95.
Judet R, Judet J, Letournel E: Fractures of the acetabulum: Classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am 1964;46:1615-1646.
Choi WS, Cho JS, Jang YS, Lim YS, Yang HJ, Woo JH: Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident? A propensity score matching. PLoS One 2020;15:e0227691.
Liu BC, Ivers R, Norton R, Boufous S, Blows S, Lo SK: Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev 2008;1:CD004333.
al-al-Qahtani S, O'Connor G: Acetabular fractures before and after the introduction of seatbelt legislation. Can J Surg 1996;39:317-320.
Wiebe DJ, D'Alonzo BA, Harris R, Putukian M, Campbell-McGovern C: Association between the experimental kickoff rule and concussion rates in Ivy League football. JAMA 2018;320:2035-2036.
Johnston YA, Bergen G, Bauer M, et al.: Implementation of the stopping elderly accidents, deaths, and injuries initiative in primary care: An outcome evaluation. Gerontologist 2019;59:1182-1191.
National Electronic Injury Surveillance System (NEISS). Bethseda, MD, US Consumer Product Safety Commission. Safety Guides-General Information Web site, 2019. Available at: https://www.cpsc.gov/Safety-Education/Safety-Guides/General-Information/National-Electronic-Injury-Surveillance-System-NEISS . Accessed March 11, 2020.
Rui P, Kang K: National Hospital Ambulatory Medical Care Survey. Atlanta, GA, Centers for Disease Control and Prevention, 2017.
Lambers K, Ootes D, Ring D: Incidence of patients with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age. Clin Orthop Relat Res 2012;470:284-290.
Nork SE, Hennrikus WL, Loncarich DP, Gillingham BL, Lapinsky AS: Relationship between ligamentous laxity and the site of upper extremity fractures in children: Extension supracondylar fracture versus distal forearm fracture. J Pediatr Orthop B 1999;8:90-92.
Friedman SM, Mendelson DA: Epidemiology of fragility fractures. Clin Geriatr Med 2014;30:175-181.
Rideout VJ, Robb MB: The Common Sense Census: Media Use by Tweens and Teens. San Francisco, CA, Common Sense Media, 2019.
Courtemanche F, Labonté-LeMoyne E, Léger PM, et al.: Texting while walking: An expensive switch cost. Accid Anal Prev 2019;127:1-8.
Plummer P, Apple S, Dowd C, Keith E: Texting and walking: Effect of environmental setting and task prioritization on dual-task interference in healthy young adults. Gait Posture 2015;41:46-51.
Schwebel DC, Stavrinos D, Byington KW, Davis T, O'Neal EE, De Jong D: Distraction and pedestrian safety: How talking on the phone, texting, and listening to music impact crossing the street. Accid Anal Prev 2012;45:266-271.
Harper CD, Hendrickson CT, Samaras C: Cost and benefit estimates of partially-automated vehicle collision avoidance technologies. Accid Anal Prev 2016;95(pt A):104-115.
Eapen C, Kumar B, Bhat AK, Venugopal A: Extensor pollicis longus injury in addition to De Quervain's with text messaging on mobile phones. J Clin Diagn Res 2014;8:LC01.
Eapen C, Kumar B, Bhat AK: Prevalence of cumulative trauma disorders in cell phone users. J Musculoskelet Res 2010;13:137-145.
Grumbach K, Keane D, Bindman A: Primary care and public emergency department overcrowding. Am J Public Health 1993;83:372-378.