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Purpose <p>Fireworks-related injuries (FWIs) remain a public health concern during festivities, affecting mainly adolescents and young adults. This study evaluates the epidemiology, demographics, and clinical features of FWIs at trauma centers in Los Angeles County.</p> Methods <p>A retrospective review of the Los Angeles County Trauma Registry identified all FWI patients included in the trauma registries of 12 trauma centers (2015–2022). Collected data included demographics, injury characteristics, and outcomes. Injury severity was measured by AIS and ISS. Incidence rates used U.S. Census intercensal estimates.</p> Results <p>A total of 244 FWI patients (0.31/100,000) presented, rising from 0.19 to 0.47/100,000 (peak 0.66 in 2021). Patients were predominantly male (92.6%) and aged 15–34 (67.6%). July accounted for 57.4% of injuries, especially July 4–5 (41.8%). Extremity injuries occurred in 86.9%, with 62.7% undergoing upper-limb amputations (94.7% of these were isolated finger amputations). Ocular injuries occurred in 31.1%; burns in 27%. Surgical intervention was needed in 79.1%. ICU admission occurred in 18.4% (median stay 3 days); median hospital stay was 4 days. No fatalities were reported.</p> Conclusion <p>Rates of FWIs are increasing, causing significant extremity and ocular trauma; stronger prevention and enforcement are needed.</p>

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Epidemiology and clinical characteristics of fireworks-related injuries in Los Angeles County trauma centers

  • 期刊论文

  • 发表日期：

    2026年2月16日

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  • Andrea Sozzi,
  • Anaar Siletz,
  • Negar Nekooei,
  • Justin Tian,
  • Demetrios Demetriades

摘要

Purpose

Fireworks-related injuries (FWIs) remain a public health concern during festivities, affecting mainly adolescents and young adults. This study evaluates the epidemiology, demographics, and clinical features of FWIs at trauma centers in Los Angeles County.

Methods

A retrospective review of the Los Angeles County Trauma Registry identified all FWI patients included in the trauma registries of 12 trauma centers (2015–2022). Collected data included demographics, injury characteristics, and outcomes. Injury severity was measured by AIS and ISS. Incidence rates used U.S. Census intercensal estimates.

Results

A total of 244 FWI patients (0.31/100,000) presented, rising from 0.19 to 0.47/100,000 (peak 0.66 in 2021). Patients were predominantly male (92.6%) and aged 15–34 (67.6%). July accounted for 57.4% of injuries, especially July 4–5 (41.8%). Extremity injuries occurred in 86.9%, with 62.7% undergoing upper-limb amputations (94.7% of these were isolated finger amputations). Ocular injuries occurred in 31.1%; burns in 27%. Surgical intervention was needed in 79.1%. ICU admission occurred in 18.4% (median stay 3 days); median hospital stay was 4 days. No fatalities were reported.

Conclusion

Rates of FWIs are increasing, causing significant extremity and ocular trauma; stronger prevention and enforcement are needed.