title: Shopping-cart-related injuries to children.
abstract: An estimated 24,200 children younger than 15 years, 20,700 (85%) of whom were younger than 5 years, were treated in US hospital emergency departments in 2005 for shopping cart-related injuries. Approximately 4% of shopping cart-related injuries to children younger than 15 years require admission to the hospital. Injuries to the head and neck represent three fourths of all injuries. Fractures account for 45% of all hospitalizations. Deaths have occurred from falls from shopping carts and cart tip-overs. Falls are the most common mechanism of injury and account for more than half of injuries associated with shopping carts. Cart tip-overs are the second most common mechanism, responsible for up to one fourth of injuries and almost 40% of shopping cart-related injuries among children younger than 2 years. Public-awareness initiatives, education programs, and parental supervision, although important, are not enough to prevent these injuries effectively. European Standard EN 1929-1:1998 and joint Australian/New Zealand Standard AS/NZS 3847.1:1999 specify requirements for the construction, performance, testing, and safety of shopping carts and have been implemented as national standards in 21 countries. A US performance standard for shopping carts (ASTM [American Society for Testing and Materials] F2372-04) was established in July 2004; however, it does not adequately address falls and cart tip-overs, which are the leading mechanisms of shopping cart-related injuries to children. The current US standard for shopping carts should be revised to include clear and effective performance criteria for shopping cart child-restraint systems and cart stability to prevent falls from carts and cart tip-overs. This is imperative to decrease the number and severity of shopping cart-related injuries to children. Recommendations from the American Academy of Pediatrics regarding prevention of shopping cart-related injuries are included in the accompanying policy statement.
authors.forename: Gary A
authors.initials: GA
authors.lastname: Smith
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000059:Accidents / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003132:Commerce / Q000295:instrumentation*; D006259:Craniocerebral Trauma / Q000453:epidemiology / Q000209:etiology; D004867:Equipment Design / Q000592:standards; D004869:Equipment Safety / Q000592:standards; D005060:Europe; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology; D006266:Health Education; D006801:Humans; D007223:Infant; D019838:Neck Injuries / Q000453:epidemiology / Q000209:etiology; D010290:Parents / Q000193:education; D012622:Seat Belts; D014481:United States; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology