title: Injuries Associated With Strollers and Carriers Among Children in the United States, 1990 to 2010.
abstract: To describe the incidence, rate, and characteristics of injuries associated with strollers and carriers among young children in the United States.
  
  
  
  A retrospective analysis was conducted using data from the National Electronic Injury Surveillance System for children 5 years of age and younger treated in emergency departments (1990-2010), who sustained an injury associated with a stroller or carrier.
  
  
  
  An estimated 360,937 (95% confidence interval: 294,279-427,594) children aged 5 years or younger were treated in emergency departments for stroller- or carrier-related injuries, an average of 17,187 annually. Overall, the rate of stroller- and carrier-related injuries decreased significantly during the study period. Regarding stroller-related injuries, patients were most commonly male (52.4%) and younger than 1 year of age (42.0%); the head (43.0%) and face (31.0%) were most commonly injured. The most common diagnoses were soft tissue injuries (39.4%) and traumatic brain injuries/concussions (24.6%). Similarly, for carrier-related injuries, patients were most commonly male (52.5%) and younger than 1 year of age (89.0%); the head (61.5%) and face (24.7%) were most commonly injured. The most common diagnoses were soft tissue injuries (48.1%) and traumatic brain injuries/concussions (34.9%). Carrier-related injuries resulted in more hospitalizations (6.5%) than stroller-related injuries (2.4%).
  
  
  
  Stroller- and carrier-related injuries, specifically those resulting from falls from the product or tip-overs, are important sources of injury for children 5 years of age and younger. Although injuries over the 21-year study period decreased overall, the considerable number of injuries annually shows the need to further reduce the potential for injury associated with these ubiquitous products.
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Erica
authors.initials: E
authors.lastname: Fowler
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Christopher
authors.initials: C
authors.lastname: Kobe
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Kristin J
authors.initials: KJ
authors.lastname: Roberts
authors.affiliation: Ohio Health Research and Innovations Institute, Columbus, Ohio.
authors.forename: Christy L
authors.initials: CL
authors.lastname: Collins
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio; Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio. Electronic address: Lara.mckenzie@nationwidechildrens.org.
authors.forename: Lara B
authors.initials: LB
authors.lastname: McKenzie
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D017677:Age Distribution; D001924:Brain Concussion / Q000453:epidemiology; D000070642:Brain Injuries, Traumatic / Q000453:epidemiology; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000453:epidemiology*; D004636:Emergency Service, Hospital; D005151:Facial Injuries / Q000453:epidemiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007223:Infant; D015370:Infant Equipment; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D017678:Sex Distribution; D017695:Soft Tissue Injuries / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology
keywords: National Electronic Injury Surveillance System; carriers; falls; injury; strollers; traumatic brain injury