title: Tricycle Injuries Presenting to US Emergency Departments, 2012-2013.
abstract: OBJECTIVE
  To investigate the characteristics of tricycle-related injuries in children presenting to US emergency departments (EDs).
  
  
  METHODS
  Data regarding tricycle injuries in children younger than 18 years of age were obtained from the National Electronic Injury Surveillance System for calendar years 2012 and 2013. Data included body regions injured, ED disposition, and demographics.
  
  
  RESULTS
  There were an estimated 9340 tricycle-related injuries treated in US EDs from 2012 to 2013. The average age was 3 years. Children 2 years of age had the highest frequency of injuries. Boys accounted for 63.6% of all injuries. Children 1 to 2 years of age represented 51.9% of all injuries. Lacerations were the most common type of injury. Internal organ damage was the most common type of injury in 3- and 5-year-olds. Contusions were the most common type of injury in 1- and 7-year-olds. The head was the most commonly injured region of the body and the most common region to endure internal damage. The elbows were the most commonly fractured body part. The upper extremity was more frequently fractured than the lower extremity. Approximately 2.4% of all injured children were admitted to the hospital.
  
  
  CONCLUSIONS
  The upper extremity of children, particularly the elbow, was more frequently fractured than the lower extremity. The head was the most common body part to endure internal damage. By elucidating the characteristics of tricycle-related injuries, preventive measures can be implemented to decrease the incidence of tricycle-related injuries and ED visits.
authors.affiliation: Department of Emergency Medicine, Medical College of Georgia, Augusta, Georgia; sbandzar@gru.edu.
authors.forename: Sean
authors.initials: S
authors.lastname: Bandzar
authors.affiliation: Children's Healthcare of Atlanta, Atlanta, Georgia; and Departments of Pediatrics, and.
authors.forename: Atul
authors.initials: A
authors.lastname: Vats
authors.affiliation: Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Shabnam
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Hany
authors.initials: H
authors.lastname: Atallah
authors.affiliation: Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Pitts
mesh_terms: D001265:Athletic Injuries / Q000453:epidemiology; D001642:Bicycling / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D004630:Emergencies; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D013997:Time Factors; D014481:United States