title: Injuries due to fireworks use: A surveillance data analysis in Colombia, 2008-2013.
abstract: OBJECTIVE
  To describe the injuries due to fireworks use in Colombia during the period 2008-2013 and to identify factors associated with hospitalization and death due to this cause.
  
  
  METHODS
  A descriptive study from surveillance data was carried out. Incidence rates and relative risks were calculated. The incidence rate trend was modeled with a joint point regression model. Multivariate logistical models were implemented to identify the associated factors with hospitalization and mortality due to firework injuries.
  
  
  RESULTS
  A total of 6585 people were reported to be injured by fireworks during the 2008-2013 period. An upward trend in the incidence rate during this period was observed, with an annual percentage of change of 28% (95% CI 27.7-28.3) during 2008-2011 and 3.5% (95% CI 3.0-3.9) during 2011-2013. The factors associated with hospitalization were injury occurrence at the workplace (odds ratio (OR) 2.62, 95% CI 1.97-3.47), storage (OR 2.40, 95% CI 1.54-3.73), transport (OR 1.63, 95% CI 1.20-2.21), multiple trauma (OR 1.49, 95% CI 1.31-1.70), and injury occurrence at home (OR 1.26, 95% CI 1.07-1.50). The factors associated with mortality were storage (OR 19.52, 95% CI 4.62-82.44), transport (OR 13.37, 95% CI 3.29-54.3), injury occurrence at the workplace (OR 4.88, 95% CI 1.69-14.13), and ethnicity (OR 3.37, 95% CI 1.12-10.12).
  
  
  CONCLUSIONS
  These results provided information for revising the public policies and intersectorial interventions to reduce the avoidable burden due to firework injuries at all times and not just during the high injury occurrence season.
authors: Colombian National Health Observatory, Instituto Nacional de Salud, Avenida calle 26 No. 51-20 - Zona 6 CAN, Bogotá, D.C., Colombia.
authors: Pablo
authors: P
authors: Chaparro-Narváez
authors: Colombian National Health Observatory, Instituto Nacional de Salud, Avenida calle 26 No. 51-20 - Zona 6 CAN, Bogotá, D.C., Colombia. Electronic address: kcotes@ins.gov.co.
authors: Karol
authors: K
authors: Cotes-Cantillo
authors: Colombian National Health Observatory, Instituto Nacional de Salud, Avenida calle 26 No. 51-20 - Zona 6 CAN, Bogotá, D.C., Colombia.
authors: Carlos
authors: C
authors: Castañeda-Orjuela
authors: Instituto Nacional de Salud, Avenida calle 26 No. 51-20 - Zona 6 CAN, Bogotá, D.C., Colombia.
authors: Fernando
authors: F
authors: De la Hoz-Restrepo
mesh_terms: D000061:Accidents, Home / Q000517:prevention & control / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000453:epidemiology* / Q000517:prevention & control; D002056:Burns / Q000453:epidemiology* / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D003105:Colombia / Q000453:epidemiology; D003288:Contusions / Q000453:epidemiology* / Q000517:prevention & control; D005107:Explosions; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D022125:Lacerations / Q000453:epidemiology* / Q000517:prevention & control; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology* / Q000517:prevention & control; D015999:Multivariate Analysis; D060051:Occupational Injuries / Q000453:epidemiology* / Q000517:prevention & control; D016017:Odds Ratio; D011640:Public Policy; D017132:Workplace; D055815:Young Adult
keywords: Colombia; Epidemiology; Fireworks; Recreational use; Wounds and injuries